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This work demonstrates that a series of arbitrary misconceptions and assumptions in American culture generate racism, the gap between rich and poor, and other social problems. It argues that Americans fail to realize that the goals and values of others can be different without being wrong.
This challenges the assumption that "primitive" societies are poor, ill and malnourished and that progress through civilization automatically implies improved health. Using findings from epidemiology, anthropology and archaeology, this provides evidence about the effects of civilization on health.
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