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What is the main idea of the article?

People everywhere now live past 100 thanks to exercise.

Japan is the only country with many centenarians.

Personal lifestyle choices are enough to guarantee reaching 100.

Wealth inequality is creating a growing gap in who enjoys long, healthy lives.

Which statistic from the UK shows the scale of health inequality?

People in the richest areas have close to 18 extra healthy years.

Rich areas have two extra healthy years.

Rich areas have five extra healthy years.

Poor areas have 18 extra healthy years.

What happened to the US life-expectancy gap from 2000 to 2021?

It stayed the same at 12.6 years.

It grew from 12.6 years to 20.4 years.

It disappeared completely.

It fell to 10.2 years.

Which pair shows the largest drop in life expectancy in India during 2020?

High-caste Hindus: −5.4 years; Indian Muslims: −1.3 years

High-caste Hindus: −1.3 years; Indian Muslims: −5.4 years

Both groups: −1.3 years

Both groups: −5.4 years

Which idea best describes the role of personal choices in the article?

Personal choices fully control who reaches 100.

Personal choices do not matter at all.

Only medical treatments matter; choices do not.

Personal choices help, but they cannot overcome deep social and economic gaps.

Which solution does the article call for?

Political action to improve access to food, housing, and freedom from stress.

More personal fitness apps.

Higher prices for health care.

Less data on life expectancy.

Which statement about centenarians is mentioned?

Japan has exactly 50,000 centenarians.

There were 3.7 million centenarians in 2015.

Centenarians are decreasing worldwide.

Japan has almost 100,000 centenarians, a record high.

What tone does the article use to question fairness?

Playful and comic.

Neutral and technical only.

Questioning and slightly cynical about who can afford long life.

Angry and insulting toward older people.

Choose the best summary:

Japan’s centenarian numbers prove that only Asian countries are improving in health.

More people live to 100, but wealth inequality decides who enjoys long, healthy years.

Personal health tips now guarantee that everyone can reach 100 if they try hard enough.

Covid-19 ended inequality and made life expectancy the same across groups.

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If long life becomes a “luxury item,” what does that say about our values as a society?

Which matters more for health: personal habits or social conditions like housing and income? Why?

The UK figure is “18 extra healthy years” for richer areas. What policies could reduce this gap without lowering anyone’s health?

In the US example, the gap grew from 12.6 to 20.4 years. What might cause such a large change?

India’s numbers show very different losses during 2020. How could fair access to care change outcomes in a future crisis?

Should governments set targets for “healthspan”, not just lifespan? What would success look like?

Brazilian context: which public services (food security, primary health care, sanitation, safe housing) would most quickly add “healthy years” in poorer areas?

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Who Gets to Be 100? When Long Life Becomes a Luxury

October 25, 2025·5 min read·Health·B1