abstract: 'On 20 March 2015, Professor Johan Mackenbach of the Erasmus University Medical Centre was awarded a doctorate honoris causa by the Catholic University (Universite Catholique) of Louvain, Belgium, for his outstanding contribution to the analysis of health inequalities in Europe and to the development of policies intended to address them. In this context, a debate took place between Professor Mackenbach, Professor Maniquet, a well-being economist, and a representative of the Federal Health Ministry (Mr. Brieuc Vandamme). They were asked to debate on three topics. (1) socio-economic inequalities in health are not smaller in countries with universal welfare policies; (2) Policies needs to target either absolute inequalities or relative inequalities; (3) The focus of policies should either address the social determinants of health or concentrate on access to health care. The results of the debate by the three speakers highlighted the fact that welfare systems have not been able to tackle diseases of affluence. Targets for health policies should be set according to opportunity cost: health care is increasingly costly and a focus on health inequalities above all other inequalities runs the risk of taking a dogmatic approach to well-being. Health is only one dimension of well-being and policies to address inequality need to balance preferences between several dimensions of well-being. Finally, policymakers may not have that much choice when it comes to reducing inequality: all effective policies should be implemented. For example, Belgium and other European countries should not leave aside health protection policies that are evidence-based, in particular taxes on tobacco and alcohol. In his final contribution, Professor Mackenbach reminded the audience that politics is medicine on a larger scale and stated that policymakers should make more use of research into public health.' affiliation: 'Lorant, V (Corresponding Author), Catholic Univ Louvain, IRSS, Inst Hlth \& Soc, Clos Chapelle Aux Champs,30 Bte B1-30-15, B-1200 Brussels, Belgium. Lorant, Vincent; D''Hoore, William, Catholic Univ Louvain, IRSS, Inst Hlth \& Soc, B-1200 Brussels, Belgium.' article-number: '97' author: Lorant, Vincent and D'Hoore, William author-email: vincent.lorant@uclouvain.be author_list: - family: Lorant given: Vincent - family: D'Hoore given: William da: '2023-09-28' doi: 10.1186/s12939-015-0242-3 files: [] issn: 1475-9276 journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH keywords: Health inequalities; Health policies; Stakeholders keywords-plus: 'WIDENING SOCIOECONOMIC INEQUALITIES; CAUSE-SPECIFIC MORTALITY; LIFE EXPECTANCY; EUROPEAN COUNTRIES; INCOME INEQUALITY; EDUCATIONAL-DIFFERENCES; POPULATION HEALTH; EXPLANATION; SMOKING; TRENDS' language: English month: OCT 17 number-of-cited-references: '30' orcid-numbers: /0000-0002-2663-332X papis_id: dfa520212cc2e413754d3af3433c9873 ref: Lorant2015johanmackenbach times-cited: '0' title: Johan Mackenbach, awarded an honorary doctorate for his work on health inequalities, in a discussion of burning issues in tackling health inequalities type: article unique-id: WOS:000363012100001 usage-count-last-180-days: '0' usage-count-since-2013: '8' volume: '14' web-of-science-categories: Public, Environmental \& Occupational Health year: '2015'