A major union in Scotland is calling health inequalities "a national scandal" and "a disgrace".
Unison is calling on the Scottish Government to make the health gap between the richest and poorest in society a top priority. Life expectancy can vary by as much as 30 years in some areas.
A report compiled in conjunction with the Scottish labour party's calling for employment, housing and education services to join forces and offer localised support through 'community hubs'.
Dr David Conway, Chair of the Health Inequalities Commission said: "Health inequalities are the manifestation of inequalities in income, wealth, and power. They result in upto 30 years difference in life expectancy between those born in the richest and poorest neighbourhoods.
"There have been many reports on Scottish health inequalities over the years. This commission report is different because it is firmly focussed on what we can and must do in Scotland to tackle this enduring problem. It is a national shame that we have some of the worst health inequalities in the developed world.
"We need to debunk the myth that there are no devolved powers available to take on this huge challenge and get on and do something about it. The commission recommendations come from a wide consultation with experts working in communities, the health service, local government, and trade unions; as well as from community engagement events.
"The testimonies we heard from people working heroically in their communities painted a graphic picture of the miserable reality of poverty and inequality and the inadequate policy and resources we put into tackling health inequalities in Scotland.
"If we are ever going to solve this issue we are going to have to fundamentally change our political priorities and choices taken in the Scottish Parliament."
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