Health inequality has very different root causes. It starts locally with unequal financial situation and a lack of public health spending. But the problem is that it is all connected with a global unequal and structural environment causing global issues which do not know any borders. The lack of education for example causes unequal social classes, which causes stress diseases or insufficient hygiene standards to prevent illness that could have been prevented very easy with a proper education. There are unequal trade patterns which exclude some countries from getting the necessary medicine and knowledge. There is unequal treatment and discrimination based on your gender or your nationality. And last but not least there are places where pollution causes heavy illnesses. If we want global health a systemic change is needed. Cooperation is the only option to solve these global problems.