a.Our economic, social, and built environments shape health b. People who are middle to lower on the class pyramid are exposed to more health threats (material deprivation to chronic stressors) and have less access to the opportunities and resources needed to control their destinies. c. People middle to higher on the class pyramid have access to more power and resources and in general live longer, healthier lives. This is true not only for the bottom and top but at every level. d. Chronic activation of the body's stress response wears down our organs over time and increases disease risk.