are likely to engage in organized violence, which could include war. These structures make for opportunities and advances that humans could not create for themselves, including the development of agriculture, technology, philosophy, science, and art; however, these structures take tolls elsewhere, making them both productive and detrimental. In early human history, hunter-gatherer groups used organizational power to acquire more resources and produce more food; yet, at the same time, this power was also used to dominate, kill, and enslave other groups in order to expand territory and supplies. Although structural violence is said to be invisible, it has a number of influences that shape it. These include identifiable institutions, relationships, force fields, and ideologies, including discriminatory laws, gender inequality, and racism. Moreover, this does not solely exist for those of lower classes, though the effects are much heavier on them, including higher rates of disease and death, unemployment, homelessness, lack of education, powerlessness, and shared fate of miseries. The whole social order is affected by social power; other, higher-class groups, however have much more indirect effects on them, with the acts generally being less violent. Due to social and economic structures in place today—specifically divisions into rich and poor, powerful and weak, and superior and inferior—the excess premature death rate is between 10 and 20 million per year, which is over ten times the death rates from suicide, homicide, and warfare combined. The work of Yale-based German philosopher, Thomas Pogge, is one major resource on the connection between structural violence and poverty, especially his book World Poverty and Human Rights (2002). Access to health care Structural violence affects the availability of health care insofar as paying attention to broad social forces (racism, gender inequality, classism, etc.) can determine who falls ill and who will be given access to care. It is therefore considered more likely for structural violence to occur in areas where biosocial methods are neglected in a country's health care system. Since situations of structural violence are viewed primarily as biological consequences, it neglects problems stimulated by people's environment, such as negative social behaviours or the prominence of inequality, therefore ineffectively addressing the issue. Medical anthropologist Paul Farmer argues that the major flaw in the dominant model of medical care in the US is that medical services are sold as a commodity, remaining only available to those who can afford them. As medical professionals are not trained to