We hear plenty about the widening income gap between the rich and the poor in America and about the expanding distance separating the haves and the have-nots. But when detailing the many things that the poor have not, we often overlook the most critical—their health. The poor die sooner. Blacks die sooner. And poor urban blacks die sooner than almost all other Americans. In nearly four decades as a doctor at hospitals serving some of the poorest communities in Chicago, David A. Ansell, MD,  has witnessed firsthand the lives behind these devastating statistics. In The Death Gap, he gives a grim survey of these realities, drawn from observations and stories of his patients.

While the contrasts and disparities among Chicago’s communities are particularly stark, the death gap is truly a nationwide epidemic—as Ansell shows, there is a thirty-five-year difference in life expectancy between the healthiest and wealthiest and the poorest and sickest American neighborhoods. If you are poor, where you live in America can dictate when you die. It doesn’t need to be this way; such divisions are not inevitable. Ansell calls out the social and cultural arguments that have been raised as ways of explaining or excusing these gaps, and he lays bare the structural violence—the racism, economic exploitation, and discrimination—that is really to blame. Inequality is a disease, Ansell argues, and we need to treat and eradicate it as we would any major illness. To do so, he outlines a vision that will provide the foundation for a healthier nation—for all.

As the COVID-19 mortality rates in underserved communities proved, inequality is all around us, and often the distance between high and low life expectancy can be a matter of just a few blocks. Updated with a new foreword by Chicago mayor Lori Lightfoot and an afterword by Ansell, The Death Gap speaks to the urgency to face this national health crisis head-on.

Dick Simpson draws upon his fifty-year career as a legislator, campaign strategist, and government advisor to examine the challenges confronting Americans in their struggle to build the United States as a multiracial, multiethnic democracy. Using Chicago as an example, Simpson examines how the political, racial, economic, and social inequalities dividing the nation play out in our neighborhoods and cities. His investigation of our current crisis and its causes delves into issues like money in politics, low voter participation, the politics of resentment, political corruption, and a host of structural problems. But Democracy’s Rebirth goes beyond analysis. Simpson lays out a sober, practical manifesto meant to inspire people everywhere to educate themselves and do the hard work of creating the kind of strong institutions that will allow true democracy to flourish.

With a foreword by Mayor Lori E. Lightfoot.