front cover of The Death Gap
The Death Gap
How Inequality Kills
David A. Ansell, MD
University of Chicago Press, 2021
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.
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front cover of The Death Gap
The Death Gap
How Inequality Kills
David A. Ansell, MD
University of Chicago Press, 2017
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.

Inequality is all around us, and often the distance between high and low life expectancy can be a matter of just a few blocks. But geography need not be destiny, urges  Ansell. In The Death Gap he shows us how we can face this national health crisis head-on and take action against the circumstances that rob people of their dignity and their lives.
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front cover of The Death of Ramón González
The Death of Ramón González
The Modern Agricultural Dilemma
By Angus Wright
University of Texas Press, 2005

The Death of Ramón González has become a benchmark book since its publication in 1990. It has been taught in undergraduate and graduate courses in every social science discipline, sustainable and alternative agriculture, environmental studies, ecology, ethnic studies, public health, and Mexican, Latin American, and environmental history. The book has also been used at the University of California-Santa Cruz as a model of interdisciplinary work and at the University of Iowa as a model of fine journalism, and has inspired numerous other books, theses, films, and investigative journalism pieces.

This revised edition of The Death of Ramón González updates the science and politics of pesticides and agricultural development. In a new afterword, Angus Wright reconsiders the book's central ideas within the context of globalization, trade liberalization, and NAFTA, showing that in many ways what he called "the modern agricultural dilemma" should now be thought of as a "twenty-first century dilemma" that involves far more than agriculture.

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front cover of DES Daughters, Embodied Knowledge, and the Transformation of Women's Health Politics in the Late Twentieth Century
DES Daughters, Embodied Knowledge, and the Transformation of Women's Health Politics in the Late Twentieth Century
Susan E. Bell
Temple University Press, 2009
From the 1940s to the 1970s, millions of women were exposed prenatally to the synthetic estrogen DES, a “wonder drug” intended to prevent miscarriages. However, DES actually had damaging consequences for the women born from DES mothers. The “DES daughters” as they are known, were found to have a rare form of vaginal cancer or were infertile. They were also at risk for miscarriages, stillbirths, and ectopic pregnancies.

In DES Daughters, Susan Bell recounts the experiences of this generation of “victims.” In moving, heartfelt narratives, she presents the voices of those women who developed cancer, those who were cancer-free but have concerns about becoming pregnant, and those who suffered other medical and/or reproductive difficulties.

Bell examines the hierarchy of knowledge and power of scientists, doctors, and daughters, tracing the emergence of a feminist health movement. The “embodied knowledge” of these DES daughters prompted them to become advocates and form a social movement that challenged reproductive medical knowledge specifically, but also the politics of women’s health in general. Bell’s important book chronicles the history and future of these grassroots activists born out of illness, suffering, and uncertainty.
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front cover of The Devil's Fruit
The Devil's Fruit
Farmworkers, Health, and Environmental Justice
Dvera I. Saxton
Rutgers University Press, 2021
The Devil's Fruit describes the facets of the strawberry industry as a harm industry, and explores author Dvera Saxton’s activist ethnographic work with farmworkers in response to health and environmental injustices. She argues that dealing with devilish—as in deadly, depressing, disabling, and toxic—problems requires intersecting ecosocial, emotional, ethnographic, and activist labors. Through her work as an activist medical anthropologist, she found the caring labors of engaged ethnography take on many forms that go in many different directions. Through chapters that examine farmworkers’ embodiment of toxic pesticides and social and workplace relationships, Saxton critically and reflexively describes and analyzes the ways that engaged and activist ethnographic methods, frameworks, and ethics aligned and conflicted, and in various ways helped support still ongoing struggles for farmworker health and environmental justice in California. These are problems shared by other agricultural communities in the U.S. and throughout the world.
 
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front cover of Doing Good
Doing Good
Racial Tensions and Workplace Inequalities at a Community Clinic in El Nuevo South
Natalia Deeb-Sossa
University of Arizona Press, 2013
Throughout the “New South,” relationships based on race, class, social status, gender, and citizenship are being upended by the recent influx of Latina/o residents. Doing Good examines these issues as they play out in the microcosm of a community health center in North Carolina that previously had served mostly African American clients but now serves predominantly Latina/o clients. Drawing on eighteen months of experience as a participant- observer in the clinic and in-depth interviews with clinic staff at all levels, Natalia Deeb-Sossa provides an informative and fascinating view of how changing demographics are profoundly affecting the new social order.

Deeb-Sossa argues persuasively that “moral identities” have been constructed by clinic staff. The high-status staff—nearly all of whom are white—see themselves as heroic workers. Mid- and lower-status Latina staff feel like they are guardians of people who are especially needy and deserving of protection. In contrast, the moral identity of African American staffers had previously been established in response to serving “their people.” Their response to the evolving clientele has been to create a self-image of superiority by characterizing Latina/o clients as “immoral,” “lazy,” “working the system,” having no regard for rules or discipline, and being irresponsible parents.

All of the health-care workers want to be seen as “doing good.” But they fail to see how, in constructing and maintaining their own moral identity in response to their personal views and stereotypes, they have come to treat each other and their clients in ways that contradict their ideals.
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front cover of DYING TO BE BEAUTIFUL
DYING TO BE BEAUTIFUL
FIGHT FOR SAFE COSMETICS
GWEN KAY
The Ohio State University Press, 2005


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