Results by title

Mama Might Be Better Off Dead is an unsettling, profound look at the human face of health care. Both disturbing and illuminating, it immerses readers in the lives of four generations of a poor, African-American family beset with the devastating illnesses that are all too common in America's inner-cities.

The story takes place in North Lawndale, a neighborhood that lies in the shadows of Chicago's Loop. Although surrounded by some of the city's finest medical facilities, North Lawndale is one of the sickest, most medically underserved communities in the country. Headed by Jackie Banes, who oversees the care of a diabetic grandmother, a husband on kidney dialysis, an ailing father, and three children, the Banes family contends with countless medical crises. From visits to emergency rooms and dialysis units, to trials with home care, to struggles for Medicaid eligibility, Abraham chronicles their access (or lack of access) to medical care.

Told sympathetically but without sentimentality, their story reveals an inadequate health care system that is further undermined by the direct and indirect effects of poverty. When people are poor, they become sick easily. When people are sick, their families quickly become poorer.

Embedded in the family narrative is a lucid analysis of the gaps, inconsistencies, and inequalities the poor face when they seek health care. This book reveals what health care policies crafted in Washington, D. C. or state capitals look like when they hit the street. It shows how Medicaid and Medicare work and don't work, the Catch-22s of hospital financing in the inner city, the racial politics of organ transplants, the failure of childhood immunization programs, the vexed issues of individual responsibility and institutional paternalism. One observer puts it this way: "Show me the poor woman who finds a way to get everything she's entitled to in the system, and I'll show you a woman who could run General Motors."

Abraham deftly weaves these themes together to make a persuasive case for health care reform while unflinchingly presenting the complexities that will make true reform as difficult as it is necessary. Mama Might Be Better Off Dead is a book with the power to change the way health care is understood in America. For those seeking to learn what our current system of health care promises and what it delivers, it offers a place for the debate to begin.

The approach the United States has taken to addressing teen pregnancy—a ubiquitous concern in teen education and perennial topic in popular culture—has changed dramatically over the past few decades. Specifically since the radical overhaul of welfare policy in 1996, Clare Daniel argues, teen pregnancy, previously regarded as a social problem requiring public solutions, is seen as an individual failure on the part of the teens involved.

Daniel investigates coordinated teen pregnancy prevention efforts within federal political discourse, along with public policy, popular culture, national advocacy, and local initiatives, revealing the evidence of this transformation. In the 1970s and 1980s, political leaders from both parties used teen pregnancy to strengthen their attacks on racialized impoverished communities. With a new welfare policy in 1996 that rhetoric moved toward blaming teen pregnancy—seemingly in a race- and class-neutral way—on the teens who engaged in sex prematurely and irresponsibly. Daniel effectively illustrates that the construction of teen pregnancy as an individual's problem has been a key component in a neoliberal agenda that frees the government from the responsibility of addressing systemic problems of poverty, lack of access to education, ongoing structural racism, and more.

Single parent families in the United States have almost tripled in the past few decades. A huge majority of these families are female headed. In American culture it is not so important that we all be equal so much as it is that we all have equal opportunities. Yet sometimes we turn a blind eye to those who need us most. In fact, when it comes to single parent families, it is as if the barriers are too great, the issues too complex. We wind up reducing the debate to its lowest common denominator. Ironically, it is the families who are most affected that get tangled in the political barbed wire and hidden behind numbing statistics. Moreover, community responses, those small grassroots organizations who care deeply and give whole-heartedly are seldom celebrated, seldom recognized for their empowering efforts. Moving Up and Out focuses on just such a program, the Arkansas Single Parent Scholarship Fund, which has since 1984 provided scholarships for single parents interested in obtaining their post-secondary education. In this story of a highly successful nonprofit, Lori Holyfield (herself a recipient of a scholarship) draws upon the voices of single parents to consider the barriers and struggles faced as they attempt to obtain secondary education and change the lives of both themselves and their children. The help this program has brought to Arkansas residents is needed throughout the country.