Health Disparities

The health-care system in the United States has been called the best in the world. Yet wide disparities persist between social groups, and many Americans suffer from poorer health than people in other developed countries. In this revised edition of Health Disparities in the United States, Donald A. Barr provides extensive new data about the ways low socioeconomic status, race, and ethnicity interact to create and perpetuate these health disparities.  

With unequaled insight and brio, David Brooks, the New York Times columnist and bestselling author of Bobos in Paradise, has long explored and explained the way we live. Now, with the intellectual curiosity and emotional wisdom that make his columns among the most read in the nation, Brooks turns to the building blocks of human flourishing in a multilayered, profoundly illuminating work grounded in everyday life.

A crucial component of anti-Black racism is the unconscionable disparity in health outcomes between Black and white Americans. Sickening examines this institutionalized inequality through dramatic, concrete events from the past two decades, revealing how unequal living conditions and inadequate medical care have become routine. From the spike in chronic disease after Hurricane Katrina to the lack of protection for Black residents during the Flint water crisis, author Anne Pollock takes listeners on a journey through the diversity of anti-Black racism operating in healthcare.

For over 60 million people, work in America has been a story of declining wages, insecurity, and unsafe conditions, especially amid the coronavirus epidemic. This new and troubling reality has galvanized media and policymakers, but all the while a different and little-known story of rebirth and struggle has percolated just below the surface. On the Job is the first account of a new kind of labor movement, one that is happening locally, quietly, and among our country's most vulnerable - but essential - workers. 

Retirement insecurity is an increasingly serious manifestation of the vast inequality that risks destroying the social fabric in America. The nearly inevitable consequence of lifetime wage discrepancies, security in retirement is linked to the kinds of jobs we hold during our work lives. That, in turn, is a product of all the forces leading to historic levels of inequality, forces that have protected the very wealthy, destroyed any hold on stability for the poor, and gradually eroded the security of the vast middle class.

The poor die sooner. Blacks die sooner. And poor urban Blacks die sooner than almost all other Americans. David Ansell has spent nearly four decades as a doctor at hospitals serving some of the poorest communities in Chicago, and 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.

In The Spirit Level Richard Wilkinson and Kate Pickett put inequality at the centre of public debate by showing conclusively that less equal societies fare worse than more equal ones across everything from education to life expectancy. The Inner Level now explains how inequality affects us individually, how it alters how we think, feel and behave. It sets out the overwhelming evidence that material inequalities have powerful psychological effects: when the gap between rich and poor increases, so does the tendency to define and value ourselves and others in terms of superiority and inferiority.

Dr. Arline T. Geronimus coined the term “weathering” to describe the effects of systemic oppression—including racism and classism—on the body. In Weathering, based on more than 30 years of research, she argues that health and aging have more to do with how society treats us than how well we take care of ourselves. She explains what happens to human bodies as they attempt to withstand and overcome the challenges and insults that society leverages at them, and details how this process ravages their health. And she proposes solutions.

For African Americans in the southern United States, the social determinants of health are influenced by a unique history that encompasses hundreds of years of slavery, injustices during the Jim Crow era, the Great Migration, the civil rights era, and contemporary experiences like the Black Lives Matter movement. Black activists, physicians, and communities continue to battle inequities and structural problems that include poverty, inadequate access to health care, incarceration, a lack of transportation, and food insecurity.

In The Progress Paradox, Gregg Easterbrook draws upon three decades of wide-ranging research and thinking to make the persuasive assertion that almost all aspects of Western life have vastly improved in the past century—and yet today, most men and women feel less happy than in previous generations. Why this is so and what we should do about it is the subject of this book.

Twenty-seven-year-old Sarah Thebarge had it all - a loving boyfriend, an Ivy League degree, and a successful career - when her life was derailed by an unthinkable diagnosis: aggressive breast cancer. After surviving the grueling treatments - though just barely - Sarah moved to Portland, Oregon, to start over. There, a chance encounter with an exhausted African mother and her daughters transformed her life again.

Nadia Gilani has been practising yoga as a participant and teacher for more than 25 years. Yoga has saved her life and seen her through many highs and lows; it has been a faith, a discipline and a friend, and she believes wholeheartedly in its radical potential. However, over her years in the wellness industry, Nadia has noticed not only yoga's rising popularity, but also how its modern incarnation no longer serves people of colour, working-class people or many other groups who originally pioneered its creation.

Inequality in America manifests in many ways, but perhaps nowhere more than in how we eat. From her years of field research, sociologist and ethnographer Priya Fielding-Singh brings us into the kitchens of dozens of families from varied educational, economic, and ethnoracial backgrounds to explore how - and why - we eat the way we do. We get to know four families intimately: the Bakers, a Black family living below the federal poverty line; the Williamses, a working-class white family just above it; the Ortegas, a middle-class Latinx family; and the Cains, an affluent white family.