The Death Gap: How Inequality Kills

University of Chicago Press
Free sample

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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About the author

David A. Ansell, MD, is the senior vice president and associate provost for community health equity as well as the Michael E. Kelly Professor of Medicine at Rush University Medical Center in Chicago. He is the author of County: Life, Death, and Politics at Chicago’s Public Hospital.
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Additional Information

Publisher
University of Chicago Press
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Published on
Apr 21, 2017
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Pages
240
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ISBN
9780226428291
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Language
English
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Genres
Medical / General
Medical / Public Health
Political Science / General
Social Science / Poverty & Homelessness
Social Science / Sociology / Urban
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Content Protection
This content is DRM protected.
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Eligible for Family Library

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#1 NEW YORK TIMES BESTSELLER, NAMED BY THE TIMES AS ONE OF "6 BOOKS TO HELP UNDERSTAND TRUMP'S WIN" AND SOON TO BE A MAJOR-MOTION PICTURE DIRECTED BY RON HOWARD

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"Essential reading."—David Brooks, New York Times

Hillbilly Elegy is a passionate and personal analysis of a culture in crisis—that of white working-class Americans. The disintegration of this group, a process that has been slowly occurring now for more than forty years, has been reported with growing frequency and alarm, but has never before been written about as searingly from the inside. J. D. Vance tells the true story of what a social, regional, and class decline feels like when you were born with it hung around your neck.

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A deeply moving memoir, with its share of humor and vividly colorful figures, Hillbilly Elegy is the story of how upward mobility really feels. And it is an urgent and troubling meditation on the loss of the American dream for a large segment of this country.

WINNER OF THE 2017 PULITZER PRIZE GENERAL NON-FICTION 

From Harvard sociologist and MacArthur "Genius" Matthew Desmond, a landmark work of scholarship and reportage that will forever change the way we look at poverty in America
 
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Even in the most desolate areas of American cities, evictions used to be rare. But today, most poor renting families are spending more than half of their income on housing, and eviction has become ordinary, especially for single mothers. In vivid, intimate prose, Desmond provides a ground-level view of one of the most urgent issues facing America today. As we see families forced  into shelters, squalid apartments, or more dangerous neighborhoods, we bear witness to the human cost of America’s vast inequality—and to people’s determination and intelligence in the face of hardship.

Based on years of embedded fieldwork and painstakingly gathered data, this masterful book transforms our understanding of extreme poverty and economic exploitation while providing fresh ideas for solving a devastating, uniquely American problem. Its unforgettable scenes of hope and loss remind us of the centrality of home, without which nothing else is possible.

NEW YORK TIMES BESTSELLER | WINNER OF THE NATIONAL BOOK CRITICS CIRCLE AWARD FOR NONFICTION | WINNER OF THE PEN/JOHN KENNETH GALBRAITH AWARD FOR NONFICTION | WINNER OF THE ANDREW CARNEGIE MEDAL FOR EXCELLENCE IN NONFICTION | FINALIST FOR THE LOS ANGELES TIMES BOOK PRIZE | NAMED ONE OF THE BEST BOOKS OF THE YEAR by The New York Times Book Review • The Boston Globe •  The Washington Post • NPR • Entertainment Weekly • The New Yorker • Bloomberg •  Esquire • Buzzfeed • Fortune • San Francisco Chronicle • Milwaukee Journal Sentinel • St. Louis Post-Dispatch •  Politico •  The Week • Bookpage • Kirkus Reviews •  Amazon •  Barnes and Noble Review •  Apple •  Library Journal • Chicago Public Library • Publishers Weekly • Booklist • Shelf Awareness
Read the critically acclaimed #1 New York Times best-seller with more than one million copies in print. Same Kind of Different as Me was a major motion picture release by Paramount in fall 2017.

Gritty with pain and betrayal and brutality, this true story also shines with an unexpected, life-changing love.

Meet Denver, raised under plantation-style slavery in Louisiana until he escaped the “Man” – in the 1960’s – by hopping a train. Non-trusting, uneducated, and violent, he spent another 18 years on the streets of Dallas and Fort Worth.

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Continue this story of friendship in What Difference Do It Make?: Stories of Hope and Healing, available now. Same Kind of Different as Me also is available in Spanish.

A New York Times Bestseller

Foreword by Stephen J. Dubner, coauthor of Freakonomics

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"The achievement of Gang Leader for a Day is to give the dry statistics a raw, beating heart."--The Boston Globe

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