Ebook The Death Gap: How Inequality Kills

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The Death Gap: How Inequality Kills

Ebook The Death Gap: How Inequality Kills

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Review

"Compelling. . . . Without providing easy answers, Ansell challenges readers to be aware of health disparities and to work toward equality."   (Christian Century)"This passionate polemic uses powerful patient stories to highlight the importance of neighbourhood conditions, healthcare inequalities and poverty in explaining the health gap between black and white Americans. Drawing on detailed case studies of racial inequalities in breast cancer mortality, the health consequences of mass imprisonment, immigration status and access to healthcare, the Chicago heatwave and Hurricane Katrina, Ansell vividly unpicks a spider’s web of causality. . . . This is a wide-ranging and very important book. Easy to read and engaging, it makes the social determinants come alive." (Clare Bambra Times Higher Education)“Ansell does a magnificent job of uncovering the myriad ways in which structural racism — in housing, employment, education, and health care, for a start — creates unacceptable ‘death gaps’ or disparities in life expectancy that are preventable and therefore morally unacceptable.  This moving study delivers the harsh truth about the ways that racism infects our nation’s health care system, and it does so with passion and eloquence.  One comes away from Death Gap feeling inspired to act, and that’s a rare and wonderful accomplishment.” (Beryl Satter, author of Family Properties: How the Struggle over Race and Real Estate Transformed Chicago and Urban America) “The Death Gap describes critical health inequalities in the United States, which are drawn from Ansell’s  gripping first-person experiences as a leading practitioner operating in Chicago’s medical safety net. He reveals the profound inequalities, particularly racial inequalities, that generate tremendous differences in lifespan and well-being across neighborhoods, and he provides powerful patient anecdotes that provide a human face to otherwise abstract challenges.”     (Harold Pollack, University of Chicago)

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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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Product details

Paperback: 240 pages

Publisher: University of Chicago Press; Reprint edition (March 19, 2019)

Language: English

ISBN-10: 022664166X

ISBN-13: 978-0226641669

Product Dimensions:

6 x 1.1 x 9 inches

Shipping Weight: 12.5 ounces (View shipping rates and policies)

Average Customer Review:

4.6 out of 5 stars

11 customer reviews

Amazon Best Sellers Rank:

#194,798 in Books (See Top 100 in Books)

News media have reported recently on scientific papers that show that markers of health can vary greatly between localities in the United States. For example, life expectancies can be as much as two decades shorter in one locality than in another, not just between two parts of the country, but between two areas of the same city! Moreover, it has recently been reported African Americans who move from segregated neighborhoods to integrated ones experience significant declines in blood pressure, reducing their risk of stroke and heart attack.Dr. Ansell's powerfully-written book, based in part on his personal experiences providing health care for the disadvantaged, provides a primer on the reasons for these differences. Unequal access to quality health care among the poor, as well as the stresses of poverty, ghettoisation and racism are among the root causes. Dr. Ansell decries our society's tolerance of these immoral conditions, but he optimistically provides prescriptions for beginning to solve them.The Death Gap: How Inequality Kills is required reading for anyone interested in public health policy and in understanding the health crisis among the disadvantaged in the United States.

If you are looking for a healthcare inequity source, this is it.David A. Ansell, MD, MPH is a seasoned Chicago physician and social epidemiologist. He is well qualified to deliver “The Death Gap – How Inequality Kills.” Dr. Ansell shows how the color of your skin and the zip code of where you live are determinant factors in the healthcare you receive. Sadly, the difference is great. Living in one zip code versus another, for example, can vary how long you will live by over ten years.Dr. Ansell speaks frankly against the forces of structural violence, which includes: racism, economic exploitation, mass incarceration, lack of safety, poor education and a lack of decent paying jobs.For those familiar with Chicago, you will appreciate highlights given to various neighborhoods. For those unfamiliar with the area, Dr. Ansell guides you through his city of Chicago while using geography to support his findings.Dr. Ansell supports his claims with specific reference. For example, his assessment of single women in America reveals a median wealth for a single black female at $100, single Hispanic female at $120, and single white female at $41,500 (p. 180)Dr. Ansell’s observations, while real and disheartening, do offer hope. People that live in neighborhoods that maintain high social cohesion, for example, live six years longer than their peers (p.This book is a must read for anyone interested in health policy. In general, we all should be aware of how our society functions. Is it fair that inequality kills? Is it really a problem worth noting? Is it a problem worth your attention? What can be done? This book will help guide you through these questions.Michael Warner, DO, CPC, CPMAPresident, Patient Advocacy Initiatives2017 AACOM Health Policy Fellow

In an era when Dr. Ben Carson says poverty is "a state of mind", and Congress wants to "improve" Medicaid by taking out $800+ billion and eliminating coverage for pre-existing conditions, they and more serious-minded people should read this impressive work. Even though it's published by an academic press, this book is very well-written, readable and very accessible to the average reader. I like the way Dr. Ansell uses one street in Chicago --Ogden Avenue -- to show how the average age of death (from illnesses, not violence) varies by 20 years or more from one neighborhood to the next. Gets you thinking about what we need to do to fix the inequality in our health care system, a system that costs 50% more per capita than any other nation, leaves million uncovered, and by most measures produces mediocre results.

I have had the great good fortune to hear Dr. Ansell speak at the Social Medicine Consortium meeting in Chicago in 2017. This book provides a concise and thought provoking approach to the theory that underlies the practice of social medicine. I just finished reading this book while teaching in an intensive social medicine course in Haiti with the dedicated social medicine team from EqualHealth. The context may be different but the basic principles apply here as well.

Excellent book. A must-read not only for all physicians and health care workers but for anyone who cares about health care in America.

Highly recommend. Great historical background that helps understand today’s disparities.

Excellent & factual info. Well researched & written.

Written really well

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The Death Gap: How Inequality Kills PDF

The Death Gap: How Inequality Kills PDF

The Death Gap: How Inequality Kills PDF

The Death Gap: How Inequality Kills PDF