The Death Gap: How Inequality Kills

Hardcover | April 21, 2017

byDavid A. Ansell, Md

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We hear plenty about the widening income gap between the rich and the poor in America and about the expanding distance dividing 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 Ansell has witnessed the lives behind these devastating statistics firsthand. 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 in 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. 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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We hear plenty about the widening income gap between the rich and the poor in America and about the expanding distance dividing 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 soone...

David A. Ansell, MD, is the senior vice president and associate provost for community health , 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.  
Format:HardcoverDimensions:240 pages, 9 × 6 × 0.98 inPublished:April 21, 2017Publisher:University Of Chicago PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:022642815X

ISBN - 13:9780226428154

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“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.”