"One doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black AmericansWhen Damon Tweedy begins medical school, he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career. Making matters worse, in lecture after lecture the common refrain for numerous diseases resounds, "More common in blacks than whites." Black Man in a White Coat examines the complex ways in which both black doctors and patients must navigate the difficult and often contradictory terrain of race and medicine. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. Through their stories, he illustrates the complex social, cultural, and economic factors at the root of most health problems in the black community. These issues take on greater meaning when Tweedy is himself diagnosed with a chronic disease far more common among black people. In this powerful, moving, and deeply empathic book, Tweedy explores the challenges confronting black doctors, and the disproportionate health burdens faced by black patients, ultimately seeking a way forward to better treatment and more compassionate care"--;"When Damon Tweedy first enters the halls of Duke University Medical School on a full scholarship, he envisions a bright future where his segregated, working class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. When one of his first professors mistakes him for a maintenance worker, it is a moment that crystallizes the challenges he will face throughout his early career. Making matters worse, in lecture after lecture the common refrain for numerous diseases resounds, "More common in blacks than whites." In riveting, honest prose, Black Man in a White Coat examines the complex ways in which both black doctors and patients must navigate the difficult and often contradictory terrain of race and medicine. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. Through their stories, he illustrates the complex social, cultural, and economic factors at the root of most health problems in the black community. These elements take on greater meaning when Tweedy finds himself diagnosed with a chronic disease far more common among black people. In this powerful, moving, and compassionate book, Tweedy deftly explores the challenges confronting black doctors, and the disproportionate health burdens faced by black patients, ultimately seeking a way forward to better treatment and more compassionate care.- For readers of Atul Gawande, Sandeep Jauhar, Pauline W. Chen, and Henrietta Lacks"--

"This book examines how deep structural racism embedded in the fabric of American society leads to worse health outcomes and lower life expectancy for people of color. By presenting evidence of discrimination in housing, education, employment, and the criminal justice system, Dayna Bowen Matthew shows how racial inequality pervades American society and the multitude of ways that this undermines the health of minority populations. The author provides a path forward for overcoming these massive barriers to health and ensuring that everyone has an equal opportunity to be healthy. She encourages health providers to take a leading role in the fight to dismantle the structural inequities their patients face"--

Contagious Divides charts the dynamic transformation of representations of Chinese immigrants from medical menace in the nineteenth century to model citizen in the mid-twentieth century. Examining the cultural politics of public health and Chinese immigration in San Francisco, this book looks at the history of racial formation in the U.S. by focusing on the development of public health bureaucracies. Nayan Shah notes how the production of Chinese difference and white, heterosexual norms in public health policy affected social lives, politics, and cultural expression. Public health authorities depicted Chinese immigrants as filthy and diseased, as the carriers of such incurable afflictions as smallpox, syphilis, and bubonic plague. This resulted in the vociferous enforcement of sanitary regulations on the Chinese community. But the authorities did more than demon-ize the Chinese they also marshaled civic resources that promoted sewer construction, vaccination programs, and public health management. Shah shows how Chinese Americans responded to health regulations and allegations with persuasive political speeches, lawsuits, boycotts, violent protests, and poems. Chinese American activists drew upon public health strategies in their advocacy for health services and public housing. Adroitly employing discourses of race and health, these activists argued that Chinese Americans were worthy and deserving of sharing in the resources of American society.

Between its founding in 1966 and its formal end in 1980, the Black Panther Party blazed a distinctive trail in American political culture. The Black Panthers are most often remembered for their revolutionary rhetoric and militant action. Here Alondra Nelson deftly recovers an indispensable but lesser-known aspect of the organization's broader struggle for social justice: health care. The Black Panther Party's health activism-its network of free health clinics, its campaign to raise awareness about genetic disease, and its challenges to medical discrimination-was an expression of its founding political philosophy and also a recognition that poor blacks were both underserved by mainstream medicine and overexposed to its harms. Drawing on extensive historical research as well as interviews with former members of the Black Panther Party, Nelson argues that the Party's focus on health care was both practical and ideological. Building on a long tradition of medical self-sufficiency among African Americans, the Panthers' People's Free Medical Clinics administered basic preventive care, tested for lead poisoning and hypertension, and helped with housing, employment, and social services. In 1971, the party launched a campaign to address sickle-cell anemia. In addition to establishing screening programs and educational outreach efforts, it exposed the racial biases of the medical system that had largely ignored sickle-cell anemia, a disease that predominantly affected people of African descent. The Black Panther Party's understanding of health as a basic human right and its engagement with the social implications of genetics anticipated current debates about the politics of health and race. That legacy-and that struggle-continues today in the commitment of health activists and the fight for universal health care.

Demonstrates how environmental racism influences the racial IQ gap and explains what needs to be done to remedy its effects on marginalized communities.;"From injuries caused by lead poisoning to the devastating effects of atmospheric pollution, infectious disease, and industrial waste, Americans of color are harmed by environmental hazards in staggeringly disproportionate numbers. This systemic onslaught of toxic exposure and institutional negligence causes irreparable physical harm to millions of people across the country--cutting lives tragically short and needlessly burdening our health care system. But these deadly environments create another insidious and often overlooked consequence: robbing communities of color, and America as a whole, of intellectual power. The 1994 publication of The Bell Curve and its controversial thesis catapulted the topic of genetic racial differences in IQ to the forefront of a renewed and heated debate. Now, in A Terrible Thing to Waste, award-winning science writer Harriet A. Washington adds her incisive analysis to the fray, arguing that IQ is a biased and flawed metric, but that it is useful for tracking cognitive damage. She takes apart the spurious notion of intelligence as an inherited trait, using copious data that instead point to a different cause of the reported African American-white IQ gap: environmental racism--a confluence of racism and other institutional factors that relegate marginalized communities to living and working near sites of toxic waste, pollution, and insufficient sanitation services. She investigates heavy metals, neurotoxins, deficient prenatal care, bad nutrition, and even pathogens as chief agents influencing intelligence to explain why communities of color are disproportionately affected--and what can be done to remedy this devastating problem. Featuring extensive scientific research and Washington's sharp, lively reporting, A Terrible Thing to Waste is sure to outrage, transform the conversation, and inspire debate."--Dust jacket.

"Heather C. McGhee's specialty is the American economy, and the mystery of why it so often fails the American public. As she dug into subject after subject, from the financial crisis to declining wages to collapsing public infrastructure, she found a common problem at the bottom of them all: racism, but not just in the obvious ways that hurt people of color. Racism has costs for white people, too. It's the common denominator in our most vexing public problems, even beyond our economy. It is at the core of the dysfunction of our democracy and even the spiritual and moral crises that grip us. Racism is a toxin in the American body and it weakens us all. But how did this happen? And is there a way out? To find the way, McGhee embarks on a deeply personal journey across the country from Mississippi to Maine, tallying up what we lose when we buy into the zero-sum paradigm: the idea that progress for some of us must come at the expense of others. Along the way, she collects the stories of white people who confide in her about losing their homes, their dreams and their shot at a better job to the toxic mix of American racism and greed. This is the story of how public goods in this country, from parks and pools to functioning schools, have become private luxuries; of how unions collapsed, wages stagnated, and inequality increased; and of how this country, unique among the world's advanced economies, has thwarted universal healthcare. It's why we fail to prevent environmental and public health crises that require collective action. But in unlikely places of worship and work, McGhee also finds proof of what she calls the Solidarity Dividend: gains that come when people come together across race, to the benefit of all involved"--

Six years' worth of symposiums come together in this rich collection of essays that plot a course for African Americans, explaining how individuals and households can make changes that will immediately improve their circumstances in areas ranging from health and education to crime reduction and financial well-being. Addressing these pressing concerns are contributors Dr. David Satcher, former U.S. surgeon general; Wade Henderson, executive director of the Leadership Conference on Civil Rights; Angela Glover Blackwell, founder of the research think tank PolicyLink; and Cornell West, professor of Religion at Princeton University. Each chapter outlines one key issue and provides a list of resources, suggestions for action, and a checklist for what concerned citizens can do to keep their communities progressing socially, politically, and economically. Though the African American community faces devastating social disparities--in which more than 8 million people live in poverty--this celebration of possibility, hope, and strength will help leaders and citizens keep Black America moving forward.