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Under the Skin: The Hidden Toll of Racism on American Lives and on the Health of Our Nation

Under the Skin: The Hidden Toll of Racism on American Lives and on the Health of Our Nation

by Linda Villarosa

Doubleday Books ·2022 ·288 pages ·Investigative Journalism
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About This Book

From an award-winning writer at the New York Times Magazine and a contributor to the 1619 Project comes a landmark book that tells the full story of racial health disparities in America, revealing the toll racism takes on individuals and the health of our nation. In 2018, Linda Villarosa's New York Times Magazine article on maternal and infant mortality among black mothers and babies in America caused an awakening. Hundreds of studies had previously established a link between racial discrimination and the health of Black Americans, with little progress toward solutions. But Villarosa's article exposing that a Black woman with a college education is as likely to die or nearly die in childbirth as a white woman with an eighth grade education made racial disparities in health care impossible to ignore. Now, in Under the Skin, Linda Villarosa lays bare the forces in the American health-care system and in American society that cause Black people to "live sicker and die quicker" compared to their white counterparts. Today's medical texts and instruments still carry fallacious slavery-era assumptions that Black bodies are fundamentally different from white bodies. Study after study of medical settings show worse treatment and outcomes for Black patients. Black people live in dirtier, more polluted communities due to environmental racism and neglect from all levels of government. And, most powerfully, Villarosa describes the new understanding that coping with the daily scourge of racism ages Black people prematurely. Anchored by unforgettable human stories and offering incontrovertible proof, Under the Skin is dramatic, tragic, and necessary reading.


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Reviews

"Meticulously researched, sweeping in its historical breadth, damning in its clear-eyed assessment of facts and yet hopeful in its outlook, Under the Skin is a must-read for all who affirm that Black lives matter."

Jerald Walker· The Washington Post Read review ↗ Top of the Pile

"Villarosa combines important studies on facets of Black health with historical facts and personal experiences...to prove the extent to which multiple levels of institutionalized racism impact the well-being of Black Americans."

Kathleen McCallister· Library Journal Read review ↗ Top of the Pile

"She repositions various narratives about race and medicine — the soaring Black maternal mortality rates; the rise of heart disease and hypertension; the oft-repeated dictum that Black people reject psychological therapy — as evidence not of Black inferiority, but of racism in the health care system ..."

Kaitlyn Greenidge· The New York Times Read review ↗ Top of the Pile

"A stunning look at the racial disparities in health outcomes for Black and white Americans ..."

Publishers Weekly Read review ↗ Top of the Pile

"Rather, its points are made amid moving narratives of real people's experiences."

Alden Mudge· BookPage Read review ↗ Top of the Pile

"gripping, incisive ..."

Kate Tuttle· The Boston Globe Read review ↗ Top of the Pile

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