THE DEATH GAP: HOW INEQUALITY KILLS

Book ID/图书代码： 13560017C00011

English Summary/英文概要： 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.

Chinese Summary/中文概要： 我们听说过许多关于美国贫富收入差距扩大以及关于“有产者”和“无产者”之间的越来越大的差距的报道。但当我们仔细审视穷人没有的很多东西时，我们通常忽略了最关键的因素——健康。穷人死得早，黑人死得早。穷困的都市黑人死得更早。在过去的四十年里，作者 David Ansell 作为一名芝加哥穷困社区的医生，目睹了这些惊人数据背后的故事。在《死亡鸿沟》中，作者通过对其病患的观察以及病患的故事，审视了现状。尽管芝加哥社区的贫富差距极为明显，死亡鸿沟已经成为全美境内一个普遍的问题：美国最富裕、最健康的社区与最贫穷、最体弱多病的社区之间存在35年的预期寿命差距。而这些差距并非不可避免。Ansell认为，种族歧视、经济剥削、歧视等是造成这一现象的主要原因。Ansell认为，不平等是一种疾病，我们必需治疗并消除这种疾病。为了实现这一目的，作者罗列了一个愿景，为所有人都提供一个更加健康的环境。在我们周围，随处可见不平等现象，有时邻近的几个街区，预期寿命就差很多。在本书中，作者向我们展示了如何面对这一全国健康危机，如何采取措施，对抗剥夺人们尊严和生命的环境。（LYR）

Awards/获奖情况：“Ansell 出色地揭露了住房、就业、教育和医疗保健方面的结构种族主义是如何从多方面造成死亡鸿沟或预期寿命的差距，而这些差距是可以防止的，因此在道德上是无法接受的。该著作揭露了残酷的现实：种族主义感染了全国医疗保健体系。读了这本书后，让人有一种采取行动的力量，在这一点上，本书是非常不容易的，也是本书的一大成就。”——Beryl Satter，作家

“死亡鸿沟描述了美国严重的健康领域不平等现象，作为芝加哥医疗体系的一名知名医生，作者Ansell 向我们展示了许多有价值的一手经历，他揭露了造成寿命和健康差距的深层不平等、尤其是种族不平等，并提供了有力的病患案例。”——Harold Pollack

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"

"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

-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

About the Author/作者介绍： David A. Ansell，医学博士，现任芝加哥拉什大学医学中心社区健康副院长。他的著作包括《国家：芝加哥公立医院的生命、死亡与政治》

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.

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