A compelling look at the historical roots of poverty and
homelessness, the "worthy" and "unworthy" poor, and the role of
charity health care and public policy in the United States. Home to
over 730,000 people, with close to four million people living in
the metropolitan area, Seattle has the third-highest homeless
population in the United States. In 2018, an estimated 8,600
homeless people lived in the city, a figure that does not include
the significant number of "hidden" homeless people doubled up with
friends or living in and out of cheap hotels. In Skid Road,
Josephine Ensign digs through layers of Seattle history-past its
leaders and prominent citizens, respectable or not-to reveal the
stories of overlooked and long-silenced people who live on the
margins of society. The sometimes fragmentary tales of these
people, their lives and deaths, are not included in official
histories of a place. How, Ensign asks, has a large, socially
progressive city like Seattle responded to the health needs of
people marginalized by poverty, mental illness, addiction,
racial/ethnic/sexual identities, and homelessness? Drawing on
interviews and extensive research, Ensign shares a diversity of
voices within contemporary health care and public policy debates.
Informed by her own lived experience of homelessness, as well as
over three decades of work as a family nurse practitioner providing
primary health care to homeless people, Ensign is uniquely situated
to explore the tensions between caregiving and oppression, as well
as charity and solidarity, that polarize perspectives on
homelessness throughout the country. A timely story in light of the
ongoing health care reform debate, the affordable housing crisis,
and the COVID-19 pandemic, the stories from Skid Road illuminate
issues surrounding poverty and homelessness throughout America.
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