When a naked, mentally ill white man with an AR-15 killed four young adults of color at a nearby Waffle House, Nashville-based physician and gun policy scholar Jonathan M. Metzl once again advocated for commonsense gun reform. But as he peeled back evidence surrounding the racially charged mass shooting, a shocking question emerged: Did the approach he championed have it all wrong? Long a leading expert at the forefront of a movement advocating for gun reform as a matter of public health, Metzl has been on constant media call in the aftermath of fatal shootings. But the 2018 Nashville killings led him on a path toward recognizing the limitations of biomedical frameworks for fully diagnosing or treating the impassioned complexities of American gun politics. Increasingly, as Metzl came to understand it, public health is a harder sell in a nation that fundamentally disagrees about what it means to be safe, healthy, or free. This brilliant, piercing analysis shows mass shootings as a symptom of our most unresolved national conflicts. WHAT WE’VE BECOME ultimately sets us on the path of alliance-forging, racial-reckoning, and political power-brokering we must take to put things right.

A physician's "provocative" (Boston Globe) and "timely" (Ibram X. Kendi, New York Times Book Review) account of how right-wing backlash policies have deadly consequences - even for the white voters they promise to help. In election after election, conservative white Americans have embraced politicians who pledge to make their lives great again. But as Dying of Whiteness shows, right-wing policies put these voters' very health at risk-and in the end, threaten everyone's well-being. Physician and sociologist Jonathan M. Metzl travels across America's heartland seeking to better understand the politics of racial resentment and its impact on public health. Interviewing a range of Americans, he uncovers how racial anxieties led to the repeal of gun control laws in Missouri, fueled massive cuts to schools and social services in Kansas, and stymied healthcare reform across the country. Although such measures promised to restore greatness to white America, Metzl's systematic analysis of health data reveals they did just the opposite: these policies made life sicker, harder, and shorter in the very populations they purported to aid. Thus, white gun suicides soared, life expectancies fell, and school dropout rates rose. Now with a new foreword on the backlash to the American pandemic response, Dying of Whiteness demonstrates how much white America would benefit by emphasizing cooperation, rather than chasing false promises of supremacy.? Winner of the Robert F. Kennedy Book Award

Introduces key concepts and debates in health humanities and the health professions. Keywords for Health Humanities provides a rich, interdisciplinary vocabulary for the burgeoning field of health humanities and, more broadly, for the study of medicine and health. Sixty-five entries by leading international scholars examine current practices, ideas, histories, and debates around health and illness, revealing the social, cultural, and political factors that structure health conditions and shape health outcomes. Presenting possibilities for health justice and social change, this volume exposes readers—from curious beginners to cultural analysts, from medical students to health care practitioners of all fields—to lively debates about the complexities of health and illness and their ethical and political implications. A study of the vocabulary that comprises and shapes a broad understanding of health and the practices of healthcare, Keywords for Health Humanities guides readers toward ways to communicate accurately and effectively while engaging in creative analytical thinking about health and healthcare in an increasingly complex world—one in which seemingly straightforward beliefs and decisions about individual and communal health represent increasingly contested terrain.

Navigates the divergent cultural meanings of health, and its entanglement with morality in current political discourse You see someone smoking a cigarette and say,"Smoking is bad for your health," when what you mean is, "You are a bad person because you smoke." You encounter someone whose body size you deem excessive, and say, "Obesity is bad for your health," when what you mean is, "You are lazy, unsightly, or weak of will." You see a woman bottle-feeding an infant and say,"Breastfeeding is better for that child's health," when what you mean is that the woman must be a bad parent. You see the smokers, the overeaters, the bottle-feeders, and affirm your own health in the process. In these and countless other instances, the perception of your own health depends in part on your value judgments about others, and appealing to health allows for a set of moral assumptions to fly stealthily under the radar. Against Health argues that health is a concept, a norm, and a set of bodily practices whose ideological work is often rendered invisible by the assumption that it is a monolithic, universal good. And, that disparities in the incidence and prevalence of disease are closely linked to disparities in income and social support. To be clear, the book's stand against health is not a stand against the authenticity of people's attempts to ward off suffering. Against Health instead claims that individual strivings for health are, in some instances, rendered more difficult by the ways in which health is culturally configured and socially sustained. The book intervenes into current political debates about health in two ways. First, Against Health compellingly unpacks the divergent cultural meanings of health and explores the ideologies involved in its construction. Second, the authors present strategies for moving forward. They ask, what new possibilities and alliances arise? What new forms of activism or coalition can we create? What are our prospects for well-being? In short, what have we got if we ain't got health? Against Health ultimately argues that the conversations doctors, patients, politicians, activists, consumers, and policymakers have about health are enriched by recognizing that, when talking about health, they are not all talking about the same thing. And, that articulating the disparate valences of "health" can lead to deeper, more productive, and indeed more healthy interactions about our bodies.

As Dying of Whiteness shows, the right-wing policies that resulted from this white backlash put these voters' very health at risk-and in the end, threaten everyone's well-being. Physician and sociologist Jonathan M. Metzl travels across America's heartland seeking to better understand the politics of racial resentment and its impact on public health. Interviewing a range of Americans, he uncovers how racial anxieties led to the repeal of gun control laws in Missouri, stymied the Affordable Care Act in Tennessee, and fueled massive cuts to schools and social services in Kansas. Although such measures promised to restore greatness to white America, Metzl's systematic analysis of health data dramatically reveals they did just the opposite: these policies made life sicker, harder, and shorter in the very populations they purported to aid. Thus, white gun suicides soared, life expectancies fell, and school dropout rates rose. Powerful, searing, and sobering, Dying of Whiteness ultimately demonstrates just how much white America would benefit by emphasizing cooperation, rather than chasing false promises of supremacy.

This book documents the ways that clinical practitioners and trainees have used the "structural competency" framework to reduce inequalities in health. The essays describe on-the-ground ways that clinicians, educators, and activists craft structural interventions to enhance health outcomes, student learning, and community organizing around issues of social justice in health and healthcare. Each chapter of the book begins with a case study that illuminates a competency in reorienting clinical and public health practice toward community, institutional and policy level intervention based on alliances with social agencies, community organizations and policy makers. Written by authors who are trained in both clinical and social sciences, the chapters cover pedagogy in classrooms and clinics, community collaboration, innovative health promotion approaches in non-health sectors and in public policies, offering a view of effective care as structural intervention and a road map toward its implementation. Structural Competency in Mental Health and Medicine is a cutting-edge resource for psychiatrists, primary care physicians, addiction medicine specialists, emergency medicine specialists, nurses, social workers, public health practitioners, and other clinicians working toward equality in health.

Introduces key concepts and debates in health humanities and the health professions. Keywords for Health Humanities provides a rich, interdisciplinary vocabulary for the burgeoning field of health humanities and, more broadly, for the study of medicine and health. Sixty-five entries by leading international scholars examine current practices, ideas, histories, and debates around health and illness, revealing the social, cultural, and political factors that structure health conditions and shape health outcomes. Presenting possibilities for health justice and social change, this volume exposes readers—from curious beginners to cultural analysts, from medical students to health care practitioners of all fields—to lively debates about the complexities of health and illness and their ethical and political implications. A study of the vocabulary that comprises and shapes a broad understanding of health and the practices of healthcare, Keywords for Health Humanities guides readers toward ways to communicate accurately and effectively while engaging in creative analytical thinking about health and healthcare in an increasingly complex world—one in which seemingly straightforward beliefs and decisions about individual and communal health represent increasingly contested terrain.

Navigates the divergent cultural meanings of health, and its entanglement with morality in current political discourse You see someone smoking a cigarette and say,“Smoking is bad for your health,� when what you mean is, “You are a bad person because you smoke.� You encounter someone whose body size you deem excessive, and say, “Obesity is bad for your health,� when what you mean is, “You are lazy, unsightly, or weak of will.� You see a woman bottle-feeding an infant and say,“Breastfeeding is better for that child’s health,� when what you mean is that the woman must be a bad parent. You see the smokers, the overeaters, the bottle-feeders, and affirm your own health in the process. In these and countless other instances, the perception of your own health depends in part on your value judgments about others, and appealing to health allows for a set of moral assumptions to fly stealthily under the radar. Against Health argues that health is a concept, a norm, and a set of bodily practices whose ideological work is often rendered invisible by the assumption that it is a monolithic, universal good. And, that disparities in the incidence and prevalence of disease are closely linked to disparities in income and social support. To be clear, the book's stand against health is not a stand against the authenticity of people's attempts to ward off suffering. Against Health instead claims that individual strivings for health are, in some instances, rendered more difficult by the ways in which health is culturally configured and socially sustained. The book intervenes into current political debates about health in two ways. First, Against Health compellingly unpacks the divergent cultural meanings of health and explores the ideologies involved in its construction. Second, the authors present strategies for moving forward. They ask, what new possibilities and alliances arise? What new forms of activism or coalition can we create? What are our prospects for well-being? In short, what have we got if we ain't got health? Against Health ultimately argues that the conversations doctors, patients, politicians, activists, consumers, and policymakers have about health are enriched by recognizing that, when talking about health, they are not all talking about the same thing. And, that articulating the disparate valences of “health� can lead to deeper, more productive, and indeed more healthy interactions about our bodies.