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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.
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