Unequal Before Death

Death has been deemed the “great equalizer,” but each journey towards our shared, ultimate fate is unique. The length of our lives, the quality of our last days, how our deaths are perceived by others, and the handling of our remains are governed by nature and many socio-cultural factors. Unequal Before Death is an edited collection that addresses inequalities surrounding death from the perspectives of scholars in a wide range of humanistic and social science disciplines, including art history, anthropology, Film and media studies, political science, popular culture, psychology, religion, sociology, and statistics. The majority of the chapters of this interdisciplinary anthology are revised versions of papers presented at the second Austin H. Kutscher Memorial Conference, entitled “Unequal Before Death,” organized by the Columbia University Seminar on Death in March 2010 and attended by leading experts in academia, healthcare and the not-for-profit sector. The purpose of this volume is to bring attention to the many inequalities affecting the end of life experience and to encourage collaborative research and action that can improve the experience for the dying and those around them. This volume does not question the truism of death as the ultimate equalizer but rather, seeks to explore the many ways in which the final journey is not equal.

A New York Times Bestseller A Wall Street Journal Bestseller A New York Times Notable Book of 2020 A New York Times Book Review Editors’ Choice Shortlisted for the Financial Times and McKinsey Business Book of the Year A New Statesman Book to Read From economist Anne Case and Nobel Prize winner Angus Deaton, a groundbreaking account of how the flaws in capitalism are fatal for America's working class Deaths of despair from suicide, drug overdose, and alcoholism are rising dramatically in the United States, claiming hundreds of thousands of American lives. Anne Case and Angus Deaton explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. This critically important book paints a troubling portrait of the American dream in decline, and provides solutions that can rein in capitalism's excesses and make it work for everyone.

Unequal Health examines the reasons why stark differences in health and well-being persist, even as the health care industry and access to health care grow. The third edition of this powerful book retains the accessible style and focus on inequality from previous editions while featuring significant new material throughout. After an overview of key themes, the book introduces the concept of epidemiology—measuring the number of people who are sick or dying—and offers an overview of health trends over time. Author Grace Budrys distills the latest research to consider the relevance of sex, race, income, and education, and relative social status on health. The book discusses disease, habits that contribute to health, the relationship between health care and health status, genetics, socioeconomic inequality, health policy, and more. The third edition features a new chapter on diet, an increased discussion of substance abuse and the attention it receives based on who is engaging in this behavior, new material on income and education variables and inequality, a new discussion of the Affordable Care Act and its impact, and more.

Health inequalities are the most important inequalities of all, and in the United States and United Kingdom they have reached a formidable size. In this new book from provocative critic Daniel Dorling, health inequalities are held up as the scandal of our times. While health is generally better now than it was a century ago, the gaps in life expectancy between regions, cities—even neighborhoods—have surpassed the worst measures recorded over the past century. Drawing on international studies, annotated lectures, newspaper articles, and interviews, Dorling provides an authoritative critique of this egregious social problem, calling for immediate action against an injustice that any leading nation should be ashamed to allow.

Health inequalities are the most important inequalities of all. In the US and the UK these inequalities have now reached an extent not seen for over a century. Most people's health is much better now than then, but the gaps in life expectancy between regions, between cities, and between neighbourhoods within cities now surpass the worst measures over the last hundred years. In almost all other affluent countries, inequalities in health are lower and people live longer. In his new book, academic and writer Danny Dorling describes the current extent of inequalities in health as the scandal of our times. He provides nine new chapters and updates a wide selection of his highly influential writings on health, including international-peer reviewed studies, annotated lectures, newspaper articles, and interview transcripts, to create an accessible collection that is both contemporary and authoritative. As a whole the book shows conclusively that inequalities in health are the scandal of our times in the most unequal of rich nations and calls for immediate action to reduce these inequalities in the near future.

While problems of childhood poverty are most widespread in developing countries, formidable inequalities exist in more prosperous countries. A major aim of the book is to address the question of unequal childhoodsand the ways in which they are.

Across the United States, Black people have shorter life expectancies than white people—reflecting structural racism and deep-rooted drivers of population health. But are some cities more equal than others? The elimination of racial and ethnic inequities—differences that are avoidable, unnecessary, and unfair—has been one of the overarching health-related goals of the United States for decades. Yet dramatic differences in health outcomes between Black people and white people persist, rooted in structural and social determinants of health. Nationally, a Black baby can expect to live four years less than a white baby. But mortality outcomes and inequities vary widely across cities. In Washington, DC, for example, the average life expectancy for Blacks is twelve years less than that of whites. But in other cities, mortality differences between races are less striking or nonexistent. If health equity can be achieved in some cities, why not all? This is arguably the most important health equity issue of our time. In Unequal Cities, Maureen R. Benjamins and Fernando G. De Maio gather a team of experts to explore these racial inequities, as well as the ten-year gap in life expectancy between our healthiest and unhealthiest big cities. Rigorous analyses give readers access to previously unavailable data on life expectancy, mortality from leading causes of death, and related Black-white inequities for the country's 30 biggest cities. The theoretically grounded essays also explore how characteristics of cities, including their levels of income inequality and racial segregation, impact overall health and Black-white inequities. The first book to specifically examine racial health inequities within and across US cities, Unequal Cities offers a social justice framework for addressing the newly identified inequities, as well as specific case studies to help public health advocates, civic leaders, and other stakeholders envision the steps needed to improve their cities' current health outcomes and achieve racial equity. A powerful call to action for health equity advocates and city leaders alike, this book is essential reading. Contributors: David Ansell, Darlene Oliver Hightower, Jana Hirschtick, Sharon Homan, Ayesha Jaco, Emily LaFlamme, Brittney S. Lange-Maia, Kristin Monnard, Nikhil G. Prachand, Pamela T. Roesch, Michael Rozier, Nazia Saiyed, Eve Shapiro, Abigail Silva, Veenu Verma, the West Side United Metrics Working Group, Ruqaiijah Yearby

Research, first-person narratives, and historical sources explain how racial bias creates significant public health problems in America.