
Under the Skin
The Hidden Toll of Racism on American Lives and on the Health of Our Nation
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Narrated by:
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Karen Chilton
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By:
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Linda Villarosa
About this listen
PULITZER PRIZE FINALIST • "A stunning exposé of why Black people in our society 'live sicker and die quicker'—an eye-opening game changer."—Oprah Daily
From an award-winning writer at the New York Times Magazine and a contributor to the 1619 Project comes a landmark book that tells the full story of racial health disparities in America, revealing the toll racism takes on individuals and the health of our nation.
In 2018, Linda Villarosa's New York Times Magazine article on maternal and infant mortality among Black mothers and babies in America caused an awakening. Hundreds of studies had previously established a link between racial discrimination and the health of Black Americans, with little progress toward solutions. But Villarosa's article exposing that a Black woman with a college education is as likely to die or nearly die in childbirth as a White woman with an eighth grade education made racial disparities in health care impossible to ignore.
Now, in Under the Skin, Linda Villarosa lays bare the forces in the American health-care system and in American society that cause Black people to “live sicker and die quicker” compared to their White counterparts. Today's medical texts and instruments still carry fallacious slavery-era assumptions that Black bodies are fundamentally different from White bodies. Study after study of medical settings show worse treatment and outcomes for Black patients. Black people live in dirtier, more polluted communities due to environmental racism and neglect from all levels of government. And, most powerfully, Villarosa describes the new understanding that coping with the daily scourge of racism ages Black people prematurely. Anchored by unforgettable human stories and offering incontrovertible proof, Under the Skin is dramatic, tragic, and necessary listening.
©2022 Linda Villarosa (P)2022 Random House AudioListeners also enjoyed...
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Critic reviews
PULITZER PRIZE FINALIST
ONE OF THE BEST BOOKS OF THE YEAR: The New York Times, The Atlantic, NPR, The Washington Post, TIME, Harvard Public Health, Publishers Weekly, BookPage • J. Anthony Lukas Book Prize Winner • NYPL Bernstein Award for Excellence in Journalism Finalist
“Brilliant, illuminating. . . Meticulously researched, sweeping in its historical breadth, damning in its clear-eyed assessment of facts and yet hopeful in its outlook, Under the Skin is a must-read for all who affirm that Black lives matter.”—The Washington Post
“Singular and expansive. . . In this eminently admirable book, there are no easy answers or platitudes.”—The New York Times Book Review
“Perhaps one of the most important and thought-provoking publications of the year is Linda Villarosa’s groundbreaking Under the Skin. . . It’s a stunning exposé of why Black people in our society 'live sicker and die quicker'—an eye-opening game changer.”—Oprah Daily
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- Compassionate End-of-Life Care and the Hospice Movement
- By: Sheila Himmel, Fran Smith
- Narrated by: Coleen Marlo
- Length: 6 hrs and 49 mins
- Unabridged
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There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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Sadly, not very engaging.
- By Debra S. Long on 06-16-18
By: Sheila Himmel, and others
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The Organ Thieves
- The Shocking Story of the First Heart Transplant in the Segregated South
- By: Chip Jones
- Narrated by: JD Jackson
- Length: 12 hrs and 41 mins
- Unabridged
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In 1968, Bruce Tucker, a Black man, went into Virginia’s top research hospital with a head injury, only to have his heart taken out of his body and put into the chest of a White businessman. Now, in The Organ Thieves, Pulitzer Prize-nominated journalist Chip Jones exposes the horrifying inequality surrounding Tucker’s death and how he was used as a human guinea pig without his family’s permission or knowledge.
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Not your story to tell
- By Bianca S on 11-22-20
By: Chip Jones
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Unwell Women
- Misdiagnosis and Myth in a Man-Made World
- By: Elinor Cleghorn
- Narrated by: Hanako Footman
- Length: 14 hrs and 8 mins
- Unabridged
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Elinor Cleghorn became an unwell woman 10 years ago. She was diagnosed with an autoimmune disease after a long period of being told her symptoms were anything from psychosomatic to a possible pregnancy. As Elinor learned to live with her unpredictable disease, she turned to history for answers, and found an enraging legacy of suffering, mystification, and misdiagnosis. In Unwell Women, Elinor Cleghorn traces the almost unbelievable history of how medicine has failed women by treating their bodies as alien and other, often to perilous effect.
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Profound Read; A Sincere Stepping Stone to Understanding My Own Why
- By Nicole on 07-23-21
By: Elinor Cleghorn
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The Book of Gutsy Women
- By: Hillary Rodham Clinton, Chelsea Clinton
- Narrated by: Hillary Rodham Clinton, Chelsea Clinton
- Length: 14 hrs and 34 mins
- Unabridged
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Hillary Rodham Clinton and her daughter, Chelsea, share the stories of the gutsy women who have inspired them - women with the courage to stand up to the status quo, ask hard questions, and get the job done.
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More encyclopedia than book
- By Fountain of Chris on 10-09-19
By: Hillary Rodham Clinton, and others
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To Repair the World
- Paul Farmer Speaks to the Next Generation
- By: Paul Farmer, Bill Clinton - foreword, Jonathan Weigel - editor
- Narrated by: Joe Barrett, David Ledoux, Kevin T. Collins
- Length: 8 hrs and 58 mins
- Unabridged
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Here, for the first time, is a collection of short speeches by the charismatic doctor and social activist Paul Farmer. One of the most passionate and influential voices for global health equity and social justice, Farmer encourages young people to tackle the greatest challenges of our times. Engaging, often humorous, and always inspiring, these speeches bring to light the brilliance and force of Farmer's vision in a single, accessible volume.
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Resist the Impoverishment of Aspiration
- By Susie on 05-14-13
By: Paul Farmer, and others
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Clean
- Overcoming Addiction and Ending America’s Greatest Tragedy
- By: David Sheff
- Narrated by: Jeff Cummings
- Length: 13 hrs and 30 mins
- Unabridged
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Addiction is a preventable, treatable disease, not a moral failing. As with other illnesses, the approaches most likely to work are based on science - not on faith, tradition, contrition, or wishful thinking. These facts are the foundation of Clean, a myth-shattering look at drug abuse by the author of Beautiful Boy. Based on the latest research in psychology, neuroscience, and medicine, Clean is a leap beyond the traditional approaches to prevention and treatment of addiction.
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Unbearable narration
- By John on 09-10-14
By: David Sheff
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Bellevue
- Three Centuries of Medicine and Mayhem at America's Most Storied Hospital
- By: David Oshinsky
- Narrated by: Fred Sanders
- Length: 14 hrs and 41 mins
- Unabridged
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David Oshinsky, whose last book, Polio: An American Story, was awarded a Pulitzer Prize, chronicles the history of America's oldest hospital and in so doing also charts the rise of New York to the nation's preeminent city, the path of American medicine from butchery and quackery to a professional and scientific endeavor, and the growth of a civic institution.
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Fascinating
- By Jean on 12-14-16
By: David Oshinsky
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Nobody Knows the Trouble I’ve Seen
- The Emotional Lives of Black Women
- By: Inger Burnett-Zeigler
- Narrated by: Adenrele Ojo
- Length: 7 hrs and 47 mins
- Unabridged
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Black women are beautiful, intelligent, and capable - but mostly they embrace strong. Esteemed clinical psychologist Dr. Inger Burnett-Zeigler praises the strength of women while exploring how trauma and adversity have led to deep emotional pain and shaped how they walk through the world.
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Amazing!
- By charlene lindsey on 09-08-21
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One Child
- The Story of China's Most Radical Experiment
- By: Mei Fong
- Narrated by: Janet Song
- Length: 7 hrs and 24 mins
- Unabridged
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When Communist Party leaders adopted the one-child policy in 1980, they hoped curbing birthrates would help lift China's poorest and increase the country's global stature. But at what cost? Now, as China closes the book on the policy after more than three decades, it faces a population grown too old and too male, with a vastly diminished supply of young workers. Mei Fong has spent years documenting the policy's repercussions on every sector of Chinese society.
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Best Book Club Discussion Ever!!
- By Rachael W. Schettenhelm on 05-01-17
By: Mei Fong
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The New Normal
- A Roadmap to Resilience in the Pandemic Era
- By: Jennifer Ashton
- Narrated by: Jennifer Ashton
- Length: 8 hrs and 42 mins
- Unabridged
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From Dr. Jennifer Ashton comes a doctor’s guide to finding resilience in the time of COVID, while staying safe and sane in a rapidly changing world. The New Normal is a holistic road map through the ongoing struggles of the pandemic, providing the guidance you need to navigate this unsettling time and take charge of your future well-being.
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Live Each Day Alive
- By Barbara A. Badalewski on 06-02-23
By: Jennifer Ashton
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American Psychosis
- How the Federal Government Destroyed the Mental Illness Treatment System
- By: E. Fuller Torrey
- Narrated by: Stephen McLaughlin
- Length: 9 hrs and 48 mins
- Unabridged
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E. Fuller Torrey's audiobook provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public.
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Devastating analysis on US mental health policy!
- By Kevin on 07-13-14
By: E. Fuller Torrey
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Like a Mother
- A Feminist Journey Through the Science and Culture of Pregnancy
- By: Angela Garbes
- Narrated by: Roxana Ortega, Angela Garbes
- Length: 7 hrs
- Unabridged
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What to listen to after What to Expect.... A badass, feminist, and personal deep-dive into the science and culture of pregnancy and early motherhood that debunks myths and dated assumptions, offering guidance and camaraderie to women navigating one of the biggest and most profound changes in their lives. Like most first-time mothers, Angela Garbes was filled with questions when she became pregnant. What exactly is a placenta? How does a body go into labor? Why is breast best? What are the signs and effects of postpartum depression?
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Microchimerism - interesting at first, then profoundly healing
- By Emily Virgil on 09-10-18
By: Angela Garbes
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In Pain
- A Bioethicist’s Personal Struggle with Opioids
- By: Travis Rieder
- Narrated by: Travis Rieder
- Length: 8 hrs and 56 mins
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A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal - a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic.
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An essential read in a time of crisis
- By Kelly Heuer on 06-25-19
By: Travis Rieder
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What listeners say about Under the Skin
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- Otis Anderson III
- 07-27-22
Greatness exemplified
Excellent research with a true interaction of human experience. She tells the TRUTH!!! It is a pleasure to hear a full narrative
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- shopper
- 07-21-22
A Must Read
Loved this book. So much has been explained. Really tore off the band aid
and exposed all the disparities
I have always been a fan of Ms Villarosa.
The narration is perfection
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- Kaleemah B.
- 12-31-22
Eye Opening and Validation of what I feel about access to healthcare.
The book was eye opening & a validation for me that as a black person in America if you’re not educated and have access to 4-5 star health insurance you will be tossed to the wolves. Health is Wealth isn’t just a saying in my Community. It can be a matter of life or death.
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- Robert S. Becker
- 07-23-22
Astonishing
Like Elizabeth Rosenthal, Linda Villarosa makes an irrefutable argument that American healthcare is broken. Her theme is racial health disparities but the problems she describes affect individuals of all types. The text is sometimes repetitive and the performance is sometimes monotonous, but the story is always vital and engrossing.
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- Anonymous 1958
- 01-26-23
This should be required reading for all healthcare professionals
This should be required reading for all healthcare professionals and there needs to be similar reading for all teachers no matter their race, because bias can be against your own race as well.
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- Aiman Tulaimat
- 12-15-23
Personal stories
The book is a good survey of the effect of racism on the health of black Americans. It does not provide solutions to me. That means that the solution for this problem is a large societal endeavor and part of civil resistance and action against racism at large.
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- Victor Manuel Frausto
- 12-08-22
Narration was the best
I would recommend this to everyone specially public health students to learn more about racism in public health.
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- D. Fyler
- 02-01-23
An important book
I read the author’s original sentinel article on blk maternal mortality in the NYT magazine. That article really raised awareness of the issues of implicit bias in health care and how it effects patients ( in a very bad way for blk folk). This book is that article fleshed out to book length with more information on how health outcomes are effected on blk folk as a whole. Definitely not pleasant reading but if you are looking for lighthearted entertainment you wouldn’t be reading this book anyway.
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- Adam Avakian
- 01-13-23
Amazing writing. Ridiculous cast.
Signed up for Audible plus just for this and I'm so glad I did. Hoping for a lot more stories like this! Going to go listen again now.
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- Barbara Kuhn
- 11-15-22
Excellent
Heartbreaking Honest Painful However we need to admit to our past and get to real work on a better future We need to stop kidding ourselves about how great America is because we’re behind dozens of better performing countries and it’s not because we’re being taken advantage of It’s because we want to hold on to Jim Crow if not actual 1700s slavery
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