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Vitality Politics focuses on a slow racial violence against African Americans through everyday, accumulative, contagious, and toxic attritions on health. The book engages with recent critical disability studies scholarship to recognize that debility, or the targeted maiming and distressing of Black populations, is a largely unacknowledged strategy of the U.S. liberal multicultural capitalist state. This politicization of biological health serves as an instrument for insisting on a racial state of exception in which African Americans’ own unhealthy habits and disease susceptibility justifies their legitimate suspension from full rights to social justice, economic opportunity, and political freedom and equality. The book brings together disability studies, Black Studies, and African American literary history as it highlights the urgent need and gives weight to a biopolitics of debilitation and medicalization to better understand how Black lives are made not to matter in our supposedly race-neutral multicultural democracy.
Sick and Tired of Being Sick and Tired moves beyond the depiction of African Americans as mere recipients of aid or as victims of neglect and highlights the ways black health activists created public health programs and influenced public policy at every opportunity. Smith also sheds new light on the infamous Tuskegee syphilis experiment by situating it within the context of black public health activity, reminding us that public health work had oppressive as well as progressive consequences.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.