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Under the Skin
- The Hidden Toll of Racism on American Lives and on the Health of Our Nation
- Narrated by: Karen Chilton
- Length: 10 hrs and 4 mins
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Publisher's summary
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.
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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Gripping read for this late preterm infant mom
- By R. Ash on 08-08-21
By: Sarah DiGregorio
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The Good Death
- An Exploration of Dying in America
- By: Ann Neumann
- Narrated by: Suzanne Toren
- Length: 8 hrs and 44 mins
- Unabridged
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Following the death of her father, journalist and hospice volunteer Ann Neumann sets out to examine what it means to die well in the United States. When Ann Neumann's father was diagnosed with non-Hodgkin's lymphoma, she left her job and moved back to her hometown of Lancaster, Pennsylvania. She became his full-time caregiver - cooking, cleaning, and administering medications. When her father died, she was undone by the experience, by grief and the visceral quality of dying.
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Ugh, so boring
- By Maranto on 05-13-19
By: Ann Neumann
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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Changing the Way We Die
- 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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Crazy Like Us
- The Globalization of the American Psyche
- By: Ethan Watters
- Narrated by: Patrick Lawlor
- Length: 8 hrs and 57 mins
- Unabridged
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America has been the world leader in generating new mental health treatments and modern theories of the human psyche. We export our psychopharmaceuticals packaged with the certainty that our biomedical knowledge will relieve the suffering and stigma of mental illness. We categorize disorders, thereby defining mental illness and health, and then parade these seemingly scientific certainties in front of the world.
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He is a reporter...
- By Briana on 05-07-18
By: Ethan Watters
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A Bittersweet Season
- Caring for Our Aging Parents - And Ourselves
- By: Jane Gross
- Narrated by: Kate Reading
- Length: 15 hrs and 35 mins
- Unabridged
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In telling the intimate story of caring for her aged and ailing mother, Jane Gross offers indispensable, and often surprising, advice for the rapidly increasing number of adult children responsible for aging parents. Gross deftly weaves the specifics of her personal experience with a comprehensive resource for effectively managing the lives of one's own parents while keeping sanity and strength intact.
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Exceptional, thought-provoking, liberating!
- By Anne on 08-10-11
By: Jane Gross
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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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Medical Apartheid
- The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present
- By: Harriet A. Washington
- Narrated by: Ron Butler
- Length: 19 hrs and 2 mins
- Unabridged
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Medical Apartheid is the first and only comprehensive history of medical experimentation on African Americans. Starting with the earliest encounters between black Americans and Western medical researchers and the racist pseudoscience that resulted, it details the ways both slaves and freedmen were used in hospitals for experiments conducted without their knowledge - a tradition that continues today within some black populations.
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Sobering... but necessary.
- By Dr. Pepper on 10-27-16
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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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Dirty Work
- Essential Jobs and the Hidden Toll of Inequality in America
- By: Eyal Press
- Narrated by: Neil Shah
- Length: 11 hrs and 18 mins
- Unabridged
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Drone pilots who carry out targeted assassinations. Undocumented immigrants who man the "kill floors" of industrial slaughterhouses. Guards who patrol the wards of America's most violent and abusive prisons. In Dirty Work, Eyal Press offers a paradigm-shifting view of the moral landscape of contemporary America through the stories of people who perform society's most ethically troubling jobs. As Press shows, we are increasingly shielded and distanced from an array of morally questionable activities that other, less privileged people perform in our name.
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A Must Read for Conservatives
- By Nice guy on 11-05-21
By: Eyal Press
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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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When Ed Goodwin moved with his parents to Greenwood, Tulsa, in 1914, his family joined a growing community on the cusp of becoming a national center of black life. But, just seven years later, on May 31, 1921, the teenaged Ed hid in a bathtub as a white mob descended on his neighborhood, laying waste to thirty-five blocks and murdering as many as three hundred people. The Tulsa Race Massacre was one of the most brutal acts of racist violence in U.S. history, a ruthless attempt to smother a spark of black independence. But that was never the whole story of Greenwood.
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In the earliest days of our nation, a handful of unsung heroes - including women, slaves, and an Iroquois chief - made crucial contributions to our republic. They pioneered the ideas that led to the Bill of Rights, the separation of powers, and the abolition of slavery. Yet their faces haven't been printed on our currency or carved into any cliffs. Instead they were marginalized, silenced, or forgotten - sometimes by an accident of history, sometimes by design.
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Interesting American History- not the usual stuff
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Stony the Road
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A profound new rendering of the struggle by African Americans for equality after the Civil War and the violent counterrevolution that resubjugated them, as seen through the prism of the war of images and ideas that have left an enduring racist stain on the American mind.
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Valuable examination of Jim Crow and Rise of White Supremacy in America
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The Purpose of Power
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In 2013, Alicia Garza wrote what she called “a love letter to Black people” on Facebook, in the aftermath of the acquittal of the man who murdered seventeen-year-old Trayvon Martin. Garza wrote: Black people. I love you. I love us. Our lives matter. With the speed and networking capacities of social media, #BlackLivesMatter became the hashtag heard ’round the world. But Garza knew even then that hashtags don’t start movements - people do.
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Black Lives Matter is not about rioting: read this
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We Want to Do More Than Survive
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Drawing on her life’s work, Bettina Love persuasively argues that educators must teach students about racial violence, oppression, and how to make sustainable change in their communities through radical civic initiatives and movements. She argues that the US educational system is maintained by and profits from the suffering of children of color. Instead of trying to repair a flawed system, educational reformers offer survival tactics in the forms of test-taking skills, acronyms, grit labs, and character education, which Love calls the educational survival complex.
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Must read for all parents and educators
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On the face of it, the three characters in this book seem to have little in common—aside from the fact that each committed wartime acts that led some to see them as national heroes, and others as villains. All three were mythmakers, larger-than-life storytellers, for whom the truth was beside the point. Felix Kersten was a plump Finnish pleasure-seeker who became Heinrich Himmler’s indispensable personal masseur—Himmler calling him his “magic Buddha.”
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Fantastic
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To Be a Machine
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Once relegated to the fringes of society, transhumanism (the use of technology to enhance human intellectual and physical capability) is now poised to enter our cultural mainstream. It has found adherents in Silicon Valley billionaires Ray Kurzweil and Peter Diamandis. Google has entered the picture, establishing a bio-tech subsidiary aimed at solving the problem of aging. In To Be a Machine, journalist Mark O'Connell takes a headlong dive into this burgeoning movement.
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An Excellent All-Encompassing Look at Futurists
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Superior
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Superior tells the disturbing story of the persistent thread of belief in biological racial differences in the world of science. If the vast majority of scientists and scholars disavowed these ideas and considered race a social construct, it was an idea that still managed to somehow survive in the way scientists thought about human variation and genetics. Dissecting the statements and work of contemporary scientists studying human biodiversity, Angela Saini shows us how, again and again, even mainstream scientists cling to the idea that race is biologically real.
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Lots of great info, underwhelming narrative
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The Sum of Us
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Overall
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Heather McGhee’s specialty is the American economy—and the mystery of why it so often fails the American public. From the financial crisis of 2008 to rising student debt to collapsing public infrastructure, she found a root problem: racism in our politics and policymaking. But not just in the most obvious indignities for people of color. Racism has costs for white people, too. It is the common denominator of our most vexing public problems, the core dysfunction of our democracy and constitutive of the spiritual and moral crises that grip us all.
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Good book but Recording tech is poor. Glitches
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Nobody's Normal
- How Culture Created the Stigma of Mental Illness
- By: Roy Richard Grinker
- Narrated by: Lyle Blaker
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- Unabridged
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A compassionate and captivating examination of evolving attitudes toward mental illness throughout history and the fight to end the stigma. For centuries, scientists and society cast moral judgments on anyone deemed mentally ill, confining many to asylums. In Nobody’s Normal, anthropologist Roy Richard Grinker chronicles the progress and setbacks in the struggle against mental-illness stigma - from the 18th century, through America’s major wars, and into today’s high-tech economy.
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Very informative
- By Monisha on 09-26-22
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White Trash
- The 400-Year Untold History of Class in America
- By: Nancy Isenberg
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Performance
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In her groundbreaking bestselling history of the class system in America, Nancy Isenberg upends history as we know it by taking on our comforting myths about equality and uncovering the crucial legacy of the ever-present, always embarrassing—if occasionally entertaining—poor white trash.
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I have lived this experience and failed badly.
- By James W. Hoffpauir on 08-26-23
By: Nancy Isenberg
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Headwaters
- The Adventures, Obsession and Evolution of a Fly Fisherman (Patagonia)
- By: Dylan Tomine, John Larison - foreward
- Narrated by: Dylan Tomine
- Length: 7 hrs and 8 mins
- Unabridged
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Story
Dylan Tomine takes us to the far reaches of the planet in search of fish and adventure, with keen insight, a strong stomach, and plenty of laughs along the way. Closer to home, he wades deeper into his beloved steelhead rivers of the Pacific Northwest and the politics of saving them. Tomine celebrates the joy - and pain - of exploration, fatherhood, and the comforts of home waters from a vantage point well off the beaten path. Headwaters traces the evolution of a lifelong angler’s priorities from fishing to the survival of the fish themselves.
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Held my interest
- By Josetsu on 04-04-24
By: Dylan Tomine, and others
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Under the Big Black Sun
- A Personal History of L.A. Punk
- By: John Doe, Tom Desavia
- Narrated by: Exene Cervenka, Henry Rollins, full cast
- Length: 7 hrs and 20 mins
- Unabridged
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Under the Big Black Sun explores the nascent Los Angeles punk rock movement and its evolution to hardcore punk as it's never been told before. Authors John Doe and Tom DeSavia have woven together an enthralling story of the legendary West Coast scene from 1977 to 1982 by enlisting the voices of people who were there. The book shares chapter-length tales from the authors along with personal essays from famous (and infamous) players in the scene.
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A love song to the early punk days in LA.
- By Brenda on 07-09-16
By: John Doe, and others
What listeners say about Under the Skin
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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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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- Tidbitqueen
- 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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