Metzl - Dying of Whiteness
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Named one of the most anticipated books of 2019 by Esquire and the Boston Globe
In the era of Donald Trump, many lower- and middle-class white Americans are drawn to politicians who pledge to make their lives great again. But as Dying of Whiteness shows, the policies that result actually place white Americans at ever-greater risk of sickness and death.
Physician Jonathan M. Metzls quest to understand the health implications of backlash governance leads him across Americas heartland. Interviewing a range of everyday Americans, he examines how racial resentment has fueled progun laws in Missouri, resistance to the Affordable Care Act in Tennessee, and cuts to schools and social services in Kansas. And he shows these policies costs: increasing deaths by gun suicide, falling life expectancies, and...
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Copyright 2019 by Jonathan M. Metzl
Cover design Chin-Yee Lai
Cover image Michael Matthews/Alamy Stock Photo
Cover 2019 Hachette Book Group, Inc.
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Basic Books
Hachette Book Group
1290 Avenue of the Americas, New York, NY 10104
www.basicbooks.com
First Edition: March 2019
Published by Basic Books, an imprint of Perseus Books, LLC, a subsidiary of Hachette Book Group, Inc.
The publisher is not responsible for websites (or their content) that are not owned by the publisher.
The Library of Congress has cataloged the hardcover edition as follows:
Names: Metzl, Jonathan, 1964 author.
Title: Dying of whiteness : how the politics of racial resentment is killing Americas heartland / Jonathan M. Metzl.
Description: First edition. | New York : Basic Books, March 2019. | Includes bibliographical references and index.
Identifiers: LCCN 2018040108 (print) | LCCN 2018041118 (ebook) | ISBN 9781541644960 (ebook) | ISBN 9781541644984 (hardcover)
Subjects: | MESH: Health Status | Healthcare Disparities | Health Services Accessibility | Socioeconomic Factors | Politics | Racism | Missouri | Tennessee | Kansas
Classification: LCC RA563.M56 (ebook) | LCC RA563.M56 (print) | NLM WA 300 AM8 | DDC 362.1089dc23
LC record available at https://lccn.loc.gov/2018040108
ISBNs: 978-1-5416-4498-4 (hardcover), 978-1-5416-4496-0 (ebook)
E3-20190129-JV-NF-ORI
DYING OF WHITENESS
In this paradigm-shifting tour de force, Jonathan M. Metzl brilliantly illuminates the shocking ways that white supremacy, through backlash governance, kills white people too. Moving deftly between mountains of data and compelling storytelling, Dying of Whiteness makes a vital contribution to our national conversation about racism and its discontents. Metzl uncovers the contemporary paradox of whiteness: a struggle to preserve white privilege in the midst of the declining value of whiteness. This is a must-read if you want to understand how race and the color line operate in twenty-first-century America.
Dorian Warren, president, Community Change, and co-chair, Economic Security Project
Dying of Whiteness brilliantly demonstrates the tremendous impediment that white racism and backlash politics pose to our societys wellbeing, at a time when many white Americans quite literally would rather die than support policies they see as benefiting people of color. Metzl issues an urgently needed call to acknowledge the deadly toll of investing in whitenessand to work collectively toward a just society that would be healthier for everyone.
Dorothy Roberts, author of Killing the Black Body
As a recent term-limited progressive Missouri state legislator, I applaud Jonathan M. Metzls dive into policies and agendas which are destructive to those most in need. He is correct in that racial resentment is the primary reason Medicaid expansion was not allowed to be debated on the House floor the past eight years. He is also correct in exposing racism as a primary reason why my home state of Missouri has loosened gun restrictions even though suicides, accidental, and domestic shootings have skyrocketed in every zip codeincluding in predominantly white areas. Racial overtones also color healthcare and gun legislation debates in the Capitol, as well as many lobbying efforts. Dying of Whiteness boldly exposes the devastating consequences of these politics for everyone, and calls on us to push back against racial resentment for the benefit of all.
Hon. Stacey Newman, Missouri House of Representatives, 20102018
Policy makers, scholars, and the public at large need to read Metzls Dying of Whiteness. He forcefully but with empathy demonstrates how poor and working-class whites are literally killing themselves by supporting policies on guns, health care, and taxes framed as defending white authority but which, in truth, benefit the white elite.
Eduardo Bonilla-Silva, James B. Duke Professor of Sociology, Duke University
Jonathan M. Metzl goes to Missouri, Tennessee, and Kansas to understand why people support gun, health, and school policies they will suffer from. An informative snapshot of how the other half live and die.
Dr. Alfredo Morabia, editor-in-chief, American Journal of Public Health
The Protest Psychosis: How Schizophrenia Became a Black Disease
Prozac on the Couch: Prescribing Gender in the Era of Wonder Drugs
Against Health: How Health Became the New Morality
To the Metzl families, who persist, and in persisting, flourish. And to Anna and Clara, our future.
B EFORE D ONALD T RUMP could implement his agendain some cases, before he even took the oath of officereporters and pundits were already tallying the negative implications of his proposals for many Americans. This isnt surprising; changes in government policy inevitably create winners and losers. The twist here was that Trumps plans would hurt the working-class white populations who formed the core of his own base.
Trump Voters Stand to Suffer Most from Obamacare Repeal and a Trade War announced an NBC.com piece soon after the 2016 presidential election, quoting George Washington University economist Michael O.
Moore. I think youre going to get a disproportionate impact on people who supported Donald Trump but maybe dont realize that his policies may end up hurting them instead of helping them, Moore claimed. Salon echoed Moores assessment: Donald Trump is about to victimize his own voters. Meanwhile, a lead editorial in the New York Times announced that Trumpcare Is Already Hurting Trump Country.
Trump didnt bother denying any of it. During an interview on Fox News in March 2017, Tucker Carlson told the president that counties that voted for you, middle-class and working-class counties, would do far less well under the proposed repeal of the Affordable Care Act (ACA). Yeah. Oh, I know that. Its very preliminary, Trump replied.
As promised, the new administration soon pushed a steady stream of cuts to health care delivery systems, financial regulations, environmental
Of course, voters endorsing politicians whose policies seem likely to hurt them is nothing new. Many Southern and midwestern states boast long histories of leaders who enact laws that disadvantage their own constituents and constituents who nonetheless repeatedly vote for these same politicians. As I show in the following chapters, that dynamic took on particular urgency in the decades leading up to the Trump presidency, when an emerging American conservatism promised to make white America great in ways that directly harmed lower- and middle-income white voters who supported conservative politics and policies in the first place.
This book details a seeming contradiction that I observed with increasing frequency during six years of research across the midwestern and Southern United States. Between 2013 and 2018, I traveled to places like Franklin, Tennessee; Olathe, Kansas; and Cape Girardeau, Missouriin Sarah Palins once controversial words, the real Americaand asked people about urgent and contested political issues facing the American electorate, including health care, guns, taxes, education, and the scope of government. I wanted to learn how people balanced anti-government or pro-gun attitudes while at the same time navigating lives impacted by poor health care, widening gun-related morbidity, and underfunded public infrastructures and institutions.
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