Remarkable ... She repositions various narratives about race and medicine — the soaring Black maternal mortality rates; the rise of heart disease and hypertension; the oft-repeated dictum that Black people reject psychological therapy — as evidence not of Black inferiority, but of racism in the health care system ... Singular and expansive ... Under the Skin offers an alternative understanding of...suffering, for which there is a long history. Black pain is not, and has never been, the fault of the individual, but a result of the structural racism embedded in the practice of medicine in this country ... In this eminently admirable book, there are no easy answers or platitudes.
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. It will be especially eye-opening for anyone who believes that wealth, education and access to quality medical services are the great equalizers.
... wonderfully written. It’s not an inaccessible academic work or a polemic. Rather, its points are made amid moving narratives of real people’s experiences. The book also serves as a stake in the ground for Villarosa as she powerfully discloses what years of reporting have led her to understand: 'The something that is making Black Americans sicker is not race per se, or the lack of money, education, information, and access to health services that can be tied to being Black in America. It is also not genes or something inherently wrong or inferior about the Black body. The something is racism.'
... gripping, incisive ... [Villarosa] deftly pivots between individual cases and studies that demonstrate the widespread obstacles in seeking equal health care for Black people.
Villarosa combines important studies on facets of Black health with historical facts and personal experiences...to prove the extent to which multiple levels of institutionalized racism impact the well-being of Black Americans. She even calls out her own previous misapprehensions of the topic, aiming to demonstrate the ease of underestimating this issue’s pervasive effects ... An eye-opening, heartbreaking study of the racism deeply embedded in U.S. medicine and society; critical for any reader interested in racism’s effects on quality of life.
A stunning look at the racial disparities in health outcomes for Black and white Americans ... Skillfully interweaving historical and medical facts with empathetic profiles of people who have been affected by HIV/AIDS, Covid-19, and other health crises enabled by structural racism, Villarosa delivers a passionate call for equality in the American medical system. The result is an urgent and utterly convincing must-read.
