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Twenty Years of Life: Why the Poor Die Earlier and How to Challenge Inequity Hardcover – April 19, 2018
| Suzanne Bohan (Author) Find all the books, read about the author, and more. See search results for this author |
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In Twenty Years of Life, Suzanne Bohan exposes the disturbing flip side of the American dream: your health is largely determined by your zip code. The strain of living in a poor neighborhood, with sub-par schools, lack of parks, fear of violence, few to no healthy food options, and the stress of unpaid bills is literally taking years off people’s lives. The difference in life expectancy between wealthy and distressed neighborhoods can be as much as twenty years.
Bohan chronicles a bold experiment to challenge this inequity. The California Endowment, one of the nation’s largest health foundations, is upending the old-school, top-down charity model and investing $1 billion over ten years to help distressed communities advocate for their own interests. This new approach to community change draws on the latent political power of residents and is driving reform both locally and in the state’s legislative chambers. If it can work in fourteen of California’s most challenging and diverse communities, it has the potential to work anywhere in the country.
Bohan introduces us to former street shooters with official government jobs; kids who convinced their city council members to build skate parks; students and parents who demanded fairer school discipline policies to keep kids in the classroom; urban farmers who pushed for permits to produce and sell their food; and a Native American tribe that revived its traditional forest management practices. Told with compassion and insight, their stories will fundamentally change how we think about the root causes of disease and the prospects for healing.
- Print length264 pages
- LanguageEnglish
- PublisherIsland Press
- Publication dateApril 19, 2018
- Dimensions6 x 1.1 x 9 inches
- ISBN-101610918010
- ISBN-13978-1610918015
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Editorial Reviews
Review
"Must reading for anyone who cares about our nation's future. With thoughtful reporting and judicious use of data, Suzanne Bohan shows us where hope lies—with everyone committed to making change happen." -- Angela Glover Blackwell, Founder and CEO, PolicyLink
"Bohan provides such great and humane insight into the many ways in which neighborhood environments can conspire against good health. Even more importantly, she shows how communities can come together to build a better life. I found these stories both angering and inspiring." -- Linda Rudolph, Director, Center for Climate Change and Health, Public Health Institute
"In Twenty Years of Life, Suzanne Bohan shows how trauma, both structural and personal, works as a primary catalyst for the inequities experienced by poor people and people of color. Who among us will have the courage to respond with the urgency required? We are all on the clock..." -- Pastor Michael McBride, National Director, PICO's Urban Strategies and LIVE FREE Campaign
"In this slim but powerful volume, Suzanne Bohan takes us on a remarkable journey of discovery. With the skill of a researcher and the flair of a journalist, she charts how the field of public health came to understand that where you live is critical to your health—and explains how a California foundation came to believe that the only way to really alter those social and environmental determinants of well-being is to support grassroots power-building. As with many such paths, there are delightful surprises along the way—as when young people convince the foundation's board to invest in campaigns to alter school discipline policies or when the city manager of a town with a troubled history of police-community relations embraces the need to address systemic racism. In a nation wracked by division, polarization, and often inaction, these stories of listening, healing, and transformation offer a glimmer of hope for change. This is a compelling, important, and timely read." -- Manuel Pastor, Professor of Sociology and American Studies and Ethnicity, University of Southern California
"This is a remarkable book. It tackles, head on, one of the most perplexing problems of our time: why do Americans have poorer health than the residents of 40 other nations even though we spend much more money on healthcare? Could the reason involve more than medical care? Suzanne Bohan demonstrates how lack of access to good schools, housing, parks, food, and community support can influence our health. And she shows what can be done about it. This is a much-needed book that reveals our true health problem and offers real-life examples of how to solve it." -- S. Leonard Syme, Professor Emeritus, UC Berkeley
About the Author
Suzanne Bohan spent twelve years as a reporter for the Bay Area New Group, which includes the San Jose Mercury News, Contra Costa Times, and Oakland Tribune. She won a prestigious White House Correspondents’ Association award in 2010 for her reporting on health disparities. Bohan is co-author of 50 Simple Ways to Live a Longer Life: Everyday Techniques From the Forefront of Science (Sourcebooks, 2005).
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Product details
- Publisher : Island Press; 2nd None ed. edition (April 19, 2018)
- Language : English
- Hardcover : 264 pages
- ISBN-10 : 1610918010
- ISBN-13 : 978-1610918015
- Item Weight : 1.15 pounds
- Dimensions : 6 x 1.1 x 9 inches
- Best Sellers Rank: #693,616 in Books (See Top 100 in Books)
- #611 in Poverty
- #691 in Sociological Study of Medicine
- #1,138 in Sociology of Class
- Customer Reviews:
About the author

Suzanne Bohan worked for 12 years as a science and health reporter for the Bay Area News Group, a 654,000-circulation chain of newspapers in Northern California including the San Jose Mercury News, Contra Costa Times and Oakland Tribune. Her work has been published in media nationwide, including Time, Inc., the LA Times, Washington Post, Boston Globe, Chicago Tribune and many others. She's a graduate of Stanford University with a master's degree in journalism, and earned a bachelor's degree in biology at San Francisco State University. Bohan has won 20 journalism awards, including the 2010 White House Correspondents' Association's Edgar A. Poe award. ("50 Simple Ways" won a National Health Information Award, in the "health promotion/disease prevention" category.)
Customer reviews
Top reviews from the United States
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-Jack NyBlom
Steven A Schroeder, MD
in State of American Cities and How Our Cultural Differences can help transform Communities.
Ms. Bohan has provided us with keen insight which goes beyond Academic Studies.
You will be inspired by the Stories of Individuals who have overcome their circumstances
to become Active & Productive Members of those Communities.
Must Reading!



