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Book Review: Building the Worlds That Kill Us: Disease, Death, and Inequality in American History

Nearly five years ago, while interviewing residents along the Mississippi River in Louisiana for a book they were writing, authors Rosner and Markowitz learned that they’d caused a little brouhaha. Large corporations in the area, ones that the residents of “a small, largely African American community” had battled over air and soil contamination and illness, didn’t want any more “’agitators’” poking around. They’d asked a state trooper to see if the authors were going to cause trouble.

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Courtesy of Columbia University Press
Courtesy of Columbia University Press.

By Terri Schlichenmeyer

 Author: David Rosner and Gerald Markowitz, c.2024, Columbia University Press, $28.00

Get lots of rest.

That’s always good advice when you’re ailing. Don’t overdo. Don’t try to be Superman or Supermom, just rest and follow your doctor’s orders.

And if, as in the new book, “Building the Worlds That Kill Us” by David Rosner and Gerald Markowitz, the color of your skin and your social strata are a certain way, you’ll feel better soon.

Nearly five years ago, while interviewing residents along the Mississippi River in Louisiana for a book they were writing, authors Rosner and Markowitz learned that they’d caused a little brouhaha. Large corporations in the area, ones that the residents of “a small, largely African American community” had battled over air and soil contamination and illness, didn’t want any more “’agitators’” poking around. They’d asked a state trooper to see if the authors were going to cause trouble.

For Rosner and Markowitz, this underscored “what every thoughtful person at least suspects”: that age, geography, immigrant status, “income, wealth, race, gender, sexuality, and social position” largely impacts the quality and availability of medical care.

It’s been this way since Europeans first arrived on North American shores.

Native Americans “had their share of illness and disease” even before the Europeans arrived and brought diseases that decimated established populations. There was little-to-no medicine offered to slaves on the Middle Passage because a ship owner’s “financial calculus… included the price of disease and death.”  According to the authors, many enslavers weren’t even “convinced” that the cost of feeding their slaves was worth the work received.

Factory workers in the late 1800s and early 1900s worked long weeks and long days under sometimes dangerous conditions, and health care was meager; Depression-era workers didn’t fare much better. Black Americans were used for medical experimentation. And just three years ago, the American Lung Association reported that “’people of color’ disproportionately” lived in areas where the air quality was particularly dangerous.

So, what does all this mean? Authors David Rosner and Gerald Markowitz don’t seem to be too optimistic, for one thing, but in “Building the Worlds That Kill Us,” they do leave readers with a thought-provoker: “we as a nation … created this dark moment and we have the ability to change it.” Finding the “how” in this book, however, will take serious between-the-lines reading.

If that sounds ominous, it is. Most of this book is, in fact, quite dismaying, despite that there are glimpses of pushback here and there, in the form of protests and strikes throughout many decades. You may notice, if this is a subject you’re passionate about, that the histories may be familiar but deeper than you might’ve learned in high school. You’ll also notice the relevance to today’s healthcare issues and questions, and that’s likewise disturbing.

This is by no means a happy-happy vacation book, but it is essential reading if you care about national health issues, worker safety, public attitudes, and government involvement in medical care inequality. You may know some of what’s inside “Building the Worlds That Kill Us,” but now you can learn the rest.

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Activism

New Oakland Moving Forward

This week, several socially enterprising members of this group visited Oakland to explore ways to collaborate with local stakeholders at Youth Empowerment Partnership, the Port of Oakland, Private Industry Council, Oakland, Mayor-elect Barbara Lee, the Oakland Ballers ownership group, and the oversight thought leaders in the Alameda County Probation Department.

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iStock.
iStock.

By Post Staff

Since the African American Sports and Entertainment Group purchased the City of Oakland’s share of the Alameda County Coliseum Complex, we have been documenting the positive outcomes that are starting to occur here in Oakland.

Some of the articles in the past have touched on actor Blair Underwood’s mission to breathe new energy into the social fabric of Oakland. He has joined the past efforts of Steph and Ayesha Curry, Mistah Fab, Green Day, Too Short, and the Oakland Ballers.

This week, several socially enterprising members of this group visited Oakland to explore ways to collaborate with local stakeholders at Youth Empowerment Partnership, the Port of Oakland, Private Industry Council, Oakland, Mayor-Elect Barbara Lee, the Oakland Ballers ownership group, and the oversight thought leaders in the Alameda County Probation Department.

These visits represent a healthy exchange of ideas and plans to resuscitate Oakland’s image. All parties felt that the potential to impact Oakland is right in front of us. Most recently, on the back side of these visits, the Oakland Ballers and Blair Underwood committed to a 10-year lease agreement to support community programs and a community build-out.

So, upward and onward with the movement of New Oakland.

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Arts and Culture

BOOK REVIEW: Love, Rita: An American Story of Sisterhood, Joy, Loss, and Legacy

When Bridgett M. Davis was in college, her sister Rita was diagnosed with lupus, a disease of the immune system that often left her constantly tired and sore. Davis was a bit unfazed, but sympathetic to Rita’s suffering and also annoyed that the disease sometimes came between them. By that time, they needed one another more than ever.

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Love Rita Book Cover. Courtesy of Harper.
Love Rita Book Cover. Courtesy of Harper.

By Terri Schlichenmeyer

Author: Bridgett M. Davis, c.2025, Harper, $29.99, 367 Pages

Take care.

Do it because you want to stay well, upright, and away from illness. Eat right, swallow your vitamins and hydrate, keep good habits and hygiene, and cross your fingers. Take care as much as you can because, as in the new book, “Love, Rita” by Bridgett M. Davis, your well-being is sometimes out of your hands.

It was a family story told often: when Davis was born, her sister, Rita, then four years old, stormed up to her crying newborn sibling and said, ‘Shut your … mouth!’

Rita, says Davis, didn’t want a little sister then. She already had two big sisters and a neighbor who was somewhat of a “sister,” and this baby was an irritation. As Davis grew, the feeling was mutual, although she always knew that Rita loved her.

Over the years, the sisters tried many times not to fight — on their own and at the urging of their mother — and though division was ever present, it eased when Rita went to college. Davis was still in high school then, and she admired her big sister.

She eagerly devoured frequent letters sent to her in the mail, signed, “Love, Rita.”

When Davis was in college herself, Rita was diagnosed with lupus, a disease of the immune system that often left her constantly tired and sore. Davis was a bit unfazed, but sympathetic to Rita’s suffering and also annoyed that the disease sometimes came between them. By that time, they needed one another more than ever.

First, they lost their father. Drugs then invaded the family and addiction stole two siblings. A sister and a young nephew were murdered in a domestic violence incident. Their mother was devastated; Rita’s lupus was an “added weight of her sorrow.”

After their mother died of colon cancer, Rita’s lupus took a turn for the worse.

“Did she even stand a chance?” Davis wrote in her journal.

“It just didn’t seem possible that she, someone so full of life, could die.”

Let’s start here: once you get past the prologue in “Love, Rita,” you may lose interest. Maybe.

Most of the stories that author Bridgett M. Davis shares are mildly interesting, nothing rare, mostly commonplace tales of growing up in the 1960s and ’70s with a sibling. There are a lot of these kinds of stories, and they tend to generally melt together. After about fifty pages of them, you might start to think about putting the book aside.

But don’t. Not quite yet.

In between those everyday tales, Davis occasionally writes about being an ailing Black woman in America, the incorrect assumptions made by doctors, the history of medical treatment for Black people (women in particular), attitudes, and mythologies. Those passages are now and then, interspersed, but worth scanning for.

This book is perhaps best for anyone with the patience for a slow-paced memoir, or anyone who loves a Black woman who’s ill or might be ill someday. If that’s you and you can read between the lines, then “Love, Rita” is a book to take in carefully.

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Activism

Faces Around the Bay: Author Karen Lewis Took the ‘Detour to Straight Street’

“My life has been a roller-coaster with an unlimited ride wristband! I was raised in Berkeley during the time of Ron Dellums, the Black Panthers, and People’s Park. I was a Hippie kid, my Auntie cut off all our hair so we could wear  the natural styles like her and Angela Davis.

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Karen Lewis. Courtesy photo.
Karen Lewis. Courtesy photo.

By Barbara Fluhrer

I met Karen Lewis on a park bench in Berkeley. She wrote her story on the spot.

“My life has been a roller-coaster with an unlimited ride wristband! I was raised in Berkeley during the time of Ron Dellums, the Black Panthers, and People’s Park. I was a Hippie kid, my Auntie cut off all our hair so we could wear  the natural styles like her and Angela Davis.

I got married young, then ended up getting divorced, raising two boys into men. After my divorce, I had a stroke that left me blind and paralyzed. I was homeless, lost in a fog with blurred vision.

Jesus healed me! I now have two beautiful grandkids. At 61, this age and this stage, I am finally free indeed. Our Lord Jesus Christ saved my soul. I now know how to be still. I lay at his feet. I surrender and just rest. My life and every step on my path have already been ordered. So, I have learned in this life…it’s nice to be nice. No stressing,  just blessings. Pray for the best and deal with the rest.

Nobody is perfect, so forgive quickly and love easily!”

Lewis’ book “Detour to Straight Street” is available on Amazon.

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