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Finalist: Under the Skin: The Hidden Toll of Racism on American Lives and on the Health of Our Nation , by Linda Villarosa (Doubleday)

A morally urgent and elegantly rendered work drawing on history, medical research and years of reporting to document how racism infects the American healthcare system, a call to action that also offers some solutions.

Nominated Work

Under the Skin: The Hidden Toll of Racism on American Lives and on the Health of Our Nation

 

NEW YORK TIMES TOP 10 BOOK OF THE YEAR • ”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 reading.

Biography

Linda Villarosa is a journalism professor at the City University of New York and a contributing writer at the New York Times Magazine, where she covers the intersection of race and health. She has also served as executive editor at Essence and as a science editor at The New York Times. Her article on maternal and infant mortality was a finalist for a National Magazine Award. She is a contributor to The 1619 Project.

Winners

Prize Winner in General Nonfiction in 2023:

Robert Samuels and Toluse Olorunnipa

An intimate, riveting portrait of an ordinary man whose fatal encounter with police officers in 2020 sparked an international movement for social change, but whose humanity and complicated personal story were unknown. (Moved by the Board from the Biography category.) General Nonfiction

Finalists

Nominated as finalists in General Nonfiction in 2023:

David George Haskell

An insightful and revelatory work that scientifically reconsiders natural sound as a wonder of evolution, voicing concern that noisy human progress may return us to silence.

Jing Tsu

A beguiling and original geopolitical account of how China’s international prominence was made possible by the preservation and modernization of the Chinese language and the integration of Mandarin into global communication.

The Jury

Roxane Gay(Chair)

Gloria Steinem Endowed Chair in Media, Culture and Feminist Studies, Rutgers University

Ethan Bronner

Senior Editor, Bloomberg News

Matthew Desmond*

Maurice P. During Professor of Sociology, Princeton University

Susan Orlean

Staff Writer, The New Yorker

Luis Urrea

Distinguished Professor of Creative Writing, University of Illinois Chicago

Winners in General Nonfiction

Andrea Elliott

An affecting, deeply reported account of a girl who comes of age during New York City’s homeless crisis–a portrait of resilience amid institutional failure that successfully merges literary narrative with policy analysis.

David Zucchino

A gripping account of the overthrow of the elected government of a Black-majority North Carolina city after Reconstruction that untangles a complicated set of power dynamics cutting across race, class and gender.

Greg Grandin

A sweeping and beautifully written book that probes the American myth of boundless expansion and provides a compelling context for thinking about the current political moment. (Moved by the Board from the History category.)

Eliza Griswold

A classic American story, grippingly told, of an Appalachian family struggling to retain its middle class status in the shadow of destruction wreaked by corporate fracking.

2023 Prize Winners

Kyle Whitmire of AL.com, Birmingham

For measured and persuasive columns that document how Alabama's Confederate heritage still colors the present with racism and exclusion, told through tours of its first capital, its mansions and monuments–and through the history that has been omitted.

Staff of The Wall Street Journal

For sharp accountability reporting on financial conflicts of interest among officials at 50 federal agencies, revealing those who bought and sold stocks they regulated and other ethical violations by individuals charged with safeguarding the public’s interest.