Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Mining the Heartland

Mining the Heartland
Author: Erik Kojola
Publisher: NYU Press
Total Pages: 272
Release: 2023-06-06
Genre: Medical
ISBN: 1479815217

A riveting portrait of the cultural struggles and political conflicts of proposed copper-nickel mines in Minnesota’s Iron Range On an unseasonably warm October afternoon in Saint Paul, hundreds of people gathered to protest the construction of a proposed copper-nickel mine in the rural northern part of their state. The crowd eagerly listened to speeches on how the project would bring long-term risks and potentially pollute the drinking water for current and future generations. A year later, another proposed mining project became the subject of a public hearing in a small town near the proposed site. But this time, local politicians and union leaders praised the mine proposal as an asset that would strengthen working-class communities in Minnesota. In many rural American communities, there is profound tension around the preservation and protection of wilderness and the need to promote and profit from natural resources. In Mining the Heartland, Erik Kojola looks at both sides of these populist movements and presents a thoughtful account of how such political struggles play out. Drawing on over a hundred ethnographic interviews with people of the region, from members of labor unions to local residents to scientists, Kojola is able to bring this complex struggle over mining to life. Focusing on both pro- and anti-mining groups, he expands upon what this conflict reveals about the way whiteness and masculinity operate among urban and rural residents, and the different ways in which class, race, and gender shape how people relate to the land. Mining the Heartland shows the negotiation and conflict between two central aspects of the state's culture and economy: outdoor recreation in the Land of Ten Thousand Lakes and the lucrative mining of the Iron Range.