In America's 'internal colonies,' the poor die far younger than richer Americans

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In America's 'internal colonies,' the poor die far younger than richer Americans
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The most disadvantaged communities around the U.S. are rural and suffer from a history of injustice, a new book finds.

Millions of Americans are living in communities mired in"deep disadvantage," mostly rural locations stuck in generational poverty, but where some residents experience health outcomes that shorten average life expectancies to that of poor nations." , about the geography of poverty. Researchers and co-authors Kathryn J. Edin, a sociology professor at Princeton University; H.

This map, created by the authors of"The Injustice of Place," illustrates where"deep disadvantage" exists across the U.S. The term describes poverty as well as poor health outcomes, such as lowered life expectancy, of its residents. The regions are primarily in South Texas, Appalachia and the Cotton Belt of the American South.

"'There's nothing to do but drugs,'" were the things coming out of everyone's mouth and we were like, 'Oh, come on, that can't be important,'" she recounted."But communities can only protect people if they have the key institutions that allow people to build social bonds, like the bowling alley." Decades ago, pharmaceutical firms that make opioids had specifically targeted Appalachia, which had a combination of high disability claims and family physicians. That was attractive to drugmakers because people on disability automatically qualify for Medicaid, which meant their prescription painkillers would be covered. And they believed that family physicians would be more likely to prescribe painkillers to their patients.

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