Under the Skin: The Hidden Toll of Racism on American Lives and on the Health of Our Nation
Linda Villarosa
PULITZER PRIZE FINALIST • "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.
Award History
1 wins · 3 total
| Award | Year | Result | Category / Notes |
|---|---|---|---|
| J. Anthony Lukas Book Prize | 2023 | Winner | Secondary source |
| Pulitzer Prize in General NonfictionMajor | 2023 | Finalist | Secondary source |
| Helen Bernstein Book Award for Excellence in Journalism | 2023 | Finalist | Secondary source |
Experimental book profileGenerated by GPT-5.4 nano · may contain inaccuracies
This is an unverified interpretation of the catalog description, offered as an opt-in discovery experiment—not as bibliographic fact.
01 Central figures
None extracted with sufficient confidence.
02 Central places
None extracted with sufficient confidence.
03 Suggested argument
Racism in American society and the health-care system causes Black people to live sicker and die quicker than white people, and fallacious slavery-era assumptions persist in medical texts and instruments.
Model confidence 78%
04 Reading orientation
38 / 100 academicSerious trade
An estimate of intended readership and scholarly apparatus—not quality or importance.
Confidence percentages are the model's own estimates. Profile confidence: 74%.