Between its founding in 1966 and its formal end in 1980, the Black Panther Party blazed a distinctive trail in American political culture. The Black Panthers are most often remembered for their revolutionary rhetoric and militant action. Here Alondra Nelson deftly recovers an indispensable but lesser-known aspect of the organization's broader struggle for social justice: health care. The Black Panther Party's health activism-its network of free health clinics, its campaign to raise awareness about genetic disease, and its challenges to medical discrimination-was an expression of its founding political philosophy and also a recognition that poor blacks were both underserved by mainstream medicine and overexposed to its harms. Drawing on extensive historical research as well as interviews with former members of the Black Panther Party, Nelson argues that the Party's focus on health care was both practical and ideological. Building on a long tradition of medical self-sufficiency among African Americans, the Panthers' People's Free Medical Clinics administered basic preventive care, tested for lead poisoning and hypertension, and helped with housing, employment, and social services. In 1971, the party launched a campaign to address sickle-cell anemia. In addition to establishing screening programs and educational outreach efforts, it exposed the racial biases of the medical system that had largely ignored sickle-cell anemia, a disease that predominantly affected people of African descent. The Black Panther Party's understanding of health as a basic human right and its engagement with the social implications of genetics anticipated current debates about the politics of health and race. That legacy-and that struggle-continues today in the commitment of health activists and the fight for universal health care.

This book reveals how living in a highly racialized society affects health through multiple social contexts, including neighborhoods, personal and family relationships, and the medical system. Black-white disparities in health, illness, and mortality have been widely documented, but most research has focused on single factors that produce and perpetuate those disparities, such as individual health behaviors and access to medical care. Inequality and African-American Health is the first book to offer a comprehensive perspective on health and sickness among African Americans. Starting with an examination of how race has been historically constructed in the United States generally and in its medical system specifically, it goes on to explore the resilience of these racial ideologies and practices. Shirley A. Hill shows that racial disparities in health reflect racial inequalities in living conditions, incarceration rates, family systems, and opportunities and that these racial disparities often cut across social class boundaries and have gender-specific consequences. Bringing together data from existing quantitative and qualitative research with new archival and interview research, this book marks a crucial advance in the fields of family studies, race and ethnicity studies, and medical sociology.