Twenty Years of Life
264 pages, 6 x 9
32 photos
Release Date:19 Apr 2018

Twenty Years of Life

Why the Poor Die Earlier and How to Challenge Inequity

Island Press
In Twenty Years of Life, Suzanne Bohan exposes the disturbing flip side of the American dream: your health is largely determined by your zip code. The strain of living in a poor neighborhood, with sub-par schools, lack of parks, fear of violence, few to no healthy food options, and the stress of unpaid bills is literally taking years off people’s lives. The difference in life expectancy between wealthy and distressed neighborhoods can be as much as twenty years.

Bohan chronicles a bold experiment to challenge this inequity. The California Endowment, one of the nation’s largest health foundations, is upending the old-school, top-down charity model and investing $1 billion over ten years to help distressed communities advocate for their own interests. This new approach to community change draws on the latent political power of residents and is driving reform both locally and in the state’s legislative chambers. If it can work in fourteen of California’s most challenging and diverse communities, it has the potential to work anywhere in the country.

Bohan introduces us to former street shooters with official government jobs; kids who convinced their city council members to build skate parks; students and parents who demanded fairer school discipline policies to keep kids in the classroom; urban farmers who pushed for permits to produce and sell their food; and a Native American tribe that revived its traditional forest management practices. Told with compassion and insight, their stories will fundamentally change how we think about the root causes of disease and the prospects for healing.
Must reading for anyone who cares about our nation's future. With thoughtful reporting and judicious use of data, Suzanne Bohan shows us where hope lies—with everyone committed to making change happen. Angela Glover Blackwell, Founder and CEO, PolicyLink
In Twenty Years of Life, Suzanne Bohan shows how trauma, both structural and personal, works as a primary catalyst for the inequities experienced by poor people and people of color. Who among us will have the courage to respond with the urgency required? We are all on the clock... Pastor Michael McBride, National Director, PICO's Urban Strategies and LIVE FREE Campaign
This is a remarkable book. It tackles, head on, one of the most perplexing problems of our time: why do Americans have poorer health than the residents of 40 other nations even though we spend much more money on healthcare? Could the reason involve more than medical care? Suzanne Bohan demonstrates how lack of access to good schools, housing, parks, food, and community support can influence our health. And she shows what can be done about it. This is a much-needed book that reveals our true health problem and offers real-life examples of how to solve it. S. Leonard Syme, Professor Emeritus, UC Berkeley
Suzanne Bohan covered health and science for 12 years with the Bay Area News Group, a 650,000-circulation newspaper chain that includes the San Jose Mercury NewsContra Costa Times, and Oakland Tribune. She previously worked for the Sacramento Bee, and her writing has also been published in the Los Angeles TimesWashington PostBoston GlobeMiami HeraldSan Francisco Chronicle and other newspapers nationwide.

Bohan has won nearly 20 journalism awards, including the 2010 White House Correspondents' Association Edgar A. Poe Award for the series "Shortened Lives: Where You Live Matters" on why life expectancies vary so dramatically between nearby neighborhoods, and initiatives to shrink this unjust gap. Her earlier book, 50 Simple Ways to Live a Longer Life: Everyday Techniques From the Forefront of Science, won a National Health Information Award for health promotion/disease prevention.

Bohan has a master's degree in journalism from Stanford University and a bachelor's degree in biology from San Francisco State University. She interned at CNN and worked in radio, but decided to focus her career on print media. She lives in Northern California with her husband.
Chapter 1. How Neighborhoods Kill
Chapter 2. The Stress Effect
Chapter 3. Keeping Kids in School
Chapter 4. Changing Schools' Rules
Chapter 5. A Safe Place to Play
Chapter 6. A Safe Place to Live
Chapter 7. Rural Activism
Chapter 8. Good Eats
Chapter 9. Healing Trauma
Chapter 10. Red and Blue Visions of Health

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