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Crossing the Gap

Healing Epidemics and Inequalities in a Divided City

Publication supported by the Meijer Foundation Fund

A doctor, a disinvested neighborhood, and a radical experiment to close America’s death gap. 

Two girls are born in the same Chicago hospital. Their neighborhoods—just seven train stops apart—will shape their futures and help determine how long they live. One will celebrate her eighty-fifth birthday. The other will die before sixty-five.

This is the death gap: lives lost too soon. Crossing the Gap asks how a city with world-class hospitals can tolerate an epidemic of premature death—and tells the story of the people fighting to end it.

In his landmark book The Death Gap, physician and health equity leader David A. Ansell exposed how structural racism and poverty shorten lives. He moves beyond diagnosis in Crossing the Gap to explore what happens when a major medical center joins forces with pastors, community organizers, residents, and young leaders on Chicago’s West Side to redefine what a hospital owes its neighbors. Part medical memoir and part urban chronicle, Crossing the Gap follows groundbreaking initiatives such as West Side United and the Sankofa Wellness Village as they confront decades of disinvestment and work to build healthier communities. 

Through stories of collaboration, courage, conflict, and community leadership, Ansell shows how neighborhood voices, rigorous data, and moral imagination can transform health systems from bystanders into partners for change—not just in one city but throughout the nation. 


224 pages | 10 halftones | 6 x 9

Black Studies

Chicago and Illinois

Medicine

Social Work

Sociology: Medical Sociology

Reviews

“In Crossing the Gap, Ansell offers a blueprint for how hospitals and other anchor institutions can stand with communities—with courage, organizing, and stubborn hope—not just to serve them, but to close death gaps so we can finally make every child’s chance to be healthy a basic American guarantee.”

Arne Duncan, former US Secretary of Education

“This book is novel, immediate, and deeply worthy of your time. As Ansell relates implementing strategies from effective patient navigation to true community leadership and partnership, he provides an inspiring blueprint for all of us who are invested in replacing medical futility with faith in action.”

Harriet A. Washington, author of Medical Apartheid

“In Crossing the Gap, Ansell demonstrates what can happen when we treat hospitals and health plans as civic institutions with influence over life expectancy and neighborhood economies and as promoters of democracy.”

Andy Slavitt, former administrator, Centers for Medicare and Medicaid Services

“A powerful, insightful, and deeply human account, Crossing the Gap should be required reading for every health professional in training in the United States and essential reading for anyone seeking to understand—and ultimately transform—the unequal realities that continue to define American health.”

David R. Williams, Harvard University

Table of Contents

1. A Tale of Two Cities
2. The Last Shall Be First
3. Anatomy of a Neighborhood’s Decline
4. I Want to Be like Steve
5. Paradigm Shift
6. March 1, 2020: Colliding Epidemics
7. We Were Built for This
8. Project Hope
9. One Million Deaths: Reflections on a National Failure
10. The Wounded Healer
11. The Still Small Voice
12. The Language of the Unheard
13. We Don’t Want Nobody Nobody Sent
14. Who Gets the Chance to Be Healthy?
15. Conclusion: A Good Omen

Acknowledgments
Notes
Index

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