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Poverty Knowledge: Social Science, Social Policy, and the Poor in Twentieth-Century U.S. History (review)

difficult to empathize with patients who are confronted with economic and racial barriers. The lamentable suspicion between patient and physician that arises from such a situation leads, as is apparent in the profiles Moller highlights, to deepening mistrust and a prevailing feeling amongst poor patients that they received “inferior care because they were poor” (p. 16). In sum, Dancing with Broken Bones weaves a tapestry portraying the sadness of lives needlessly made futile by the pangs of “social isolation” (p. xiv) and disease. Moller takes his own personal experiences and knowledge to bring compassion and insight into the topic of end of life care in inner city America with individual profiles that are at once raw and heartfelt. Although many terminally-ill elderly Americans in the inner city view the health care industry through a lens smeared by futility, Moller’s ability to combine the highly personal with the pragmatic places the daily struggles of these individuals on “center stage” (p. 52) and, thus, “honors their lives” (p. 52). Overall, the profiles of resilience contained in the pages of this fine book are a painful reminder that the unnecessary suffering of poor Americans can be avoided only when the poor are recognized in their full humanity. —reviewed by Ribhi Hazin, MD