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Across American history, the question of whose lives are long and healthy and whose lives are short and sick has always been shaped by the social and economic order. From the dispossession of Indigenous people and the horrors of slavery to infectious diseases spreading in overcrowded tenements and the vast environmental contamination caused by industrialization, and through climate change and pandemics in the twenty-first century, those in power have left others behind.. Through the lens of death and disease, Building the Worlds That Kill Us provides a new way of understanding the history of the United States from the colonial era to the present. David Rosner and Gerald Markowitz demonstrate that the changing rates and kinds of illnesses reflect social, political, and economic structures and inequalities of race, class, and gender.