Layal Liverpool

In the spirit of Medical Apartheid and Killing the Black Body; A science-based, data-driven, and global exploration of racial disparities in health care access by virologist, immunologist, and science journalist Layal Liverpool. Layal Liverpool spent years as a teen bouncing from doctor to doctor, each one failing to diagnose her dermatological complaint. Just when she'd grown used to the idea that she had an extremely rare and untreatable skin condition, one dermatologist, after a quick exam, told her that she had a classic (and common) case of eczema and explained that it often appears differently on darker skin. Her experience stuck with her, making her wonder whether other medical conditions might be going undiagnosed in darker-skinned people and whether racism could, in fact, make people sick. The pandemic taught us that diseases like Covid disproportionately affect people of color. Here, Liverpool goes a step further to show that this disparity exists for all types of illness and that it is caused by racism. In Systemic, Liverpool shares her journey to show how racism, woven into our societies, as well as into the structures of medicine and science, is harmful to our health. Refuting the false belief that there are biological differences between races, Liverpool goes on to show that racism-related stress and trauma can however, lead to biological changes that make people of color more vulnerable to illness, debunking the myth of illness as the great equalizer. From the problem of racial bias in medicine where the default human subject is white, to the dangerous health consequences of systemic racism, from the physical and psychological effects of daily microaggressions to intergenerational trauma and data gaps, Liverpool reveals the fatal stereotypes that keep people of color undiagnosed, untreated, and unsafe, and tells us what we can do about it.

Racism is a public health crisis – and we can do something about it. 'A work of towering importance that will undoubtedly change science and save lives, but it will also change the way you see yourself and the people around you' Chris van Tulleken, author of Ultra-Processed PeopleA ground-breaking investigation into how racism corrodes science and medicine – leading to worse treatment for everyone.What can you do when science and medicine are as biased as the society they treat? Black and Asian patients in the UK wait nearly a week longer for a cancer diagnosis and globally, people of colour are not only more likely to die while giving birth, they are also more likely to die while being born – or soon afterwards. In Systemic, science journalist Layal Liverpool unearths the shocking facts behind the health threat of racism, and when a scientific bias is this pronounced, it results in worse treatment for everyone. We are collectively more ill, medical research is held back and our potential for scientific discoveries is reduced.But there is hope for a cure – practical solutions that we can implement to heal our world. Individuals can learn to advocate for themselves and others with scientifically backed data in the face of structural prejudice. Governments can enact policies aimed at tackling systemic inequities on a national level. Drawing on years of research, interviews and cutting-edge data from across the world, Systemic is a clarion call for a healthier world for us all.'A groundbreaking, brilliantly argued book that debunks the myth that illness is the great equaliser' Siddhartha Mukherjee, Pulitzer Prize winning-author of The Emperor of All Maladies and The Song of the Cell‘Liverpool is a wonderful researcher and this shines through in her writing. Systemic provides a powerful examination on racism in healthcare’ Annabel Sowemimo, author of Divided

Racism is a public health crisis – and we can do something about it. 'A work of towering importance that will undoubtedly change science and save lives, but it will also change the way you see yourself and the people around you' Chris van Tulleken, author of Ultra-Processed PeopleA ground-breaking investigation into how racism corrodes science and medicine – leading to worse treatment for everyone.What can you do when science and medicine are as biased as the society they treat? Black and Asian patients in the UK wait nearly a week longer for a cancer diagnosis and globally, people of colour are not only more likely to die while giving birth, they are also more likely to die while being born – or soon afterwards. In Systemic, science journalist Layal Liverpool unearths the shocking facts behind the health threat of racism, and when a scientific bias is this pronounced, it results in worse treatment for everyone. We are collectively more ill, medical research is held back and our potential for scientific discoveries is reduced.But there is hope for a cure – practical solutions that we can implement to heal our world. Individuals can learn to advocate for themselves and others with scientifically backed data in the face of structural prejudice. Governments can enact policies aimed at tackling systemic inequities on a national level. Drawing on years of research, interviews and cutting-edge data from across the world, Systemic is a clarion call for a healthier world for us all.'A groundbreaking, brilliantly argued book that debunks the myth that illness is the great equaliser' Siddhartha Mukherjee, Pulitzer Prize winning-author of The Emperor of All Maladies and The Song of the Cell‘Liverpool is a wonderful researcher and this shines through in her writing. Systemic provides a powerful examination on racism in healthcare’ Annabel Sowemimo, author of Divided