Systemic: How Racism Harms Health – and What We Can Do About It

About the Book

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 People

A 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

About the Author :
Layal Liverpool is a journalist whose work spans diverse science topics, including technology, physics, the environment and health, with a particular focus on inequalities in science, health and medicine. Her writing has appeared in Nature, New Scientist, WIRED, the Guardian and elsewhere. Before moving into journalism, Layal worked as a biomedical researcher at University College London and the University of Oxford. She has a PhD in virology and immunology from the University of Oxford. This is her first book.

Review :
Lucid and impressive . . . Systemic is a challenge to the way race has been posited as an explanatory full stop rather than an opening to rigorous scientific inquiry into the root causes of inequality. Liverpool pushes back against the lazy thinking that allows this. The result is a bracing, informative read that illuminates the grim social reality of racism and its effects This book is outstanding in many ways . . . Liverpool draws from her own lived experiences, extensive scholarship and entrenched practices, as well as from many first-hand accounts from her family, researchers, clinicians, patients, policymakers, community members and activists . . . A wide-ranging, inquisitive book about health care and society – and ultimately a call for change Layal Liverpool has produced 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. Systemic is beautifully written and scholarly but perhaps almost uniquely for such a book it is deeply personal and accessible, packed with compelling stories and fascinating details which are harnessed to make an impassioned argument for a better world A groundbreaking, brilliantly argued book that debunks the myth that illness is the great equaliser. With a strong foundation in science and biology, Layal Liverpool unequivocally proves that addressing bias in medicine and data gaps in research will lead to a healthier and more equal world Systemic: How Racism is Making Us Ill is a poignant and timely work that intimately captures the authentic narratives of individuals. Layal's writing doesn't shy away from acknowledging the pain of systemic racism in healthcare but, much like my own experience shared in the book, transforms adversity into a catalyst for positive change. As a survivor of Stevens-Johnson syndrome, I feel deeply honoured by Layal's thoughtful approach, giving voice not only to my journey but also to the countless unspoken survivors and victims. May this transformative narrative pave the way for lasting change Across a global canvas Layal Liverpool deploys deep compassion, gut-wrenching testimony and peerless scientific journalism to show how racism lives and kills. But then she guides us to a revelation: once we know the truth of racism, it’s possible to chart a way to a health system in which anti-racism is medicine. It’s a prescription that everyone needs Scientifically and technically masterful but never lacking heart, Liverpool draws upon her own lived experiences with vulnerability and grace, so that readers may better understand their own This book is outstanding in many ways . . . Liverpool draws from her own lived experiences, extensive scholarship and entrenched practices, as well as from many first-hand accounts from her family, researchers, clinicians, patients, policymakers, community members and activists . . . A wide-ranging, inquisitive book about health care and society – and ultimately a call for change Captivating [Liverpool] unearths the shocking facts about health threats to people of colour