She also pushes back on the notion that health disparities are a matter not for government intervention but of individual behaviors — that if black folks would just eat less fatty foods and exercise more, then most of the problem would be solved.
"To some extent, of course it's about personal behavior, but a lot of it is environmental," she says, explaining that poverty and residential segregation are among the issue's biggest drivers. "People of color tend to live in neighborhoods where environmentally polluting industries are located. We have communities with no grocery stores and [an] excessive [number of] liquor stores, sometimes beyond what city statutes allow. All of these things contribute to the socioeconomic determinants of health."
.....ZIP code determines a person's health more than genetic code. He argues that the law doesn't put enough resources behind community-based prevention to tackle the reasons that African Americans get so sick in the first place.
"Health care coverage and clinical prevention screenings are important, but they're not the root causes of health inequities. When you look across the gamut of diseases that people of color disproportionately suffer from, at their root are inequitable neighborhood conditions," Smedley told The Root, echoing the problems of abundant fast-food retailers, environmental injustice and a lack of access to outdoor recreational facilities in many low-income neighborhoods of color. He proposes that federal agencies, such as the Environmental Protection Agency and the Department of Housing and Urban Development, collaborate to make neighborhoods healthier.