“Framed expertly in terms of the macrolevel social determinants of health and the gap in life expectancy between poor neighborhoods and wealthier ones, this heartfelt first-person account by two staff members of Atlanta’s Good Samaritan Health Center makes vivid the microlevel daily pain and struggles of those who live in poverty. It also outlines an activist, social justice approach to making the changes that have to be made with and by community members, in order for neighborhoods to produce health, and not harm, to their residents.”