Skid Road On the Frontier of Health and Homelessness in an American City

Home to over 730,000 people, with close to four million people living in the metropolitan area, Seattle has the third-highest homeless population in the United States. In 2018, an estimated 8,600 homeless people lived in the city, a figure that does not include the significant number of "hidden" homeless people doubled up with friends or living in and out of cheap hotels. In Skid Road, Josephine Ensign digs through layers of Seattle history―past its leaders and prominent citizens, respectable or not―to reveal the stories of overlooked and long-silenced people who live on the margins of society.
The sometimes fragmentary tales of these people, their lives and deaths, are not included in official histories of a place. How, Ensign asks, has a large, socially progressive city like Seattle responded to the health needs of people marginalized by poverty, mental illness, addiction, racial/ethnic/sexual identities, and homelessness? Drawing on interviews and extensive research, Ensign shares a diversity of voices within contemporary health care and public policy debates.


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