More than 1.5 million North Carolinians today live in poverty. More than one in five are children. Behind these sobering statistics are the faces of our fellow citizens. This book tells their stories. Since 2012, Gene R. Nichol has traveled the length of North Carolina, conducting hundreds of interviews with poor people and those working to alleviate the worst of their circumstances. In an afterword to this new edition, Nichol draws on fresh data and interviews with those whose voices challenge all of us to see what is too often invisible, to look past partisan divides and preconceived notions, and to seek change. Only with a full commitment as a society, Nichol argues, will we succeed in truly ending poverty, which he calls our greatest challenge.

Firebrand constitutional attorney and professor Gene Nichol describes how the Republican-majority NC legislature became a blueprint for dismantling democracy.

In Engines of Innovation, Holden Thorp and Buck Goldstein make the case for the pivotal role of research universities as agents of societal change. They argue that universities must use their vast intellectual and financial resources to confront global challenges such as climate change, extreme poverty, childhood diseases, and an impending worldwide shortage of clean water. They provide not only an urgent call to action but also a practical guide for our nation's leading institutions to make the most of the opportunities available to be major players in solving the world's biggest problems. A preface and a new chapter by the authors address recent developments, including innovative licensing strategies, developments in online education, and the value of arts and sciences in an entrepreneurial society.

Millions of low-income African Americans in the United States lack access to health care. How do they treat their health care problems? In Health Care Off the Books, Danielle T. Raudenbush provides an answer that challenges public perceptions and prior scholarly work. Informed by three and a half years of fieldwork in a public housing development, Raudenbush shows how residents who face obstacles to health care gain access to pharmaceutical drugs, medical equipment, physician reference manuals, and insurance cards by mobilizing social networks that include not only their neighbors but also local physicians. However, membership in these social networks is not universal, and some residents are forced to turn to a robust street market to obtain medicine. For others, health problems simply go untreated. Raudenbush reconceptualizes U.S. health care as a formal-informal hybrid system and explains why many residents who do have access to health services also turn to informal strategies to treat their health problems. While the practices described in the book may at times be beneficial to people’s health, they also have the potential to do serious harm. By understanding this hybrid system, we can evaluate its effects and gain new insight into the sources of social and racial disparities in health outcomes.

In the middle years of the Great Depression, Erskine Caldwell and photographer Margaret Bourke-White spent eighteen months traveling across the back roads of the Deep South--from South Carolina to Arkansas--to document the living conditions of the sharecropper. Their collaboration resulted in You Have Seen Their Faces, a graphic portrayal of America's desperately poor rural underclass. First published in 1937, it is a classic comparable to Jacob Riis's How the Other Half Lives, and James Agee and Walker Evans's Let Us Now Praise Famous Men, which it preceded by more than three years. Caldwell lets the poor speak for themselves. Supported by his commentary, they tell how the tenant system exploited whites and blacks alike and fostered animosity between them. Bourke-White, who sometimes waited hours for the right moment, captures her subjects in the shacks where they lived, the depleted fields where they plowed, and the churches where they worshipped.

In 1933 Congress granted American laborers the right of collective bargaining, but farmworkers got no New Deal. Cindy Hahamovitch's pathbreaking account of migrant farmworkers along the Atlantic Coast shows how growers enlisted the aid of the state in an unprecedented effort to keep their fields well stocked with labor. This is the story of the farmworkers_Italian immigrants from northeastern tenements, African American laborers from the South, and imported workers from the Caribbean_who came to work in the fields of New Jersey, Georgia, and Florida in the decades after 1870. These farmworkers were not powerless, the author argues, for growers became increasingly open to negotiation as their crops ripened in the fields. But farmers fought back with padrone or labor contracting schemes and 'work-or-fight' forced-labor campaigns. Hahamovitch describes how growers' efforts became more effective as federal officials assumed the role of padroni, supplying farmers with foreign workers on demand. Today's migrants are as desperate as ever, the author concludes, not because poverty is an inevitable feature of modern agricultural work, but because the federal government has intervened on behalf of growers, preventing farmworkers from enjoying the fruits of their labor.