Maybe it's because of the bitterly cold temperatures at night this week, or maybe it's my own visceral response to overdosing on television shows with happy family Christmas scenes and neighborhood holiday lighting competitions, but I've been giving a lot of thought recently to how housing and homes impact health.
About a decade ago I traveled to the Mississippi Delta, Texas's Rio Grande Valley, south-central Illinois, the mountains of northern Idaho and the cities of eastern Massachusetts to speak with individuals and families scraping by without health insurance. Most of these people worked in construction, retail, agricultural or service jobs. The details varied, but across the country I heard about spiraling poor health, declining employability and growing poverty. In 2015 I made return trips to check in with the people I'd met ten years earlier.[i]While I was able to locate nearly all of the original interviewees who owned their homes (including very modest homes of immigrants in colonias in the Rio Grande Valley), I only located a minority of the renters. Typically, their original phone numbers were disconnected and original addresses belonged to subsequent tenants. When I knocked on neighbors' doors the most common response was, "I don't know [so-and-so]. I've only lived here for a few months myself."