When white voters in Tennessee rejected the Affordable Care Act, their move could have cost each of them roughly 14.1 days of life. Similarly, when whites in Missouri backed lax gun laws, white men became 2.38 times more likely than men of other races to die of self-inflicted shotgun injuries. These are just two of many examples of what Metzl calls “backlash governance”: the propensity of right-wing whites to support policies that promise to make them great again, but that in fact threaten their physical well-being. Combining statistical analysis of health and mortality data with stories of people from across the country, Metzl, a physician and director of the Vanderbilt Center for Medicine, Health, and Society, offers a groundbreaking look at the lifeand- death implications of white identity politics.