When I was living on the West Side of Chicago, friends and family would often say that they couldn’t comprehend why I would want to live in such a “dangerous” area. The exchange would usually go something like the following: “I can’t imagine why you’d want to live in Chicago, considering all the gun violence.” “Are you worried about me being shot by the police?” “Well, no. The criminals are the ones who are shooting people.” “The police shoot people too. And there’s a reason the ‘criminals’ are resorting to violence.”

I would then go on to explain the antecedents to Chicago’s gun violence: racial segregation and systemic disinvestment. Beginning in the 1950s and into the ’70s, white Chicagoans fled the South and West Sides because they couldn’t imagine being neighbors with Black people. Because of this, these areas became predominantly Black, and the city has refused to invest resources into these neighborhoods to reverse their poor conditions. The South and West Sides are still suffering from disinvestment today, and this disinvestment is a major contributor to gun violence.

I was supposed to be taking a writing day this past Monday, but the sound of sirens kept distracting me. Sirens in my Seattle neighborhood are not unusual, but the sirens blared from early morning until noon. By that time, I’d heard 10 or more police cars drive by, which felt different. So, during my lunch break, I resolved to walk down the street to see what all the hullabaloo was about. I figured I wasn’t getting any writing done, so I might as well go investigate.

MATTHEW DESMOND, a Princeton sociologist and author, has grown tired of calls to reduce poverty — because he knows we can abolish it. In his new book, Poverty, by America, Desmond explores not the lives and struggles of people who are poor — but poverty, and the conditions that cause it. And Desmond contends that the lives the rest of us live are often connected to the conditions that cause poverty.

“To understand the causes of poverty, we must look beyond the poor. Those of us living lives of privilege and plenty must examine ourselves,” Desmond writes. “Are we — we the secure, the insured, the housed, the college educated, the protected, the lucky — connected to all this needless suffering?”

Desmond is the son of a pastor, and his work is rich with spiritual metaphor and flare while grounded in the material realities of poverty and the conditions that cause it. He dedicates a chapter of his book to refuting the idea that “neoliberal” cuts in welfare spending are to blame for poverty. “There is no evidence that the United States has become stingier over time. The opposite is true,” he writes. Instead, the problem is “a fair amount of government aid earmarked for the poor never reaches them.” Sojo.net associate news editor Mitchell Atencio spoke with Desmond about his new book, community building, and capitalism. —The Editors

Sojourners: Theologian Gustavo Gutiérrez defines poverty as “premature and unjust death,” saying that “the poor person is someone who is treated as a non-person, someone who is considered insignificant from an economic, political, and cultural point of view.” Is that a good way to describe poverty?

Matthew Desmond: I think that’s a factual way to describe what poverty is. Between 2001 and 2014, the richest women in America gained three years of life and the poorest women gained 15 days. So, poverty is death. There was a study that came out very recently that showed that one of the leading causes of death in the United States is poverty. I think that when we deny people access to basic needs, and we deny them basic economic security in this rich land, we do deny them life and happiness itself.

The other part of the quote about insignificance is very interesting because it does seem that in our popular culture — our TV shows, our movies, our children’s books — there are often no portrayals of real poverty in those media, and so it’s kind of amazing how seamlessly the poor can be erased from everything we’re reading and watching and reading to our kids.

IN SEPTEMBER 1987, ordained Methodist minister and practicing physician G. Scott Morris opened Church Health, a faith-based health care center in Memphis, Tenn. The first clinic tended to 12 people. Over 35 years later, more than 80,000 different individuals have come through Church Health’s doors. When they started, Memphis was the poorest city in the country, but Morris and companions didn’t open Church Health center as an act of charity. Church Health’s mission has always been about demanding justice. His book Care: How People of Faith Can Respond to Our Broken Health System tells the story of clinics across the U.S. where people practice Jesus’ command to heal. — The Editors

I FIRST CAME to Memphis in 1986. Having completed my theological and medical education, I was determined to begin a health care ministry for uninsured people working in low-wage jobs. I had dreamed of this for years as I slogged my way through the training that would make it possible. When the time came, I chose Memphis because historically it is one of the poorest major cities in the U.S. Today we see patients in clinics for primary care, urgent care, dental work, and optometry services. Behavioral health, life coaching, and physical rehabilitation are integrated into our clinics, and we have a teaching kitchen offering classes on culinary medicine for patients and the community. The Church Health model is used in more than 90 clinics around the country. There are about 1,500 free and charitable clinics in the U.S., many of which have faith-based connections.

God calls the church to healing work. Jesus’ life was about healing the whole person, and Jesus is the church in the world. Tradition suggests that Helena, the mother of the emperor Constantine, was the first to open a hospital specifically to care for the poor. The ancient world never had a system to care for the sick who were poor until Christians offered hospitals. Even Julian the Apostate, a fourth-century Roman emperor who did not have much use for Christians, wrote, “Now we can see what it is that makes these Christians such powerful enemies of our gods, it is the brotherly love which they manifest toward strangers and toward the sick and poor, the thoughtful manner in which they care for the dead, and the purity of their own lives.” We are still Jesus’ disciples, the body of Christ running after God’s priorities in the world together. What does it look like to have a healing ministry in today’s world?

Far too many Christians cling to a stubborn belief that individual acts of charity are sufficient to fulfill their obligation to help all those experiencing hunger and poverty. While acts of charity like donating to a regional food bank or volunteering at a local soup kitchen are commendable and indeed necessary, they are not sufficient. Christians not only have a duty to do good works through individual charity, but also to urge their political representatives to do what is in their power to end hunger in the U.S. and around the world.

First Presbyterian, a congregation in the Presbyterian Church (USA) denomination, is one of many across the country raising money through the nonprofit RIP Medical Debt to buy and forgive medical debts owed by people who can’t afford to pay them back. The church hopes to raise $50,000 as one of two mission components to its capital campaign — enough to forgive $5 million in medical debt.