The Mississippi Delta consistently ranks as having some of the worst health outcomes in the United States. Even with this stark reality, researcher David K. Jones (1981–2021) found “ripples of hope.” For four years, Jones turned to residents and local leaders to learn firsthand the intricate connections between race, place, and health in the region. Using an innovative mix of photovoice, policy, and social science research, Jones weaves their insights with data analysis to show how local, state, and national policies and structures, whether or not intentional, constrain or expand daily choices that affect health.

Blaming individuals for poor health choices isn’t the remedy. Jones describes how a community-led, goal-oriented approach to creating health equity policies is needed and that everyone benefits when we ensure that all people can pursue a healthy, fulfilling life. In this compassionate and practical book, Jones provides a roadmap for anyone who would like to make a difference, wherever they live. Jones calls on his readers to act for change and provides examples from the Delta to show how. He reminds us that small steps—"ripples of hope”—can save lives and improve health.