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This is the Missouri Bootheel. The counties around here are called that because if you squint at a map, it kind of looks like the heel of a boot, jutting south from the rest of the state into Arkansas and Tennessee. The name comes from its shape, but it’s something of a metaphor, too. It can sometimes seem like life is trying to grind people down.

It’s a place, one of many in America, where disadvantages pile up. Researchers are uncovering links between education — or lack of it — and health, and they don’t like what they see. It’s not clear whether a college degree leads directly to better health, or, if so, how. But the findings are alarming: Educational disparities and economic malaise and lack of opportunity are making people like those in the Bootheel sick. And maybe even killing them.

full: https://www.chronicle.com/interactives/public-health
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