This book investigates the causal relationship between unemployment and the deterioration of physical and mental health within individuals and family units. Dr. Richard M. Smith, a physician and journalist, synthesizes data from historical, medical, psychological, political, and sociological domains to construct his argument. He posits that the loss of employment functions as a significant health hazard and evaluates both current interventions and potential future policy responses to this systemic issue.

Experts recognize this work as a foundational text that bridges the gap between clinical medicine and social policy. Readers frequently note the interdisciplinary approach, which provides a comprehensive overview of the health consequences of economic instability.