For fans of Braiding Sweetgrass, The Future We Choose, and The Blue Zones, a book about the effect our relationship to nature has on our well-being and health.
Our modern way of living is incompatible with our survival. Most of us intuitively know this truth, but almost everything in our society encourages us to ignore it. Dr. Wendy Johnson confronts this undeniable fact and breaks down how we think and act every day in ways that undermine our individual and collective well-being.
The antidotes to many of the causal factors of poor health—loneliness, industrial diets, systemic inequality, fear of death, profit-based healthcare—are relational, with each other and with the living earth. Through evidence from public health, sociology, anthropology, human ecology, and her experience as a family physician, Dr. Wendy Johnson will show you
We must incorporate an “ecosystem” perspective into modern medicine What you ingest and where you live can reinforce or upset your body’s delicate balance Eliminating one organism in an ecosystem can affect all the others Histories of trauma can be passed down for generations Rekindling our relationships to non-human life is essential to our well-being Being closer to death can release some of its power over us Actions of communities will be stronger and more lasting than any individual efforts
You will leave with a clear vision of what a new society might look like, methods to accomplish this transformation, and concrete examples of where it is being done successfully.
“Man is the most insane species. He worships an invisible God and destroys a visible Nature, unaware that this Nature he's destroying is this God he's worshipping” - Hubert Reeves
This is the opening line of the introduction, which immediately struck a cord with me. This book is incredibly insightful, and carefully researched. Johnson, a family doctor in New Mexico, explores how our societal structure is leading to poor health outcomes, how medicine looks at individual factors which can be outweighed by societal stressors leading to poor health. And how ‘poor’ individual behaviours (smoking, high alcohol intake) can be ‘balanced out’ (as it were) by strong communal connections and support.
She also looks at our connection with nature, that humans are themselves an ecosystem, with our microbiome, how we are part of nature and it’s ecosystems, and how Earth - Gaia- is a whole ecosystem, which humans are currently acting as an aggressive virus towards. That humans have positioned themselves as masters of the earth, not as part of its ecosystem.
Johnson looks back in history and to indigenous cultures for the wisdom of how we can improve our health, combat climate change, enhance biodiversity and create stronger more resilient communities. The examples used are fairly North American focused, but they are good and interesting examples which demonstrate well the points that are being made.
The individual behaviour changes we make are not enough to combat the impact of us a species, that is not to say they are not worthwhile(!), but as a collective we need to imagine and create a better way of living with less consumerism, capitalism and more respect and trust. We need to come together as communities and say enough is enough and decide on better ways to live. We can not afford to think that because we live in ‘developed’ countries we are safe and immune from the effects of climate change, because we are not.
This book examines the work of many other authors, examines history for cause and effect, and points to learn from. I found many of the ideas it highlighted very sensible and worthy for more consideration by society as a whole. We all need to decide to change course, and to decide on our idiom for the future. Change is uncomfortable, but it is necessary. We are killing ourselves and our planet and we need to do better. And we need to consider society as not just humans, but as inclusive of the natural environment, the plants and animals is key. Our other-than-human kin.
Please read this book. Consider what it puts forward. We can within our own communities act to create change, and if each community decided to change we could make some real progress.
‘Rekindling our relationships to non-human life is essential to our well-being‘
This book needs to be required reading, no excuses. I work in healthcare and it’s a great reminder and resource of how far removed we as humans are from our innate selves.
In author and medical doctor Wendy Johnson’s new work, Kinship Medicine, the public health care expert starts with a quote from W. S. Merwin’s “Before the Flood,” the last couplet of which reminds us of something that seems, to me at least, to be getting more evident every day: no one believes the floods are coming, or else they or too overwhelmed to face it. Johnson certainly knows, and in this valuable new tome, which is part memoir, part ecological-historical-medical examination of the current state of affairs, she shows us just what we have done to the planet and how we can change, adopt new coping strategies, and heal the land and ourselves in the process.
In the first chapter, Johnson talks about her home in Chupadero, New Mexico, where she’s a sort of “parciante,” someone who works with the neighbors to get them to help with the stewardship of the land, taking care of the ditches, working together, and most importantly, establishing relationships and bonds with others in the community:
My responsibilities as a parciante include contributing to the upkeep of the whole network, as well as caretaking my portion. In spring, we come together with our shovels and rakes and pruners for the lower ditch cleaning, ‘la limpieza.’ The limpieza is the great equalizer. All neighbors, rich and poor, are required to participate, all of us equally scratched and dirty after a day of battling the overgrown elms, Russian olives, and wild roses and raking the winter’s detritus from the acequia floor.
It’s nice to see an author recognize that work, in this case cleaning, is the great leveler, and that in community activity, we come to recognize the humanity of the other.
The book consists of 13 chapters and an epilogue, with each chapter touching on an important aspect of the author’s thesis. Chapter 2 is extremely important, and it does a great job of explaining how we got here. Understanding causes helps us conceive of solutions, and Johnson identifies many. Bad policy, ignorance, and the loss of invaluable indigenous knowledge are just a few of these factors:
Going back to our web of causes, we’ve already uncovered many culprits for the unthinkable fire season of 2022, from fire-suppression practices to the loss of Indigenous knowledge, to overpopulation and colonization, to drought and high winds, to global warming and climate change…
There are more great examples, including an entire chapter on possible futures, as well as an explanation of the Gaia hypothesis, reminding us of the fact that the earth is one big organism, and when humans toss a monkey wrench into the works and mess up the fragile balance of this system, the results can be catastrophic. But overall, what most impressed me was the author’s sense of civic responsibility and the fact that she emphasized the importance of connecting, creating solidarity, and working together in order to have any sort of chance at turning the tide. She reminds us that our culture needs to change this ridiculous “individual-first” mentality that seems to be the driving philosophy of most human beings in the 21st century. This mentality often obscures the truth and helps propagate the lie:
They [bonds] are hard to see when so much in our society supports the myth that each person is the sole architect of their own fate, and when billions of dollars are spent each year reinforcing this lie.
I like the fact that Johnson does not sugarcoat things: those with money and influence are powerful foes, and I am glad she concedes this and focuses so strongly on solidarity and community involvement. Anytime a book like this makes it to print, it is a victory, for we truly are facing a major turning point as a species, and we are hardly ready for what is coming. Kinship Medicine: Cultivating Interdependence to Heal the Earth and Ourselves is a reminder of that fact, and a roadmap for recovery that is firmly rooted in solidarity. Highly recommended, and a great stocking stuffer for the curmudgeonly cynic in your family.
Book Review: Kinship Medicine: Cultivating Interdependence to Heal the Earth and Ourselves by Wendy Johnson, MD, MPH
A Transformative Framework for Planetary Health Drawing on her 20+ years as a public health practitioner and clinician, Dr. Wendy Johnson delivers a groundbreaking manifesto that redefines healing through the lens of ecological kinship. This work masterfully bridges Indigenous wisdom, medical anthropology, and public health data to argue that true wellness requires dismantling the illusion of human separateness from nature. As a public health professional myself, I found Johnson’s synthesis of epidemiological patterns with relational worldviews both intellectually rigorous and spiritually galvanizing.
Professional Resonance & Emotional Impact Johnson’s critique of transactional healthcare models (“treating symptoms while ignoring root causes”) resonated deeply with my field experiences. Her case studies—from community-led reforestation projects improving maternal health outcomes to hospital gardens reducing patient recovery times—evoked alternating hope and frustration. Hope, because they demonstrate scalable alternatives; frustration, because such interventions remain marginal in mainstream public health.
Constructive Criticism
-Implementation Gaps: While strong on theory, the text could provide more concrete guidance for institutions seeking to operationalize kinship models (e.g., adapting Medicaid reimbursement structures). -Cultural Specificity: Some Indigenous examples lack sufficient context about protocol differences between nations, risking homogenization. Collaboration with tribal scholars in future editions would strengthen this. -Data Visualization: The compelling public health data (e.g., on nature exposure’s impact on chronic disease) would benefit from infographics to aid knowledge translation.
Why Public Health Needs This Now In an era of syndemic crises (climate change, COVID-19, inequity), Johnson’s framework offers what our field lacks: a cohesive narrative that ties individual wellness to collective survival. Her analysis of “structural loneliness” as a public health crisis reframes social determinants of health through an ecological justice lens.
Acknowledgments Thank you to the publisher and Edelweiss for the review copy. This text should be required reading for MPH programs, particularly courses on planetary health and community-based participatory research.
Rating: 4.7/5 (A visionary work that could be enhanced with more translational tools for practitioners.)
Note: Johnson’s dual MD/MPH perspective shines in her ability to toggle between cellular-level biology and population-level trends—a rare and valuable integration.
This book will be better suited for others but it just didn't hit with me. I do hope people in the health and wellness spaces, specifically those of westernised medicine, will pick this up and reflect on their work and their roles in people's lives as well as the broader causes of illness.
To me some of this stuff, while well written, came across as depressing. Our world is in a pretty shitty place right now so I get that it's the reality but I was hoping to find some inspiration or hope in here but didn't.
While it seems well enough researched, I found the sources and referencing lacking. For example, on page 14, there's a quote by Australian Aboriginal activists that isn't referenced or sourced, despite other things being referenced (4 news articles, 1 scientific article and 1 book). I noticed this throughout other chapters as well.
Thank you to NetGalley and North Atlantic Books for a free copy of this book for my honest review.
Kinship Medicine by Dr. Wendy Johnson is a deeply insightful and compassionate exploration of the intersection between healing, relationships, and community. Blending personal experience with professional expertise as a Family Physician for 30-some years, Dr. Johnson emphasizes the importance of connection—both to others and to nature in fostering true wellness. Her work challenges Western biomedical models to look beyond diagnosing an illness and simply treating it with medicine to include relational and culturally grounded approaches to wellness, - human being as ecosystem. Kinship Medicine is both intellectually compelling and emotionally resonant, making it essential reading rooted in empathy and kinship. Kinship Medicine is a timely guide for anyone and everyone seeking deeper meaning in healing, health care, and the sacred connections that sustain us. Tops on my holiday gift giving list.
One of those books I could read multiple times and take something different out of each read. I think the thing that hit me personally is as a healthcare provider I need to look at each patient not only individually, but from a broader context. Their environment, community, socioeconomic status, and even past family history can impact my plan for their treatment. We have to look at broader picture.
This book is not only about our human health, but the health of animals and nature that make up one’s community and in even a bigger picture global health.
A lot to unpack in this read. Was slow going for me due to do much to process and take in.
Although we live in a time of climate destruction and ill-health, Kinship Medicine by Dr. Wendy Johnson is both hopeful and instructive. The book includes scientific data, historical references, information about systemic inequality, and offers a personal narrative. Dr. Johnson provides a new approach to living holistically. Like Braiding Sweet Grass, Kinship Medicine outlines an alternative way of living that aligns with community and the natural world. Her strategy is sustainable, strong, and essential to our future. Kinship Medicine is a must-read for all.
“‘Man is the most insane species. He worships an invisible God and destroys a visible Nature, unaware that this Nature he’s destroying is this God he’s worshiping.’ -Hubert Reeves”
I had to sit with every chapter of this book for a very long time… it’s powerful and an ode to taking care of the ones around you including the environmental ‘ones’ right outside your door. It is true that the state of the world is at a shattering point and very rarely do we get glimpses of hope to hold onto. However this book… this book is a glimpse of hope and I encourage anyone who is interested to read it.
Kinship Medicine is a well researched book and very important, but I struggled with it. I think it will be popular with certain groups and students but I felt it was too much for me. I am a solitary person and enjoy being on my own so kinship and community don’t really resonate with me. Thank you Netgalley for the opportunity to read this book.
There were chapters I loved and chapters I rolled my eyes at. The best ones were in reference to other authors and activists like Robin Wall Kimmerer and adrienne maree brown. Just read Braiding Sweetgrass instead.
UPDATE: Second, slower reading. I found it more somber this time around, and it's entirely because of the zeitgeist. Johnson's message has not changed -- connection is how we can heal -- but September 2025 is a much grimmer world than June 2025. On the plus side, this reinforces Johnson's imperative to tackle the issue bottom up; on the down side, grassroots is hard; but then, back to the plus side, challenges bring out the best in us. Let's take this on. Read this, and push to build community. Take a hike. Plant a tree. Sit in comfortable silence with a loved one. And pass it on.
We are sick; we are tired; and we are sick and tired of the increasingly downward spiral we're in. Johnson addresses our unwellness from many perspectives, using a systems-level view to converge on an integrated picture of what ails us, how we got here, and where we need to focus if we want to fix things. She draws from her experiences as a medical practitioner and an acequia community member. She cites up-to-date research, and she's done her homework: the text is well dotted with end notes in all the appropriate places, and those references are current and relevant.
Johnson's argument boils down to the undeniable fact that humans evolved as cooperators, not just with each other but with our environment: awareness of surroundings, and recognition of reciprocal needs and responsibilities, is what kept our ancestors alive and even thriving. The hijacking of social norms by self-absorbed greedy individualists has cost us dearly. This will not come as a surprise to most readers, since we tend to self-select... but it might be news to some of our less aware friends-and-relations, so this is a book to read and then pass along strategically.
What was a surprise to me was Johnson's inspiring final chapters. She asserts that we already have the principal tool we need to address our situation: imagination. Since imagination does not spring ex nihilo, she provides a helping hand: examples of successful (albeit small-scale) cultural shifts that have led to progress. Maybe you, or someone you gift this book to, will envision a step-by-step path to a healthier planet and a healthier us.
I felt uncomfortable in two dimensions. First, the privilege: access to trees and birds and land and silence will never be possible in a planet of N-billion humans. Second, the privilege: the precautionary principle espoused in chapter 11 has a strong anti-development hint to it. Both of these issues are much too complex to go into here; and, to be fair, Johnson acknowledges them to some extent. I can live with my discomfort, because the book's assets—its arguments, evidence, insights, and above all its intriguing final chapters of promise—far outweigh the negatives.
Thank you North Atlantic Books for providing this book for review consideration via NetGalley. All opinions are my own.