Book excerpt: In 'Breaking the Fine Rain of Death', Emilie Townes focuses on the health care issues affecting African Americans and does so from a womanist perspective by paying attention to race and class as well as gender. Townes describes the lamentable history of health care in African American communities and the disease that affect African Americans disproportionately ÐÐ diabetes, hypertension, low-birthrate babies, and drug-related illnessesÐÐas well as cultural, genetic, and socio-economic factors that account for them. Townes then offers models of care that have worked in some African American communities and that need to be used on a broader scale. She explores healing models sensitive to class and cultural context, and provides practical recommendations relevant to the needs of the Black Church and the African American community.