Taking the slogan "think globally, act locally" to heart, the contributors to Fatal Consumption are theoretical as well as practical. They conceptualize the policy analysis they provide, while also proposing useful tools for those charged with making decisions. Though specific in focus, the analysis in Fatal Consumption can be generalized to most North American urban areas. It offers both an understanding of the present and hope for a sustainable future, counterbalancing a discussion of the opportunities for change with a frank examination of the barriers to such change.