This document discusses joint routing and medium access control in fixed random access wireless multihop networks, focusing on optimizing throughput through a slotted ALOHA MAC protocol and a physical interference model based on SINR. It presents a formulation of an optimization problem that achieves significant throughput gains through joint design and simple network coding, especially under low transmission power. The authors provide numerical results, heuristics for configuration, and a comparison of multirate versus single-rate systems, highlighting the challenges of optimization in larger networks.