An eye-opening book that cries out for change—but can policymakers show the resolve to make that change?
A searing exposé about the criminalization of mental illness that features a simple underlying theme that a society attempting the same disastrous policies over and over but expecting a different outcome is where the actual craziness resides.
Former Marketplace reporter Roth goes broad and deep, first explaining why the United States has never devoted adequate resources to dealing with its millions of mentally ill inhabitants, then using case studies to demonstrate why incarcerating the mentally ill in jails or prisons often makes no sense and does more harm than good. Because compassionate, well-trained, readily accessible professionals are unavailable to most severely mentally ill individuals—those with schizophrenia and/or bipolar disorder especially—when those individuals appear as threats to themselves or others, the first responders are usually police officers or others unequipped to deal with such situations. Too often, Roth explains, encounters between the mentally ill and armed police result in serious injury or death. As for the mentally ill who survive such encounters, their incarceration without medical treatment is quite likely to result in the worsening of the disease, until no amelioration seems possible or suicide results. Although Roth expresses pessimism about the future of mental illness treatment—especially when poverty and race and lack of education enter the equation—she shares rare positive examples of community-based care that is adequately funded as well as the laudable work of a few law enforcement agencies mounting sincere efforts to treat inmates humanely and effectively. In the instances where an incarcerated mentally ill individual enters an actual courtroom, Roth explores how judges can aid in solutions rather than compounding an already fraught situation. Though the subject matter dictates that much of the book is relentlessly depressing, the author is such a talented information gatherer and fluid stylist that the narrative becomes compulsive reading.
An eye-opening book that cries out for change—but can policymakers show the resolve to make that change?Pub Date: April 3, 2018
ISBN: 978-0-465-09419-6
Page Count: 320
Publisher: Basic Books
Review Posted Online: Jan. 21, 2018
Kirkus Reviews Issue: Feb. 1, 2018
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.
Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.Pub Date: Jan. 19, 2016
ISBN: 978-0-8129-8840-6
Page Count: 248
Publisher: Random House
Review Posted Online: Sept. 29, 2015
Kirkus Reviews Issue: Oct. 15, 2015
PERSPECTIVES
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.
“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.
It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.Pub Date: Nov. 12, 2019
ISBN: 978-1-61039-950-0
Page Count: 432
Publisher: PublicAffairs
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
SEEN & HEARD
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