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THE LIMITS OF PRIVACY

Etzioni (George Washington Univ.) continues his elucidation and defense of “communitarianism” begun in such previous works as The New Golden Rule: Community and Morality in a Democratic Society (1997). Communitarianism holds that a good society must maintain a balance between individual rights and the common good. Since the 1960s or so, concern for the common good has given way in the US to “excessive deference to privacy.” Etzioni believes it’s time to correct the balance. Certainly aware of the importance of privacy, Etzioni lays out specific criteria to be met and stringent processes to be followed when rights are to be curtailed. There must be a real, not hypothetical, danger to the common good. The danger must first be dealt with, without restricting privacy rights if possible. When rights are curtailed the action should be minimally intrusive, and undesired side effects must be guarded against, e.g., if widespread HIV testing is found necessary, efforts must be made to enhance the confidentiality of medical records. Taking this framework, Etzioni examines five areas of public policy, among them mandatory HIV testing of infants, the public listing of sex offenders (“Megan’s Laws”), and medical- records privacy. Predictably, in all but the last, where he argues that there should be more protection, he finds a minimal diminution in individual rights justifiable. Sex offenders, for instance, do have their rights curtailed when their presence in a community is made public, but the benefit to the community is worth it. These substantive chapters are intriguing, yet overall there is not much new here. Etzioni has plowed this field often, and the basic premises of his argument are not improved upon. Curiously, he continues to paint privacy with broad strokes, with too little regard for the nuances of that term. Is it hedonism he decries, or selfishness? Are demands for rights all symptomatic of a disregard for the public good? Such issues remain unexplored. ($100,000 ad/promo, Author tour)

Pub Date: March 31, 1999

ISBN: 0-465-04089-6

Page Count: 304

Publisher: Basic Books

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Feb. 15, 1999

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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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

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