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THE LIMITS OF HOPE

AN ADOPTIVE MOTHER'S STORY

An adoptive mother's agonizing account of her efforts to parent two troubled siblings. Loux (English/St. Mary's Coll.) challenges the notion that a nurturing environment can overcome genetic temperament and early deprivation. After giving birth to three healthy children, she and her husband decided that they would like to give a home to disadvantaged children. Dissuaded by the prejudices of their parents from embracing a biracial or Asian child, the Louxs adopted Margey and Dawn, three- and four-year-old white children from a local Catholic agency. From early on, the girls were unable to integrate successfully into the Loux family. As youngsters, their impulsive and erratic behavior impaired their ability to function in school or in any social context. Impetuous and reckless, both girls wrought havoc on the lives of the Louxs and their other children. As Margey entered her teens, she turned to drug abuse, lawlessness, and indiscriminate sex. She now works as a prostitute to support a drug habit and—despite stints in and out of jail—is, Loux says, ``much happier with her life than [when] she was living with our family, and probably happier now than in any of the scenarios I wanted for her.'' Dawn, too, left home early and is currently grappling with her young husband to raise two developmentally disabled children with minimal financial resources. Their mother contends that her harrowing experiences in raising ``hard to place'' children, whosebackgrounds were shielded from her, are far from unique. Loux questions the wisdom of adoptive policies that do not prepare parents for the realities of raising high-risk children and goes so far as to propose that children like Margey or Dawn might do better if raised in group homes. A forceful and disturbing memoir, but the reader doesn't get a full damage report on Margey's and Dawn's impact on the author's marriage and biological children.

Pub Date: Sept. 1, 1997

ISBN: 0-8139-1710-7

Page Count: 272

Publisher: Univ. of Virginia

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: July 1, 1997

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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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GOOD ECONOMICS FOR HARD TIMES

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

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