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DEATHS OF DESPAIR AND THE FUTURE OF CAPITALISM

An alarm every bit as urgent as The Jungle and a book that demands immediate attention.

Noted Princeton economists Case and Deaton, a winner of the Nobel Prize, examine the effects of income and educational inequality on public health. As Beth Macy’s Dopesick carefully chronicled, there is a disease afoot in the land, born of economic anxiety, manifested in addiction and self-destruction. Building on a Brookings Institution paper of 2017, Case and Deaton give a name to this epidemic. In 1900, they write, the leading causes of death were infectious diseases such as tuberculosis and cholera. Writing before the unexpected onset of COVID-19, the authors mark the current leading causes as heart disease and cancer. However, especially among the poor and those without a four-year college degree, “the risk of dying in midlife from suicide, accidental drug overdose, or alcoholic liver disease” is markedly higher than in better-educated and more affluent cohorts. Thus the “deaths of despair” of the title, self-inflicted and generationally bound—for, as the authors note with grimly precise data, the chance of such a person’s dying at age 45 in 1960 were half again as high as in 1950, and in 1970 more than twice as high as in 1960. “The later you were born,” they conclude, “the higher your risk of dying a death of despair at any given age.” The epidemic of deaths of young people today to gunshot, cirrhosis, fentanyl and opioid overdosing, and such causes is sober testimonial to the authors’ mathematical reasoning. Non–college educated whites born in 1980, the authors write, are four times more likely to commit suicide as their college-educated white cohorts. Interestingly, the epidemic is not affecting other ethnicities in nearly the same numbers. What has affected nearly every group, however, is another manifestation of despair: obesity, which yields pain and often self-medication, especially among “those who are not at the top.” An alarm every bit as urgent as The Jungle and a book that demands immediate attention.

Pub Date: March 17, 2020

ISBN: 978-0-691-19078-5

Page Count: 312

Publisher: Princeton Univ.

Review Posted Online: April 5, 2020

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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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DEAR NEW YORK

A familiar format, but a timely reminder that cities are made up of individuals, each with their own stories.

Portraits in a post-pandemic world.

After the Covid-19 lockdowns left New York City’s streets empty, many claimed that the city was “gone forever.” It was those words that inspired Stanton, whose previous collections include Humans of New York (2013), Humans of New York: Stories (2015), and Humans (2020), to return to the well once more for a new love letter to the city’s humanity and diversity. Beautifully laid out in hardcover with crisp, bright images, each portrait of a New Yorker is accompanied by sparse but potent quotes from Stanton’s interviews with his subjects. Early in the book, the author sequences three portraits—a couple laughing, then looking serious, then the woman with tears in her eyes—as they recount the arc of their relationship, transforming each emotional beat of their story into an affecting visual narrative. In another, an unhoused man sits on the street, his husky eating out of his hand. The caption: “I’m a late bloomer.” Though the pandemic isn’t mentioned often, Stanton focuses much of the book on optimistic stories of the post-pandemic era. Among the most notable profiles is Myles Smutney, founder of the Free Store Project, whose story of reclaiming boarded‑up buildings during the lockdowns speaks to the city’s resilience. In reusing the same formula from his previous books, the author confirms his thesis: New York isn’t going anywhere. As he writes in his lyrical prologue, “Just as one might dive among coral reefs to marvel at nature, one can come to New York City to marvel at humanity.” The book’s optimism paints New York as a city where diverse lives converge in moments of beauty, joy, and collective hope.

A familiar format, but a timely reminder that cities are made up of individuals, each with their own stories.

Pub Date: Oct. 7, 2025

ISBN: 9781250277589

Page Count: 480

Publisher: St. Martin's

Review Posted Online: Aug. 1, 2025

Kirkus Reviews Issue: Sept. 1, 2025

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