An urgent, balanced, eye-opening plea for mental health care reform.
An alarming report on the dire state of our nation’s mental health care industry.
Citing the multibillion-dollar budget cuts after the 2008 recession, increasingly overloaded community clinics, the dangers of drug-based outpatient Medicaid programs, and the impending repeal of the Affordable Care Act, Washington Monthly contributing editor Levine presents a foreboding look at the status of contemporary mental health care in the United States. The author delivers the statistics in a harrowing introductory chapter that spotlights the dangers lurking in the “low quality and sometimes deadly care” that is becoming the standard for those seeking treatment. Levine reinforces his pleas for reform with profiles and true stories of everyone from young children to military vets with PTSD to nursing home communities, all left at the mercy of mental illness by a health care system rampant with weak regulatory oversight, maltreatment, and reckless off-label drug prescriptions. With scores of victims remaining oversedated and often neglected by an inferior, “out-of-control, profit-driven” network, the decades of appeals for reform Levine cites duly reflect just how “little has fundamentally changed in how we treat people with serious mental illness.” The author also expertly probes the Veterans Administration’s “secret history” of deadly wait times and scandalous incompetence, the dangerous marketing schemes surrounding the bipolar medication Seroquel, and the Los Angeles County women’s jail, where 20 percent of inmates suffer from some form of “serious” mental illness. Counterbalancing his own dystopian view, Levine introduces us to the advocates hard at work improving and enhancing the industry and thereby restoring the lives of those affected by its shortcomings. Amid a surfeit of drug company scandals, lawsuits, and blatant wrongdoings, Levine’s compelling exposée brings the contemporary state of mental health care into stark focus. But it also fairly offers redemption and hope in the form of modern-day heroes armed with proactive recovery programs and alternative therapies.
An urgent, balanced, eye-opening plea for mental health care reform.Pub Date: May 16, 2017
ISBN: 978-1-4683-0837-2
Page Count: 304
Publisher: Overlook
Review Posted Online: March 1, 2017
Kirkus Reviews Issue: March 15, 2017
This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”
The powerful story of a father’s past and a son’s future.
Atlantic senior writer Coates (The Beautiful Struggle: A Father, Two Sons, and an Unlikely Road to Manhood, 2008) offers this eloquent memoir as a letter to his teenage son, bearing witness to his own experiences and conveying passionate hopes for his son’s life. “I am wounded,” he writes. “I am marked by old codes, which shielded me in one world and then chained me in the next.” Coates grew up in the tough neighborhood of West Baltimore, beaten into obedience by his father. “I was a capable boy, intelligent and well-liked,” he remembers, “but powerfully afraid.” His life changed dramatically at Howard University, where his father taught and from which several siblings graduated. Howard, he writes, “had always been one of the most critical gathering posts for black people.” He calls it The Mecca, and its faculty and his fellow students expanded his horizons, helping him to understand “that the black world was its own thing, more than a photo-negative of the people who believe they are white.” Coates refers repeatedly to whites’ insistence on their exclusive racial identity; he realizes now “that nothing so essentialist as race” divides people, but rather “the actual injury done by people intent on naming us, intent on believing that what they have named matters more than anything we could ever actually do.” After he married, the author’s world widened again in New York, and later in Paris, where he finally felt extricated from white America’s exploitative, consumerist dreams. He came to understand that “race” does not fully explain “the breach between the world and me,” yet race exerts a crucial force, and young blacks like his son are vulnerable and endangered by “majoritarian bandits.” Coates desperately wants his son to be able to live “apart from fear—even apart from me.”
This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”Pub Date: July 8, 2015
ISBN: 978-0-8129-9354-7
Page Count: 176
Publisher: Spiegel & Grau
Review Posted Online: May 5, 2015
Kirkus Reviews Issue: July 1, 2015
BOOK REVIEW
BOOK REVIEW
SEEN & HEARD
BOOK TO SCREEN
BOOK TO SCREEN
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
© Copyright 2024 Kirkus Media LLC. All Rights Reserved.
Follow
Popular in this Genre
We can’t wait for you to join Kirkus!
It’s free and takes less than 10 seconds!
Already have an account? Log in.
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Welcome Back!
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
bookshelf
