Highly sobering, exemplary reportage delivered through richly detailed scenarios and diversified perspectives.
How a lethal synthetic opioid and its manufacturer is creating a global drug addiction crisis.
In 2013, investigative journalist Westhoff (Original Gangstas: Tupac Shakur, Dr. Dre, Eazy-E, Ice Cube, and the Birth of West Coast Rap, 2016) began researching potently addictive street drugs, and he learned about Fentanyl and other “novel psychoactive substances” while writing about “why so many people were dying at raves.” The author describes Fentanyl and synthetic drugs (including K2 and Spice) as formerly medically sound panaceas whose formulas were hijacked and re-created with unpredictable potencies and physical effects. The staggering statistics he presents tell a much darker tale, as he shows how Fentanyl-laced cocaine and other new psychoactive substances are killing thousands of people. In order to uncover the origin of the epidemic and the epic race to develop effective deterrent systems, the author seamlessly blends past and present in his profiles of Belgian chemist Paul Janssen, who was responsible for Fentanyl’s initial development in 1959; police officers; politicians; LSD drug kingpins, and St. Louis street dealers. While promising, the harm-reduction initiatives remain diluted beneath the shifting weight and influence of political red tape, global capitalism, and the biological and psychological bondage of drug dependency. Perhaps most compelling is Westhoff’s undercover infiltration of several rogue Chinese drug operations. Some operate covertly, while others are blatantly transparent since China offers subsidies to companies manufacturing and distributing Fentanyl components. Also fascinating is the author’s charting of Fentanyl’s circulation from darknet marketplaces to overseas postal stops to regional distribution. While international interceptive efforts like “Operation Denial” have helped in the apprehension of the upper echelon of major distributors, they have failed to collar Fentanyl trafficking network kingpin Jian Zhang, who is believed to be largely responsible for the steady flow of the drug into the global market. Drawing material from official reports, drug databases, scores of interviews, and years of personal research, Westhoff presents an unflinching, illuminating portrait of a festering crisis involving a drug industry that thrives as effectively as it kills.
Highly sobering, exemplary reportage delivered through richly detailed scenarios and diversified perspectives.Pub Date: Sept. 3, 2019
ISBN: 978-0-8021-2743-3
Page Count: 356
Publisher: Atlantic Monthly
Review Posted Online: June 15, 2019
Kirkus Reviews Issue: July 1, 2019
BOOK REVIEW
BOOK REVIEW
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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