An urgent, eye-opening look at a problem that promises to grow much worse in the face of inaction and indifference.
Harrowing travels through the land of the hypermedicated, courtesy of hopelessness, poverty, and large pharmaceutical companies.
A huge number of Americans, many of them poor rural whites, have died in the last couple of decades of what one Princeton researcher has called “diseases of despair,” including alcoholism, suicide, and drug overdoses caused by the hopeless sense that there’s a lack of anything better to do. Roanoke-based investigative journalist Macy (Truevine: Two Brothers, a Kidnapping, and a Mother’s Quest: A True Story of the Jim Crow South, 2016, etc.) locates one key killer—the opioid epidemic—in the heart of Appalachia and other out-of-the-way places dependent on outmoded industries, bypassed economically and culturally, and without any political power to speak of, “hollows and towns and fishing villages where the nearest rehab facility was likely to be hours from home.” Prisons are much closer. Macy’s purview centers on the I-81 corridor that runs along the Appalachians from eastern Tennessee north, where opioid abuse first rose to epidemic levels. She establishes a bleak pattern of high school football stars and good students who are caught in a spiral: They suffer some pain, receive prescriptions for powerful medications thanks to a pharmaceutical industry with powerful lobbying and sales arms (“If a doctor was already prescribing lots of Percocet and Vicodin, a rep was sent out to deliver a pitch about OxyContin’s potency and longer-lasting action”), and often wind up dead or in jail, broke and broken by a system that is easy to game. Interestingly, Macy adds, “almost to a person, the addicted twentysomethings I met had taken attention-deficit medication as children.” Following her survey of the devastation wrought in the coal and Rust belts, the author concludes with a call to arms for a “New Deal for the Drug Addicted,” a constituency that it’s all too easy to write off even as their number climbs.
An urgent, eye-opening look at a problem that promises to grow much worse in the face of inaction and indifference.Pub Date: Aug. 7, 2018
ISBN: 978-0-316-55124-3
Page Count: 384
Publisher: Little, Brown
Review Posted Online: May 9, 2018
Kirkus Reviews Issue: June 1, 2018
PROFILES
BOOK TO SCREEN
BOOK TO SCREEN
An eclectic assortment of women make for an entertaining read.
An exuberant celebration of more than 100 women who shaped the myths and realities of New York City.
In her debut book, journalist Scelfo, who has written for the New York Times and Newsweek, aims to counter histories of New York that focus only on “male political leaders and male activists and male cultural tastemakers.” As the author discovered and shows, the contributions of women have been deeply significant, and she has chosen a copious roster of personalities, gathered under three dozen rubrics, such as “The Caretakers” (pioneering physicians Dr. Elizabeth Blackwell and Dr. Sara Josephine Baker, who enacted revolutionary hygienic measures in early-20th-century tenements); “The Loudmouths” (Joan Rivers and Better Midler); and “Wall Street” (brokerage firm founder Victoria Woodhull and miserly investor Hetty Green). With a plethora of women to choose from, Scelfo aimed for representation from musical theater, law enforcement, education, social justice movements, and various professions and organizations. Some of the women are familiar (Jacqueline Kennedy Onassis for her preservation work; Brooke Astor for her philanthropy), some iconic (Emma Lazarus, in a category of her own as “The Beacon”), and some little-known (artist Hildreth Meière, whose art deco designs can be seen on the south facade of Radio City Music Hall). One odd category is “The Crooks,” which includes several forgettable women who contributed to the city’s “cons and crimes.” The author’s brief, breezy bios reveal quirky facts about each woman, a form better suited to “The In-Crowd” (restaurateur Elaine Kaufman, hardly a crowd), entertainers (Betty Comden, Ethel Waters), and “The Wisecrackers” (Nora Ephron, Tina Fey) than to Susan Sontag, Edith Wharton, and Joan Didion. Nevertheless, the book is lively and fun, with something, no doubt, to pique anyone’s interest. Heald’s blithe illustrations add to the lighthearted mood.
An eclectic assortment of women make for an entertaining read.Pub Date: Oct. 25, 2016
ISBN: 978-1-58005-653-3
Page Count: 304
Publisher: Seal Press
Review Posted Online: Aug. 20, 2016
Kirkus Reviews Issue: Sept. 1, 2016
A declaration worth hearing out in a time of growing inequality—and indignity.
Noted number cruncher Sperling delivers an economist’s rejoinder to life, liberty, and the pursuit of happiness.
Former director of the National Economic Council in the administrations of Presidents Bill Clinton and Barack Obama, the author has long taken a view of the dismal science that takes economic justice fully into account. Alongside all the metrics and estimates and reckonings of GDP, inflation, and the supply curve, he holds the great goal of economic policy to be the advancement of human dignity, a concept intangible enough to chase the econometricians away. Growth, the sacred mantra of most economic policy, “should never be considered an appropriate ultimate end goal” for it, he counsels. Though 4% is the magic number for annual growth to be considered healthy, it is healthy only if everyone is getting the benefits and not just the ultrawealthy who are making away with the spoils today. Defining dignity, admits Sperling, can be a kind of “I know it when I see it” problem, but it does not exist where people are a paycheck away from homelessness; the fact, however, that people widely share a view of indignity suggests the “intuitive universality” of its opposite. That said, the author identifies three qualifications, one of them the “ability to meaningfully participate in the economy with respect, not domination and humiliation.” Though these latter terms are also essentially unquantifiable, Sperling holds that this respect—lack of abuse, in another phrasing—can be obtained through a tight labor market and monetary and fiscal policy that pushes for full employment. In other words, where management needs to come looking for workers, workers are likely to be better treated than when the opposite holds. In still other words, writes the author, dignity is in part a function of “ ‘take this job and shove it’ power,” which is a power worth fighting for.
A declaration worth hearing out in a time of growing inequality—and indignity.Pub Date: May 5, 2020
ISBN: 978-1-9848-7987-5
Page Count: 384
Publisher: Penguin Press
Review Posted Online: Feb. 25, 2020
Kirkus Reviews Issue: March 15, 2020
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