By practicing the basic journalistic acts of listening and observing, Macy continues her noble work as a truth teller.
A small-town success story returns to her Ohio home to take account of profound changes.
“It’s not as if Urbana had ever been utopia for me. I was among the poorest kids in my class, and I felt it.” Macy, the author of Dopesick and other bestsellers, made her way out of poverty in the 1980s through a college degree funded by grants that largely no longer exist. Her latest nonfiction narrative chronicles her return home to try to see what would happen to a kid like her today, coming face to face with “the unprecedented forces that were actively turning the community I loved into a poorer, sicker, angrier, and less educated place.” Her reporting goes deep and wide, including her family members, old friends and teachers, and many new acquaintances. Central among them is recent high school graduate Silas James, one of the teens she identifies as “a modern-day me,” though Silas is trans and has more abuse and trauma in his background than the author. Also memorable are an ex-boyfriend, once the most liberal person she knew, now a strident voice on an array of far-right talking points; on the other end of the spectrum is Brooke Perry, a deeply committed attendance officer whom she accompanies on harrowing rounds to try to get kids into school in a climate where education has lost its place as a tentpole of the American dream. The author does not shy away from tough personal stories, writing about a niece who was abused as a child by her stepfather. Macy goes into the toughest interviews with “trauma-informed advice,” reminding herself that connecting about shared interests and noncontroversial topics will keep these conversations going much longer—though sadly, it often doesn’t change the end result. Black-and-white photos of the interview subjects add an important dimension to the story.
By practicing the basic journalistic acts of listening and observing, Macy continues her noble work as a truth teller.Pub Date: Oct. 7, 2025
ISBN: 9780593656730
Page Count: 368
Publisher: Penguin Press
Review Posted Online: May 28, 2025
Kirkus Reviews Issue: July 1, 2025
PERSPECTIVES
IN THE NEWS
For fans only.
The hoodie-and-shorts-clad Pennsylvania senator blends the political and personal, and often not nicely.
Fetterman’s memoir addresses three major themes. The first—and the one he leads with—is depression and mental illness, which, combined with a stroke and heart trouble, brought him to a standstill and led him to contemplate suicide. The second is his rise to national-level politics from a Rust Belt town; as he writes, he’s carved a path as a contentious player with a populist streak and a dislike for elites. There are affecting moments in his personal reminiscences, especially when he writes of the lives of his working-class neighbors in impoverished southwestern Pennsylvania, its once-prosperous Monongahela River Valley “the most heartbreaking drive in the United States.” It’s the third element that’s problematic, and that’s his in-the-trenches account of daily politics. One frequent complaint is the media, as when he writes of one incident, “I am not the first public figure to get fucked by a reporter, and I won’t be the last. What was eye-opening was the window it gave into how people with disabilities navigate a world that doesn’t give a shit.” He reserves special disdain for his Senate race opponent Mehmet Oz, about whom he wonders, “If I had run against any other candidate…would I have lost? He got beaten by a guy recovering from a stroke.” Perhaps so, and Democratic stalwarts will likely be dismayed at his apparent warmish feelings for Donald Trump and dislike of his own party’s “performative protests.” If Fetterman’s book convinces a troubled soul to seek help, it will have done some good, but it’s hard to imagine that it will make much of an impression in the self-help literature. One wonders, meanwhile, at sentiments such as this: “If men are forced to choose between picking their party or keeping their balls, most men are going to choose their balls.”
For fans only.Pub Date: Nov. 11, 2025
ISBN: 9780593799826
Page Count: 240
Publisher: Crown
Review Posted Online: Nov. 17, 2025
Kirkus Reviews Issue: Jan. 1, 2026
SEEN & HEARD
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
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