A profoundly disconcerting book that, with luck, will inspire reform to aid the dopesick and punish their suppliers.
Macy follows her consequential book Dopesick with another account of big pharma’s role in killing Americans and of the frontline workers who are trying to save them.
“They say we’re going to lose a generation if we don’t do something. I say we’ve already lost that generation.” So noted a West Virginian while recounting that nearly everyone in her town has been affected by the opioid crisis. Macy hits the small towns of Appalachia and the archives to deliver another damning indictment of the Sackler family, who “willfully created the opioid crisis…a murderous rampage that has victimized hundreds of thousands of people in this country.” Via their company Purdue Pharma, the Sacklers unleashed a flood of OxyContin on the market, bribed doctors to overprescribe it, and then relied on the stigma and shame attached to addiction to ward off lawsuits. When the lawsuits finally arrived, the Sacklers were prepared. “For a quarter century,” writes Macy, “the Sacklers masterminded and micromanaged a relentless marketing campaign for their killer drug, then surgically drained the company of $10 billion when they saw trouble on the horizon.” The Sacklers have since been shamed and stigmatized, their name removed from museum halls and university buildings, but they have been able to keep their money—so far, anyway. Meanwhile, in what Macy calls the “Uneven States of America,” the drug crisis continues to grow, with future substance-dependent people beginning their drug journeys, not ending them, with heroin and fentanyl. Against this epidemic stand health workers, legal reformers, and pioneering judges who have established drug courts to dispense not punishment but treatment. Then there are the conservative politicians from, ironically, the red states most likely to be awash in a flood of drugs, who remain busy “amplifying NIMBYism” to oppose needle exchanges, free clinics, homeless shelters, and other social welfare vehicles for helping the afflicted.
A profoundly disconcerting book that, with luck, will inspire reform to aid the dopesick and punish their suppliers.Pub Date: Aug. 16, 2022
ISBN: 978-0-316-43022-7
Page Count: 400
Publisher: Little, Brown
Review Posted Online: April 25, 2022
Kirkus Reviews Issue: May 15, 2022
Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our...
A psychologist and Nobel Prize winner summarizes and synthesizes the recent decades of research on intuition and systematic thinking.
The author of several scholarly texts, Kahneman (Emeritus Psychology and Public Affairs/Princeton Univ.) now offers general readers not just the findings of psychological research but also a better understanding of how research questions arise and how scholars systematically frame and answer them. He begins with the distinction between System 1 and System 2 mental operations, the former referring to quick, automatic thought, the latter to more effortful, overt thinking. We rely heavily, writes, on System 1, resorting to the higher-energy System 2 only when we need or want to. Kahneman continually refers to System 2 as “lazy”: We don’t want to think rigorously about something. The author then explores the nuances of our two-system minds, showing how they perform in various situations. Psychological experiments have repeatedly revealed that our intuitions are generally wrong, that our assessments are based on biases and that our System 1 hates doubt and despises ambiguity. Kahneman largely avoids jargon; when he does use some (“heuristics,” for example), he argues that such terms really ought to join our everyday vocabulary. He reviews many fundamental concepts in psychology and statistics (regression to the mean, the narrative fallacy, the optimistic bias), showing how they relate to his overall concerns about how we think and why we make the decisions that we do. Some of the later chapters (dealing with risk-taking and statistics and probabilities) are denser than others (some readers may resent such demands on System 2!), but the passages that deal with the economic and political implications of the research are gripping.
Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our minds.Pub Date: Nov. 1, 2011
ISBN: 978-0-374-27563-1
Page Count: 512
Publisher: Farrar, Straus and Giroux
Review Posted Online: Sept. 3, 2011
Kirkus Reviews Issue: Sept. 15, 2011
BOOK REVIEW
IN THE NEWS
IN THE NEWS
Highly instructive for would-be tycoons, with plenty of entertaining interludes.
Well-crafted memoir by the noted media mogul.
Diller’s home life as a youngster was anything but happy; as he writes early on, “The household I grew up in was perfectly dysfunctional.” His mother lived in her own world, his father was knee-deep in business deals, his brother was a heroin addict, and he tried to play by all the rules in order to allay “my fear of the consequences from my incipient homosexuality.” Somehow he fell into the orbit of show business figures like Lew Wasserman (“I was once arrested for joy-riding in Mrs. Wasserman’s Bentley”) and decided that Hollywood offered the right kind of escape. Starting in the proverbial mailroom, he worked his way up to be a junior talent agent, then scrambled up the ladder to become a high-up executive at ABC, head of Paramount and Fox, and an internet pioneer who invested in Match.com and took over a revitalized Ticketmaster. None of that ascent was easy, and Diller documents several key failures along the way, including boardroom betrayals (“What a monumental dope I’d been. They’d taken over the company—in a merger I’d created—with venality and duplicity”) and strategic missteps. It’s no news that the corporate world is rife with misbehavior, but the better part of Diller’s book is his dish on the players: He meets Jack Nicholson at the William Morris Agency, “wandering through the halls, looking for anyone who’d pay attention to him”; hangs out with Warren Beatty, ever on the make; mispronounces Barbra Streisand’s name (“her glare at me as she walked out would have fried a fish”); learns a remedy for prostatitis from Katharine Hepburn (“My father was an expert urological surgeon, and I know what I’m doing”); and much more in one of the better show-biz memoirs to appear in recent years.
Highly instructive for would-be tycoons, with plenty of entertaining interludes.Pub Date: May 20, 2025
ISBN: 9780593317877
Page Count: 352
Publisher: Simon & Schuster
Review Posted Online: May 12, 2025
Kirkus Reviews Issue: June 15, 2025
SEEN & HEARD
SEEN & HEARD
SEEN & HEARD
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