A useful primer on why America’s treatment of raw sewage doesn’t pass the smell test.
Imagine that your septic system fails after you lost your job because of Covid-19 or another disaster. Your yard turns into a sewer, and you don’t have thousands of dollars for a new tank. Flowers shows that if your state enforces laws that criminalize the failure to maintain a legal septic tank, you could also get arrested. She sees such tragedies frequently among the mostly poor, Black residents of Lowndes County, where “an estimated 90 percent of households have failing or inadequate wastewater systems.” In an imperfect blend of memoir and reporting, the author recalls her years of work to ease conditions so unsanitary a U.N. official said he hadn’t seen them “in the first world.” With admirable tenacity, Flowers cultivated reporters; got help from Jane Fonda; took Cory Booker to visit a man whose backyard “held a pit full of waste piped straight from his toilet”; and persuaded Baylor doctors to conduct a study of the region, which found that 34.5% of tested residents had hookworm, a disease of poor sanitation that many people thought the U.S. had eradicated. Similarly dire sewage problems, she shows, exist in places from Appalachia to the San Joaquin Valley. In a largely chronological narrative, Flowers tends to present facts in the order in which she learned them—not when readers most need to know them—and slows the pace with overlong digressions into her earlier years and unedifying passages on topics such as “turning lemons into lemonade” and the effect of Jonathan Livingston Seagull on her life. The urgent message of the book, however, transcends its writing lapses, and it should raise much-needed awareness of a public health catastrophe.
A useful primer on why America’s treatment of raw sewage doesn’t pass the smell test.Pub Date: Nov. 17, 2020
ISBN: 978-1-62097-608-1
Page Count: 256
Publisher: The New Press
Review Posted Online: Aug. 24, 2020
Kirkus Reviews Issue: Sept. 15, 2020
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
A philosophically rich critique of state violence and mass apathy.
An Egyptian Canadian journalist writes searchingly of this time of war.
“Rules, conventions, morals, reality itself: all exist so long as their existence is convenient to the preservation of power.” So writes El Akkad, who goes on to state that one of the demands of modern power is that those subject to it must imagine that some group of people somewhere are not fully human. El Akkad’s pointed example is Gaza, the current destruction of which, he writes, is causing millions of people around the world to examine the supposedly rules-governed, democratic West and declare, “I want nothing to do with this.” El Akkad, author of the novel American War (2017), discerns hypocrisy and racism in the West’s defense of Ukraine and what he views as indifference toward the Palestinian people. No stranger to war zones himself—El Akkad was a correspondent in Afghanistan and Iraq—he writes with grim matter-of-factness about murdered children, famine, and the deliberate targeting of civilians. With no love for Zionism lost, he offers an equally harsh critique of Hamas, yet another one of the “entities obsessed with violence as an ethos, brutal in their treatment of minority groups who in their view should not exist, and self-decreed to be the true protectors of an entire religion.” Taking a global view, El Akkad, who lives in the U.S., finds almost every government and society wanting, and not least those, he says, that turn away and pretend not to know, behavior that we’ve seen before and that, in the spirit of his title, will one day be explained away until, in the end, it comes down to “a quiet unheard reckoning in the winter of life between the one who said nothing, did nothing, and their own soul.”
A philosophically rich critique of state violence and mass apathy.Pub Date: Feb. 25, 2025
ISBN: 9780593804148
Page Count: 224
Publisher: Knopf
Review Posted Online: Dec. 14, 2024
Kirkus Reviews Issue: Jan. 15, 2025
BOOK REVIEW
BOOK REVIEW
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