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MORE THAN GOOD INTENTIONS

HOW A NEW ECONOMICS IS HELPING TO SOLVE GLOBAL POVERTY

Karlan and Appel write that their goal is “to speak directly to readers, to lead them into some corners of the world they...

Karlan (Economics/Yale Univ.), president of the nonprofit Innovations for Poverty Action, and his IPA collaborator Appel take a hard look at the realities of fighting poverty effectively.

Their concern has been to apply standard research methods—random sampling, control groups, statistical analysis, etc.—to evaluate different approaches and promote the most promising. They focus on case studies from around the world to illustrate how overlooked small details frequently make the difference between the success and failure of a project. While economists argue the relative merits of the traditional approach, which analyzes potential costs and benefits, and behavioral economists point to examples that illustrate how humans are frequently inconsistent and apparently irrational, Karlan and Appel cut to the chase by looking at the nuts-and-bolts of real situations. The authors show that despite their current popularity, microcredit programs are not necessarily the best way to support the efforts of Asian and African women who run small-scale entrepreneurial operations. Millions of dollars are pouring in to these programs from donors who are led to believe that they are helping particular individuals, while the truth is that the money they contribute goes directly to intermediary microlenders who service the loans. They charge interest rates that vary from 10 to 120 percent APR and cover their risk by forcing borrowers to join groups that are collectively responsible for any member default. The authors discovered that not only were charitable funds being misdirected, but many of the borrowers were forced to take rotating high-interest loans to cover exigencies because savings accounts and insurance were not available to them.

Karlan and Appel write that their goal is “to speak directly to readers, to lead them into some corners of the world they might not otherwise encounter, and bring them face-to-face with the people who populate those places.” They have succeeded admirably, as both advocates and analysts.

Pub Date: April 14, 2011

ISBN: 978-0-525-95189-6

Page Count: 320

Publisher: Dutton

Review Posted Online: Dec. 29, 2010

Kirkus Reviews Issue: Jan. 1, 2011

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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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

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