An intelligent dramatization of an important debate in health care policy, hampered by a baffling conclusion.
In this political thriller, battle lines between family and friends are drawn over a new pharmaceutical bill floated in Congress.
Jamie Steiner grew up in Louisville, Kentucky, and anguished over his mother’s debilitating illness, one for which no relief appeared to be in sight. He decided to become a scientist, motivated to discover a cure for what ailed her; earned a Ph.D. in chemistry; and landed a job at Rauscher Pharmaceuticals. Jamie was able to uncover a causal link between his mother’s exposure to asbestos and her lung disease, and was instrumental in devising a cure for it. But now his employer repeatedly inflates the price of the drug and blocks the development of a new, considerably less expensive alternative. Meanwhile, two of his childhood friends, Earl and Herman Metzger, are at loggerheads over the regulation of the pharmaceutical industry, an ideological contest skillfully portrayed by Stemmle (Geezer Sex!: A Love Story, 2014). Earl is a congressman who advocates largely unregulated markets and Herman is a bureaucrat at the Food and Drug Administration. Further complicating matters, Earl marries Isabel, the daughter of John Tilson Rauscher, the CEO of Rauscher Pharmaceuticals, who contributes generously to his re-election campaigns and bankrolls his comfortable style of living. Furthermore, one of Earl and Herman’s younger brothers is ill due to asbestos exposure, and the Metzger family quietly struggles to pay for his health care. The mounting conflict crescendos when Earl, Herman, and Jamie all are called to testify at a congressional hearing in advance of a major vote on a bill that introduces new regulations of the pharmaceutical industry. Stemmle writes with impressive self-assurance about both politics and science, ably capturing the potential tug of wars within each and between the two. With considerable nuance, he demonstrates the many ways in which the personal overlays the political, pitting emotion against principle. But the author betrays the novel’s admirable evenhandedness when he gratuitously transforms John into a gangster who cruelly pimps out Isabel for political gain. The drama of the plot’s denouement is undermined by its bewildering implausibility, an ending so cartoonish that it seems written by another, less sophisticated writer.
An intelligent dramatization of an important debate in health care policy, hampered by a baffling conclusion.Pub Date: Sept. 29, 2017
ISBN: 978-1-5481-4415-9
Page Count: 324
Publisher: CreateSpace
Review Posted Online: Nov. 28, 2017
Review Program: Kirkus Indie
Heartfelt, yes, but pretty routine.
Life lessons.
Angie Malone, the youngest of a big, warm Italian-American family, returns to her Pacific Northwest hometown to wrestle with various midlife disappointments: her divorce, Papa’s death, a downturn in business at the family restaurant, and, above all, her childlessness. After several miscarriages, she, a successful ad exec, and husband Conlan, a reporter, befriended a pregnant young girl and planned to adopt her baby—and then the birth mother changed her mind. Angie and Conlan drifted apart and soon found they just didn’t love each other anymore. Metaphorically speaking, “her need for a child had been a high tide, an overwhelming force that drowned them. A year ago, she could have kicked to the surface but not now.” Sadder but wiser, Angie goes to work in the struggling family restaurant, bickering with Mama over updating the menu and replacing the ancient waitress. Soon, Angie befriends another young girl, Lauren Ribido, who’s eager to learn and desperately needs a job. Lauren’s family lives on the wrong side of the tracks, and her mother is a promiscuous alcoholic, but Angie knows nothing of this sad story and welcomes Lauren into the DeSaria family circle. The girl listens in, wide-eyed, as the sisters argue and make wisecracks and—gee-whiz—are actually nice to each other. Nothing at all like her relationship with her sluttish mother, who throws Lauren out when boyfriend David, en route to Stanford, gets her pregnant. Will Lauren, who’s just been accepted to USC, let Angie adopt her baby? Well, a bit of a twist at the end keeps things from becoming too predictable.
Heartfelt, yes, but pretty routine.Pub Date: July 1, 2004
ISBN: 0-345-46750-7
Page Count: 400
Publisher: Ballantine
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: May 15, 2004
Less bleak than the subject matter might warrant—Hannah’s default outlook is sunny—but still, a wrenching depiction of war’s...
The traumatic homecoming of a wounded warrior.
The daughter of alcoholics who left her orphaned at 17, Jolene “Jo” Zarkades found her first stable family in the military: She’s served over two decades, first in the army, later with the National Guard. A helicopter pilot stationed near Seattle, Jo copes as competently at home, raising two daughters, Betsy and Lulu, while trying to dismiss her husband Michael’s increasing emotional distance. Jo’s mettle is sorely tested when Michael informs her flatly that he no longer loves her. Four-year-old Lulu clamors for attention while preteen Betsy, mean-girl-in-training, dismisses as dweeby her former best friend, Seth, son of Jo’s confidante and fellow pilot, Tami. Amid these challenges comes the ultimate one: Jo and Tami are deployed to Iraq. Michael, with the help of his mother, has to take over the household duties, and he rapidly learns that parenting is much harder than his wife made it look. As Michael prepares to defend a PTSD-afflicted veteran charged with Murder I for killing his wife during a dissociative blackout, he begins to understand what Jolene is facing and to revisit his true feelings for her. When her helicopter is shot down under insurgent fire, Jo rescues Tami from the wreck, but a young crewman is killed. Tami remains in a coma and Jo, whose leg has been amputated, returns home to a difficult rehabilitation on several fronts. Her nightmares in which she relives the crash and other horrors she witnessed, and her pain, have turned Jo into a person her daughters now fear (which in the case of bratty Betsy may not be such a bad thing). Jo can't forgive Michael for his rash words. Worse, she is beginning to remind Michael more and more of his homicide client. Characterization can be cursory: Michael’s earlier callousness, left largely unexplained, undercuts the pathos of his later change of heart.
Less bleak than the subject matter might warrant—Hannah’s default outlook is sunny—but still, a wrenching depiction of war’s aftermath.Pub Date: Jan. 31, 2012
ISBN: 978-0-312-57720-9
Page Count: 400
Publisher: St. Martin's
Review Posted Online: Dec. 18, 2011
Kirkus Reviews Issue: Jan. 1, 2012
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