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RECKONING

DRUGS, THE CITIES, AND THE AMERICAN FUTURE

Another entry in the recent wave of drug-policy books by academics. Currie (Sociology and Criminality/UCLA at Berkeley; Dope and Trouble, 1991; Confronting Crime, 1985) begins by observing that the Reagan/Bush war on drugs has failed: Drug use has increased among the poor, although it has fallen off slightly in the middle class. Moving to the ``roots of the drug crisis,'' Currie presents a history of illicit heroin use in America, starting in 1946 (although some might argue that this history really should begin in 1914, with the Harrison Narcotics Act) and concluding that drug use is ``intimately related to conditions of mass social deprivation'' (i.e., poverty). Currie then suggests several models of ``personal meanings of drug abuse'' (the ``status'' model, the ``coping'' model, etc.)—although how this new taxonomy will help is unclear. The author firmly opposes the legalization of drugs, contending that such a move would allow America's profit-oriented companies to ``cause devastation of poor communities by drugs.'' So what to do? Currie advocates reducing penalties for drug use (``saner sentences'' would ``deter more effectively''); sentencing traffickers, not users— an approach another drug-policy analyst, Mark Kleiman (Against Excess, p. 234), calls an ``odd hybrid'' that would swell the black market by freeing buyers from risk but leaving sales in the hands of criminals; and providing serious help for drug abusers within the criminal-justice system. Here, Currie quotes from a California prison commission that found that, besides A.A. and other 12-step programs, no resources exist to deal effectively with drug abusers. ``Therefore,'' the commission states, ``there are virtually no drug-treatment programs in our adult prisons''— a statement that would probably astonish A.A. and N.A. members who have worked, for no pay, with prisoners for 40 years. Much fretting—but not much in the way of new solutions.

Pub Date: Jan. 1, 1993

ISBN: 0-8090-8049-4

Page Count: 250

Publisher: Hill and Wang/Farrar, Straus and Giroux

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Nov. 1, 1992

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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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