Students of health economics and policymakers will find the doctor’s diagnoses and prescriptions well worth considering.
A leading oncologist and medical ethicist turns a gimlet eye on the health care systems of the world’s leading economies and finds most of them wanting.
Where’s the best place in the world to be sick? To judge by Emanuel’s findings, if you have a condition that will allow you to live awhile, the U.S. isn’t bad; it leads the world in medical innovations and finding cures or treatments for unusual ailments. By other measures, the U.S. ranks well down the list of the 11 systems he analyzes here: “It significantly underperforms on numerous dimensions,” writes the author. China may be worse, in part because its system of health care is hospital-centric: “There are vanishingly few physician offices or other ambulatory centers to deliver care.” Consequently, with the current COVID-19 crisis, Chinese people needing treatment flooded the country’s hospitals and overwhelmed them. In many parts of that country, Emanuel writes, hospitals are few and far between, forcing patients to travel far from home for treatment. Canadians have it better except in the remoter reaches of the far north; Emanuel acknowledges that Canadian health care has its problems even while noting that conservative critics in the U.S. have vastly overestimated the problem of waiting times for treatment. Britain’s system is worse but not terrible. The author offers numerous methods for improving systems around the world. Some may be unpalatable to libertarian advocates of privacy. For example, Taiwan was able to keep a lid, relatively speaking, on COVID-19, because medical data are centralized with passports and other key documents, so that it was easy to identify Taiwanese who had visited mainland China and test and, if necessary, quarantine them. Among Emanuel’s recommendations are to provide universal coverage, simplify data flows and insurance programs, and regulate drug prices—which are sky-high in the U.S.
Students of health economics and policymakers will find the doctor’s diagnoses and prescriptions well worth considering.Pub Date: June 16, 2020
ISBN: 978-1-5417-9773-4
Page Count: 256
Publisher: PublicAffairs
Review Posted Online: April 12, 2020
Kirkus Reviews Issue: May 1, 2020
BOOK REVIEW
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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