by Harriet A. Washington ‧ RELEASE DATE: Dec. 26, 2006
Sweeping and powerful.
Medical ethicist and journalist Washington details the abusive medical practices to which African-Americans have been subjected.
She begins her shocking history in the colonial period, when owners would hire out or sell slaves to physicians for use as guinea pigs in medical experiments. Into the 19th century, black cadavers were routinely exploited for profit by whites who shipped them to medical schools for dissection and to museums and traveling shows for casual public display. The most notorious case here may be the Tuskegee Syphilis Study, in which about 600 syphilitic men were left untreated by the U.S. Public Health Service so it could study the progression of the disease, but Washington asserts that it was the forerunner to a host of similar medical abuses. Among her numerous examples is the radical brain surgery performed by a University of Mississippi neurosurgeon on African-American boys as young as six who were deemed aggressive or hyperactive, a procedure he recommended for urban rioters after Watts. And the abuses are not all buried in the distant past: During a 1992-1997 study of the biological basis of violent behavior conducted by the New York State Psychiatric Institute and Columbia University’s Loewenstein Center, researchers intimidated parents of black juvenile offenders into permitting them to administer the dangerous drug fenfluramine to the offenders’ younger brothers. African-Americans’ reproductive rights have been trampled on; soldiers, prisoners and children have been coerced into becoming subjects of experiments without therapeutic value to themselves; the federal government and private companies have utilized unwitting blacks in large-scale experiments with radiation and biological weapons, she asserts. While the worst abuses have been eliminated, Washington concludes, African-American skepticism about the medical establishment and reluctance to participate in medical research is an unfortunate result. One of her goals in writing this book, aside from documenting a shameful past, is to convince them that they must participate actively in therapeutic medical research, especially in areas that most affect their community’s health, while remaining ever alert to possible abuses.Sweeping and powerful.
Pub Date: Dec. 26, 2006
Page Count: 496
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: Oct. 1, 2006
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by Paul Kalanithi ‧ RELEASE DATE: Jan. 19, 2016
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
Page Count: 248
Publisher: Random House
Review Posted Online: Sept. 29, 2015
Kirkus Reviews Issue: Oct. 15, 2015
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Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.
“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.
It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.
Pub Date: Nov. 12, 2019
Page Count: 432
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
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