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The Dutch Institute

A polemical novel about the creeping influence of government in people’s lives.

Scheming bureaucrats line their pockets while denying people much-needed medical care in this high-stakes debut thriller.

Maarten Keyser has terminal cancer. Yet even though he’s a doctor with the Care Authority Institute—the government agency that regulates health care in the Netherlands—he can’t get the treatment he needs. That’s because the heavily regulated Dutch medical system routinely denies him and other patients experimental drugs that could save their lives. Maarten and his wife, Shifrah, a fiery ex-Mossad agent, set out to change that. But as they attempt to expose the “mega fraud” underlying the Dutch health care system—including insider trading that’s made Stronghold, the Institute’s director, rich—they become ensnared in a deadly international conspiracy that stretches from Amsterdam to Boston, Zurich and beyond. This slim novel will surely raise the hackles of anyone who fears socialized medicine, as it offers a dystopian vision of a society where treatments are parceled out according to arbitrary government standards, not patient needs, and where doctors providing alternative medicine are denounced in the press and hounded by government officials. Some readers will cheer the righteous, impulsive Shifrah and the more cautious, conciliatory Maarten as they strive to expose the government’s slogan of “the best healthcare for everyone” as a lie. However, the novel poorly explains the details of the conspiracy, and its economical writing style leaves little room for character development—especially with such a large cast of key players, including Dmitry Gritsin, a conniving Russian oligarch who believes “there’s a mountain of money to be made in high-class healthcare,” and Dick Admiral, a U.S. Secret Service agent tasked with silencing anyone who speaks out against the Institute. Often, the author seems more interested in making political points than in the finer points of character and plot. That said, there are some edge-of-your seat action sequences, including a shootout on a boat and a dramatic kidnapping. Readers may find the novel’s resolution, however, less than satisfying.

A polemical novel about the creeping influence of government in people’s lives.

Pub Date: Jan. 28, 2013

ISBN: 978-1481782289

Page Count: 198

Publisher: AuthorHouse

Review Posted Online: May 28, 2013

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A LITTLE LIFE

The phrase “tour de force” could have been invented for this audacious novel.

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Four men who meet as college roommates move to New York and spend the next three decades gaining renown in their professions—as an architect, painter, actor and lawyer—and struggling with demons in their intertwined personal lives.

Yanagihara (The People in the Trees, 2013) takes the still-bold leap of writing about characters who don’t share her background; in addition to being male, JB is African-American, Malcolm has a black father and white mother, Willem is white, and “Jude’s race was undetermined”—deserted at birth, he was raised in a monastery and had an unspeakably traumatic childhood that’s revealed slowly over the course of the book. Two of them are gay, one straight and one bisexual. There isn’t a single significant female character, and for a long novel, there isn’t much plot. There aren’t even many markers of what’s happening in the outside world; Jude moves to a loft in SoHo as a young man, but we don’t see the neighborhood change from gritty artists’ enclave to glitzy tourist destination. What we get instead is an intensely interior look at the friends’ psyches and relationships, and it’s utterly enthralling. The four men think about work and creativity and success and failure; they cook for each other, compete with each other and jostle for each other’s affection. JB bases his entire artistic career on painting portraits of his friends, while Malcolm takes care of them by designing their apartments and houses. When Jude, as an adult, is adopted by his favorite Harvard law professor, his friends join him for Thanksgiving in Cambridge every year. And when Willem becomes a movie star, they all bask in his glow. Eventually, the tone darkens and the story narrows to focus on Jude as the pain of his past cuts deep into his carefully constructed life.  

The phrase “tour de force” could have been invented for this audacious novel.

Pub Date: March 10, 2015

ISBN: 978-0-385-53925-8

Page Count: 720

Publisher: Doubleday

Review Posted Online: Dec. 21, 2014

Kirkus Reviews Issue: Jan. 1, 2015

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JURASSIC PARK

Genetically engineered dinosaurs run amok in Crichton's new, vastly entertaining science thriller. From the introduction alone—a classically Crichton-clear discussion of the implications of biotechnological research—it's evident that the Harvard M.D. has bounced back from the science-fantasy silliness of Sphere (1987) for another taut reworking of the Frankenstein theme, as in The Andromeda Strain and The Terminal Man. Here, Dr. Frankenstein is aging billionaire John Hammond, whose monster is a manmade ecosystem based on a Costa Rican island. Designed as the world's ultimate theme park, the ecosystem boasts climate and flora of the Jurassic Age and—most spectacularly—15 varieties of dinosaurs, created by elaborate genetic engineering that Crichton explains in fascinating detail, rich with dino-lore and complete with graphics. Into the park, for a safety check before its opening, comes the novel's band of characters—who, though well drawn, double as symbolic types in this unsubtle morality play. Among them are hero Alan Grant, noble paleontologist; Hammond, venal and obsessed; amoral dino-designer Henry Wu; Hammond's two innocent grandchildren; and mathematician Ian Malcolm, who in long diatribes serves as Crichton's mouthpiece to lament the folly of science. Upon arrival, the visitors tour the park; meanwhile, an industrial spy steals some dino embryos by shutting down the island's power—and its security grid, allowing the beasts to run loose. The bulk of the remaining narrative consists of dinos—ferocious T. Rex's, voracious velociraptors, venom-spitting dilophosaurs—stalking, ripping, and eating the cast in fast, furious, and suspenseful set-pieces as the ecosystem spins apart. And can Grant prevent the dinos from escaping to the mainland to create unchecked havoc? Though intrusive, the moralizing rarely slows this tornado-paced tale, a slick package of info-thrills that's Crichton's most clever since Congo (1980)—and easily the most exciting dinosaur novel ever written. A sure-fire best-seller.

Pub Date: Nov. 7, 1990

ISBN: 0394588169

Page Count: 424

Publisher: Knopf

Review Posted Online: Sept. 21, 2011

Kirkus Reviews Issue: Oct. 15, 1990

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