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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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BETWEEN SISTERS

Briskly written soap with down-to-earth types, mostly without the lachrymose contrivances of Hannah’s previous titles...

Sisters in and out of love.

Meghann Dontess is a high-powered matrimonial lawyer in Seattle who prefers sex with strangers to emotional intimacy: a strategy bound to backfire sooner or later, warns her tough-talking shrink. It’s advice Meghann decides to ignore, along with the memories of her difficult childhood, neglectful mother, and younger sister. Though she managed to reunite Claire with Sam Cavenaugh (her father but not Meghann’s) when her mother abandoned both girls long ago, Meghann still feels guilty that her sister’s life doesn’t measure up, at least on her terms. Never married, Claire ekes out a living running a country campground with her dad and is raising her six-year-old daughter on her own. When she falls in love for the first time with an up-and-coming country musician, Meghann is appalled: Bobby Austin is a three-time loser at marriage—how on earth can Claire be so blind? Bobby’s blunt explanation doesn’t exactly satisfy the concerned big sister, who busies herself planning Claire’s dream wedding anyway. And, to relieve the stress, she beds various guys she picks up in bars, including Dr. Joe Wyatt, a neurosurgeon turned homeless drifter after the demise of his beloved wife Diane (whom he euthanized). When Claire’s awful headache turns out to be a kind of brain tumor known among neurologists as a “terminator,” Joe rallies. Turns out that Claire had befriended his wife on her deathbed, and now in turn he must try to save her. Is it too late? Will Meghann find true love at last?

Briskly written soap with down-to-earth types, mostly without the lachrymose contrivances of Hannah’s previous titles (Distant Shores, 2002, etc.). Kudos for skipping the snifflefest this time around.

Pub Date: May 1, 2003

ISBN: 0-345-45073-6

Page Count: 400

Publisher: Ballantine

Review Posted Online: June 24, 2010

Kirkus Reviews Issue: April 1, 2003

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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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