A persuasive argument for compassionate care.
A lucid explanation of palliative care and how it can help people die better.
“Americans are scared to death of dying,” writes Byock (The Four Things That Matter Most: A Book About Living, 2004, etc.), director of Palliative Medicine at Dartmouth-Hitchcock Medical Center. Because the topic is depressing, politicians often won’t talk about it. Yet the way many Americans die remains a national disgrace, and caring for the coming deluge of aging and chronically ill Americans will soon pose a crisis. Byock draws on decades of experience to explain how palliative care—designed not to cure but to comfort people with advanced illnesses—helps patients and their families “make the best of what is often the very worst times of life.” Through the stories of patients, from a 72-year-old man with pancreatic cancer to a teenage girl with cystic fibrosis, he details the palliative approach to care, how families and health teams make difficult decisions and how improved quality of life can help patients die well. He shows how palliative physicians get to know their patients, use drugs and other interventions to alleviate pain and encourage patients to live fully and achieve postponed goals in their remaining time. One cancer patient, for instance, worked to resolve issues with his ex-wife and older children. In contrast, most critically ill individuals suffer needlessly, caught in a complex and costly health-care system that focuses on curing illnesses and fails to address personal suffering The author discusses recent research suggesting that palliative care can even help patients live longer. Once restricted to hospices, palliative care programs now exist in most hospitals with 200 beds or more, and studies show that such care can alleviate distressing symptoms among the seriously ill. Byock calls for an overhaul of national and local health-care systems to bring person- and family-centered care to people in fragile health and help them avoid all-too-frequent complications and crises.
A persuasive argument for compassionate care.Pub Date: March 15, 2012
ISBN: 978-1-58333-459-1
Page Count: 336
Publisher: Avery
Review Posted Online: Jan. 29, 2012
Kirkus Reviews Issue: Feb. 15, 2012
BOOK REVIEW
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
ISBN: 978-1-61039-950-0
Page Count: 432
Publisher: PublicAffairs
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
SEEN & HEARD
A forceful, necessarily provocative call to action for the preservation and protection of American Jewish freedom.
Known for her often contentious perspectives, New York Times opinion writer Weiss battles societal Jewish intolerance through lucid prose and a linear playbook of remedies.
While she was vividly aware of anti-Semitism throughout her life, the reality of the problem hit home when an active shooter stormed a Pittsburgh synagogue where her family regularly met for morning services and where she became a bat mitzvah years earlier. The massacre that ensued there further spurred her outrage and passionate activism. She writes that European Jews face a three-pronged threat in contemporary society, where physical, moral, and political fears of mounting violence are putting their general safety in jeopardy. She believes that Americans live in an era when “the lunatic fringe has gone mainstream” and Jews have been forced to become “a people apart.” With palpable frustration, she adroitly assesses the origins of anti-Semitism and how its prevalence is increasing through more discreet portals such as internet self-radicalization. Furthermore, the erosion of civility and tolerance and the demonization of minorities continue via the “casual racism” of political figures like Donald Trump. Following densely political discourses on Zionism and radical Islam, the author offers a list of bullet-point solutions focused on using behavioral and personal action items—individual accountability, active involvement, building community, loving neighbors, etc.—to help stem the tide of anti-Semitism. Weiss sounds a clarion call to Jewish readers who share her growing angst as well as non-Jewish Americans who wish to arm themselves with the knowledge and intellectual tools to combat marginalization and defuse and disavow trends of dehumanizing behavior. “Call it out,” she writes. “Especially when it’s hard.” At the core of the text is the author’s concern for the health and safety of American citizens, and she encourages anyone “who loves freedom and seeks to protect it” to join with her in vigorous activism.
A forceful, necessarily provocative call to action for the preservation and protection of American Jewish freedom.Pub Date: Sept. 10, 2019
ISBN: 978-0-593-13605-8
Page Count: 224
Publisher: Crown
Review Posted Online: Aug. 22, 2019
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