Full of grim yet important statistics and vignettes as well as a few sensible solutions.
Another alarming report from the front lines of the opioid epidemic.
Shuler, who teaches journalism at Denison University, focuses his on-the-ground study in nearby Newark, Ohio, “a microcosm of the U.S. economy—a once-prosperous industrial city that has felt the effects of neoliberal free-trade policies.” Though not far from Columbus, Newark is also perched on the edge of Appalachia; it suffers from all the troubles of a Rust Belt city, including a populace that is largely unprepared for this long-term economic shift and has not been quick to reeducate itself. Thus begins a kind of self-fulfilling prophecy—as Shuler points out, the toll that opioids take on the under- or uneducated means more than four times the death rate as compared to those with even some college. This speaks to the current notion, propounded by economists Anne Case and Angus Deaton, of “deaths of despair.” As Shuler further notes, although the opioid crisis is indisputably a matter of public health and “a form of collective trauma on par with the HIV/AIDS crisis,” it is generally treated as a criminal matter, which only exacerbates the problem. Some of Shuler’s informants have had it a little better in life but still fall victim: a woman of a comparatively privileged background who turned to drugs to self-medicate for bipolar disorder and who deems the current overdose crisis—“since 2000, the accidental overdose rate in Ohio has more than tripled”—a human rights crisis as well. The author ventures some eminently practical measures, including making lifesaving medications widely available; more users, he urges, “could be saved from an opioid overdose death if more people had naloxone.” Furthermore, we blame drugs too readily when “they’re just a symptom” of a greater social crisis we continually fail to address. Though not quite on par, this book should be shelved next to Beth Macy’s Dopesick and Sam Quinones’ Dreamland.
Full of grim yet important statistics and vignettes as well as a few sensible solutions.Pub Date: Sept. 8, 2020
ISBN: 978-1-64009-355-3
Page Count: 304
Publisher: Counterpoint
Review Posted Online: June 29, 2020
Kirkus Reviews Issue: July 15, 2020
A short, smart analysis of perhaps the most famous passage in American history reveals its potency and unfulfilled promise.
Words that made a nation.
Isaacson is known for expansive biographies of great thinkers (and Elon Musk), but here he pens a succinct, stimulating commentary on the Founding Fathers’ ode to “life, liberty, and the pursuit of happiness.” His close reading of the Declaration of Independence’s second sentence, published to mark the 250th anniversary of the document’s adoption, doesn’t downplay its “moral contradiction.” Thomas Jefferson enslaved hundreds of people yet called slavery “a cruel war against human nature” in his first draft of the Declaration. All but 15 of the document’s 56 signers owned enslaved people. While the sentence in question asserted “all men are created equal” and possess “unalienable rights,” the Founders “consciously and intentionally” excluded women, Native Americans, and enslaved people. And yet the sentence is powerful, Isaacson writes, because it names a young nation’s “aspirations.” He mounts a solid defense of what ought to be shared goals, among them economic fairness, “moral compassion,” and a willingness to compromise. “Democracy depends on this,” he writes. Isaacson is excellent when explaining how Enlightenment intellectuals abroad influenced the founders. Benjamin Franklin, one of the Declaration’s “five-person drafting committee,” stayed in David Hume’s home for a month in the early 1770s, “discussing ideas of natural rights” with the Scottish philosopher. Also strong is Isaacson’s discussion of the “edits and tweaks” made to Jefferson’s draft. As recommended by Franklin and others, the changes were substantial, leaving Jefferson “distraught.” Franklin, who emerges as the book’s hero, helped establish municipal services, founded a library, and encouraged religious diversity—the kind of civic-mindedness that we could use more of today, Isaacson reminds us.
A short, smart analysis of perhaps the most famous passage in American history reveals its potency and unfulfilled promise.Pub Date: Nov. 18, 2025
ISBN: 9781982181314
Page Count: 80
Publisher: Simon & Schuster
Review Posted Online: Aug. 29, 2025
Kirkus Reviews Issue: Oct. 1, 2025
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
SEEN & HEARD
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
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