Rather than reflexively praising state government and reviling federal government, Donahue, of Harvard's Kennedy School of Government, actually considers their relative merits. Current dogma in the longstanding American drama of national authority versus states' rights favors the latter. Donahue's unfashionable response is that reality rather than ideology should shape policy: Tremendous advantages will probably not accrue from devolution of governmental responsibilities, and divided authority has its own problems. Studies of administrative efficiency reveal that state governments sometimes do slightly outperform the federal government—a finding worth noting, but hardly a ringing endorsement of state superiority. A more important point requires recognizing that the biggest task other than national defense undertaken by the federal government is writing checks. Since it is unlikely that Social Security checks, for example, can be written more efficiently in state capitals than in Washington, there are real limits to the benefits of decentralizing administrative operations. State governments could offer greater responsiveness to citizens, but polls reveal that state bureaucracies are held in only slightly less disdain than their federal counterpart. It is in the policy arena where significant differences can be found, including the contrast between Washington's relatively laissez-faire approach to economic markets and the active efforts of state governments to steal industries away from each other. Unfortunately, such efforts rarely produce good policy, and in the one area where responsibility lies at the state and local level- -education—the results have not received universal acclaim. Donahue's sensible argument is that policy sometimes benefits from the unity of federal-state action, and at other times from the diversity of actions taken by state governments. Only in the context of recent political rhetoric emanating from both parties could such a solid and balanced work be potentially controversial.
Pub Date: June 18, 1997
ISBN: 0-465-01661-8
Page Count: 272
Publisher: Basic Books
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: April 15, 1997
For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.
Pub Date: Jan. 1, 1979
ISBN: 0061965588
Page Count: 772
Publisher: Harper & Row
Review Posted Online: May 26, 2012
Kirkus Reviews Issue: Jan. 1, 1979
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
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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