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THE CARELESS SOCIETY

COMMUNITY AND ITS COUNTERFEITS

A collection of academic articles—several more than ten years old—arguing that many social services have actually weakened communities. ``Our essential problem,'' declares McKnight (Center for Urban Affairs and Policy Research/Northwestern Univ.), ``is weak communities, made ever more impotent by our strong service systems.'' That sentiment has been aired increasingly in recent years, but this book is weakened by the fact that much of its material is redundant, dated, or incomplete. A veteran of work in low-income urban neighborhoods, McKnight offers only a few useful tales from the inside, notably an analysis of health in a West Side Chicago community, where his team studied hospital records and found that most hospital visits stemmed from problems (auto accidents, attacks, alcoholism) that had more to do with social disorder than disease. McKnight's criticism of the commodification of medicine and the hegemony of professionals would be stronger, however, had this 1978 article addressed today's debates. Similarly, in ``Thinking About Crime, Sacrifice, and Community'' he argues thoughtfully that ``working communities'' will do more to prevent crime than any sort of rehabilitation, but he doesn't update this 1986 essay to address current sentiments. Conceptual contributions hold up better. The author suggests that the ``oldness industry'' is dependent on viewing the elderly as incapacitated; similarly, the enemies of the common people are not poverty and disease but interests and institutions (both private and public) that benefit from their dependence. McKnight argues that community services do not deserve the name unless they actually involve people in community relationships, and suggests that community organizers should focus on influencing the flow of public spending, developing local enterprises, and finding ways ``to reroot business.'' Less than the sum of its parts.

Pub Date: May 24, 1995

ISBN: 0-465-09125-3

Page Count: 208

Publisher: Basic Books

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: April 1, 1995

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BETWEEN THE WORLD AND ME

NOTES ON THE FIRST 150 YEARS IN AMERICA

This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”

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The powerful story of a father’s past and a son’s future.

Atlantic senior writer Coates (The Beautiful Struggle: A Father, Two Sons, and an Unlikely Road to Manhood, 2008) offers this eloquent memoir as a letter to his teenage son, bearing witness to his own experiences and conveying passionate hopes for his son’s life. “I am wounded,” he writes. “I am marked by old codes, which shielded me in one world and then chained me in the next.” Coates grew up in the tough neighborhood of West Baltimore, beaten into obedience by his father. “I was a capable boy, intelligent and well-liked,” he remembers, “but powerfully afraid.” His life changed dramatically at Howard University, where his father taught and from which several siblings graduated. Howard, he writes, “had always been one of the most critical gathering posts for black people.” He calls it The Mecca, and its faculty and his fellow students expanded his horizons, helping him to understand “that the black world was its own thing, more than a photo-negative of the people who believe they are white.” Coates refers repeatedly to whites’ insistence on their exclusive racial identity; he realizes now “that nothing so essentialist as race” divides people, but rather “the actual injury done by people intent on naming us, intent on believing that what they have named matters more than anything we could ever actually do.” After he married, the author’s world widened again in New York, and later in Paris, where he finally felt extricated from white America’s exploitative, consumerist dreams. He came to understand that “race” does not fully explain “the breach between the world and me,” yet race exerts a crucial force, and young blacks like his son are vulnerable and endangered by “majoritarian bandits.” Coates desperately wants his son to be able to live “apart from fear—even apart from me.”

This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”

Pub Date: July 8, 2015

ISBN: 978-0-8129-9354-7

Page Count: 176

Publisher: Spiegel & Grau

Review Posted Online: May 5, 2015

Kirkus Reviews Issue: July 1, 2015

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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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

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