Likely to find its way onto the Republican platform but worthy of serious consideration on its own merits.
With the assistance of former BusinessWeek senior writer Baker (Final Jeopardy: Man vs. Machine and the Quest to Know Everything, 2011, etc.), Bush, nephew of George H.W., offers an alternative to Obamacare based on his own experiences as CEO of athenahealth, Inc.
Despite the author’s family connections, this is by no means a vitriolic attack on the Affordable Care Act but rather an appraisal of why, in his opinion, it is not up to the necessary task of reforming the American health care system, since escalating costs (whether borne by individuals or government) are not sufficiently addressed. The author charges that the ACA has failed to address the “legions of powerful stakeholders” who profit from the system. At the top of his hit list are insurers and hospitals. He holds large hospitals accountable for providing many primary care services at inflated prices—“in hospitals we pay for a Ritz experience, but the service we get is below the YMCA.” Based on his experiences as a medic during the first Iraq war, he contends that the skills of highly trained specialists are being wasted on jobs that semiprofessionals could be trained to handle. After receiving a master’s degree from Harvard and serving as a consultant, Bush decided to launch a series of birthing clinics. In 1997, the venture failed, but he salvaged athenahealth, an online data-processing system for medical record-keeping that is now a $4 billion business. The author contends that the cost of medical treatment could be vastly reduced by the expansion of clinics staffed largely by semiprofessionals (perhaps attached to big-box stores such as Wal-Mart), which would treat minor injuries, colds and immunization. He advocates making medical records available to patients so that they can freely shop for affordable care from a pool of competing providers without the need of government intervention.
Likely to find its way onto the Republican platform but worthy of serious consideration on its own merits.Pub Date: May 15, 2014
ISBN: 978-1-59184-677-2
Page Count: 240
Publisher: Portfolio
Review Posted Online: April 1, 2014
Kirkus Reviews Issue: April 15, 2014
Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our...
A psychologist and Nobel Prize winner summarizes and synthesizes the recent decades of research on intuition and systematic thinking.
The author of several scholarly texts, Kahneman (Emeritus Psychology and Public Affairs/Princeton Univ.) now offers general readers not just the findings of psychological research but also a better understanding of how research questions arise and how scholars systematically frame and answer them. He begins with the distinction between System 1 and System 2 mental operations, the former referring to quick, automatic thought, the latter to more effortful, overt thinking. We rely heavily, writes, on System 1, resorting to the higher-energy System 2 only when we need or want to. Kahneman continually refers to System 2 as “lazy”: We don’t want to think rigorously about something. The author then explores the nuances of our two-system minds, showing how they perform in various situations. Psychological experiments have repeatedly revealed that our intuitions are generally wrong, that our assessments are based on biases and that our System 1 hates doubt and despises ambiguity. Kahneman largely avoids jargon; when he does use some (“heuristics,” for example), he argues that such terms really ought to join our everyday vocabulary. He reviews many fundamental concepts in psychology and statistics (regression to the mean, the narrative fallacy, the optimistic bias), showing how they relate to his overall concerns about how we think and why we make the decisions that we do. Some of the later chapters (dealing with risk-taking and statistics and probabilities) are denser than others (some readers may resent such demands on System 2!), but the passages that deal with the economic and political implications of the research are gripping.
Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our minds.Pub Date: Nov. 1, 2011
ISBN: 978-0-374-27563-1
Page Count: 512
Publisher: Farrar, Straus and Giroux
Review Posted Online: Sept. 3, 2011
Kirkus Reviews Issue: Sept. 15, 2011
BOOK REVIEW
IN THE NEWS
A readable, persuasive argument that our ways of doing business will have to change if we are to prosper—or even survive.
A well-constructed critique of an economic system that, by the author’s account, is a driver of the world’s destruction.
Harvard Business School professor Henderson vigorously questions the bromide that “management’s only duty is to maximize shareholder value,” a notion advanced by Milton Friedman and accepted uncritically in business schools ever since. By that logic, writes the author, there is no reason why corporations should not fish out the oceans, raise drug prices, militate against public education (since it costs tax money), and otherwise behave ruinously and anti-socially. Many do, even though an alternative theory of business organization argues that corporations and society should enjoy a symbiotic relationship of mutual benefit, which includes corporate investment in what economists call public goods. Given that the history of humankind is “the story of our increasing ability to cooperate at larger and larger scales,” one would hope that in the face of environmental degradation and other threats, we might adopt the symbiotic model rather than the winner-take-all one. Problems abound, of course, including that of the “free rider,” the corporation that takes the benefits from collaborative agreements but does none of the work. Henderson examines case studies such as a large food company that emphasized environmentally responsible production and in turn built “purpose-led, sustainable living brands” and otherwise led the way in increasing shareholder value by reducing risk while building demand. The author argues that the “short-termism” that dominates corporate thinking needs to be adjusted to a longer view even though the larger problem might be better characterized as “failure of information.” Henderson closes with a set of prescriptions for bringing a more equitable economics to the personal level, one that, among other things, asks us to step outside routine—eat less meat, drive less—and become active in forcing corporations (and politicians) to be better citizens.
A readable, persuasive argument that our ways of doing business will have to change if we are to prosper—or even survive.Pub Date: May 1, 2020
ISBN: 978-1-5417-3015-1
Page Count: 336
Publisher: PublicAffairs
Review Posted Online: Feb. 16, 2020
Kirkus Reviews Issue: March 15, 2020
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