A timely contribution to the literature on an urgent issue.
In a book that took 10 years to research and write, journalist Cohn offers a thorough history of the persistent controversy over health care insurance in the U.S.
In other developed countries, writes the author, governments “are firmly in charge, using some form of taxes or mandatory premiums to finance benefits.” But the U.S. has seen an often vociferous debate “over what obligations society has to its most vulnerable members.” Cohn provides an informative overview of health coverage efforts beginning in the 1920s. Franklin Roosevelt, Truman, Kennedy, Johnson, and Carter all supported public health plans, but they faced opposition from private insurers and conservative politicians. In the 1980s, Ronald Reagan led that opposition as president, tapping into widespread anger over federal support programs. Bill Clinton’s efforts to devise a plan encountered opposition from multiple fronts, including within his own party. In 2006, as governor of Massachusetts, Mitt Romney instituted bold reforms that gave the state’s citizens better access to health care and increased financial security, a model that later inspired Obama’s plans for national health care. Nevertheless, in 2010, Scott Brown won election as senator from Massachusetts by attacking Romney’s measure “as a corrupt, secretive exercise by political insiders.” Cohn traces the fraught development of the Affordable Care Act, the controversy and compromises that led to its passage, and the continuing debate. Republican opposition, he asserts, began immediately after the law was signed on March 23, 2010, and became a rallying cry for Trump and his supporters. “At its core,” Cohn writes, “universal health care is all about common strength in common vulnerability. It’s a recognition that anybody can get sick or injured—that, by pooling resources together, everybody will be safe. It’s the same exact concept as Social Security and Medicare, and why the party responsible for them has spent nearly a century trying to extend health care guarantees to the rest of the population.”
A timely contribution to the literature on an urgent issue.Pub Date: Feb. 23, 2021
ISBN: 978-1-250-27093-1
Page Count: 416
Publisher: St. Martin's
Review Posted Online: Nov. 25, 2020
Kirkus Reviews Issue: Dec. 15, 2020
BOOK REVIEW
A powerful reiteration of principles—and some fresh ideas—from the longest-serving independent in congressional history.
Another chapter in a long fight against inequality.
Building on his Fighting Oligarchy tour, which this year drew 280,000 people to rallies in red and blue states, Sanders amplifies his enduring campaign for economic fairness. The Vermont senator offers well-timed advice for combating corruption and issues a robust plea for national soul-searching. His argument rests on alarming data on the widening wealth gap’s impact on democracy. Bolstered by a 2010 Supreme Court decision that removed campaign finance limits, “100 billionaire families spent $2.6 billion” on 2024 elections. Sanders focuses on the Trump administration and congressional Republicans, describing their enactment of the “Big Beautiful Bill,” with its $1 trillion in tax breaks for the richest Americans and big social safety net cuts, as the “largest transfer of wealth” in living memory. But as is his custom, he spreads the blame, dinging Democrats for courting wealthy donors while ignoring the “needs and suffering” of the working class. “Trump filled the political vacuum that the Democrats created,” he writes, a resonant diagnosis. Urging readers not to surrender to despair, Sanders offers numerous legislative proposals. These would empower labor unions, cut the workweek to 32 hours, regulate campaign spending, reduce gerrymandering, and automatically register 18-year-olds to vote. Grassroots supporters can help by running for local office, volunteering with a campaign, and asking educators how to help support public schools. Meanwhile, Sanders asks us “to question the fundamental moral values that underlie” a system that enables “the top 1 percent” to “own more wealth than the bottom 93 percent.” Though his prose sometimes reads like a transcribed speech with built-in applause lines, Sanders’ ideas are specific, clear, and commonsensical. And because it echoes previous statements, his call for collective introspection lands as genuine.
A powerful reiteration of principles—and some fresh ideas—from the longest-serving independent in congressional history.Pub Date: Oct. 21, 2025
ISBN: 9798217089161
Page Count: 160
Publisher: Crown
Review Posted Online: Oct. 21, 2025
Kirkus Reviews Issue: Dec. 15, 2025
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
© Copyright 2025 Kirkus Media LLC. All Rights Reserved.
Follow
Popular in this Genre
We can’t wait for you to join Kirkus!
It’s free and takes less than 10 seconds!
Already have an account? Log in.
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Welcome Back!
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
