A thoroughly compelling message—without an ethical commitment to the value of every life, “the very humanity of our society”...
A beautifully written memoir about the author’s frustration with the transformation of the profession of medicine into the business of health care, and the unraveling of the doctor-patient bond.
As a leading psychiatrist, Wang has witnessed how “the insurance company has replaced the doctor as a patient’s primary medical relationship.” During her time as chief of the Psychiatry Consultation-Liaison Service at the University of New Mexico Hospital, her caseload was more than 1,000 new patients each year. She documents how this kind of pressure has been created by insurers with deep pockets who have driven independent doctors out of business by undercutting their fees, refusing to authorize necessary treatments and underpaying doctors for care that is authorized. In the 1990s, Wang welcomed the introduction of the new generation of anti-depressants. However, she soon realized that insurance companies would refuse to pay psychiatrists for treating patients with therapy—“Prozac, even at three dollars a pill, costs[s] far less than regular sessions with a highly trained psychotherapist.” Even though dedicated doctors work long hours at lower pay, tragically their efforts are undermined by profit-mad insurance companies, a transformation that began with the Reagan administration’s flawed argument that the free market would drive down escalating medical costs. The author recounts a number of tragic stories: e.g., a young woman in need of a second liver transplant who could not receive it because the facility where she was originally treated had closed down; an overworked physician so dedicated that she didn’t take time to get her own symptoms checked, and died suddenly of “acute complications of leukemia.” Even though Wang has recently cut back her practice in order to care for her young daughter, her commitment as a healer remains: “Every life is precious. Each life is worth our best effort. Each life lost is an alternate, possibly better world that didn’t happen.”
A thoroughly compelling message—without an ethical commitment to the value of every life, “the very humanity of our society” is at stake.Pub Date: May 1, 2010
ISBN: 978-1-59448-753-8
Page Count: 368
Publisher: Riverhead
Review Posted Online: Dec. 22, 2010
Kirkus Reviews Issue: Feb. 15, 2010
The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the...
Elie Wiesel spent his early years in a small Transylvanian town as one of four children.
He was the only one of the family to survive what Francois Maurois, in his introduction, calls the "human holocaust" of the persecution of the Jews, which began with the restrictions, the singularization of the yellow star, the enclosure within the ghetto, and went on to the mass deportations to the ovens of Auschwitz and Buchenwald. There are unforgettable and horrifying scenes here in this spare and sombre memoir of this experience of the hanging of a child, of his first farewell with his father who leaves him an inheritance of a knife and a spoon, and of his last goodbye at Buchenwald his father's corpse is already cold let alone the long months of survival under unconscionable conditions.
Pub Date: Jan. 16, 2006
ISBN: 0374500010
Page Count: 120
Publisher: Hill & Wang
Review Posted Online: Oct. 7, 2011
Kirkus Reviews Issue: Jan. 15, 2006
A wonderful page-turner written with humility, immediacy, and great style. Nothing came cheap and easy to McCandless, nor...
The excruciating story of a young man on a quest for knowledge and experience, a search that eventually cooked his goose, told with the flair of a seasoned investigative reporter by Outside magazine contributing editor Krakauer (Eiger Dreams, 1990).
Chris McCandless loved the road, the unadorned life, the Tolstoyan call to asceticism. After graduating college, he took off on another of his long destinationless journeys, this time cutting all contact with his family and changing his name to Alex Supertramp. He was a gent of strong opinions, and he shared them with those he met: "You must lose your inclination for monotonous security and adopt a helter-skelter style of life''; "be nomadic.'' Ultimately, in 1992, his terms got him into mortal trouble when he ran up against something—the Alaskan wild—that didn't give a hoot about Supertramp's worldview; his decomposed corpse was found 16 weeks after he entered the bush. Many people felt McCandless was just a hubris-laden jerk with a death wish (he had discarded his map before going into the wild and brought no food but a bag of rice). Krakauer thought not. Admitting an interest that bordered on obsession, he dug deep into McCandless's life. He found a willful, reckless, moody boyhood; an ugly little secret that sundered the relationship between father and son; a moral absolutism that agitated the young man's soul and drove him to extremes; but he was no more a nutcase than other pilgrims. Writing in supple, electric prose, Krakauer tries to make sense of McCandless (while scrupulously avoiding off-the-rack psychoanalysis): his risky behavior and the rites associated with it, his asceticism, his love of wide open spaces, the flights of his soul.
Pub Date: Jan. 1, 1996
ISBN: 0-679-42850-X
Page Count: 320
Publisher: Villard
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: Oct. 15, 1995
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