An effectively damning indictment that’s tempered by a glimmer of hope.



A medical doctor disparages the American health care system and proposes an intriguing alternative in his debut book.

As a former private-practice family-medicine physician and public health official at the U.S. Department of Labor, the Nevada Division of Health, and the Colorado Department of Public Health and Environment, Jarvis has broad experience that allows him to view the health care system from multiple perspectives. His assessment of the American health care system is bluntly and uniformly negative, and throughout the book, he rails against politicians on both sides of the aisle, public officials, and insurance companies. He sees them as all contributing to “a wasteful system that is least able (among first-world countries) to prevent deaths that should be amenable to health-care interventions.” American voters also share blame for not insisting on health care reform, writes Jarvis: “If you want this to stop, you must do the necessary political heavy lifting—you must repeatedly throw people out of office until they get the message.” To illustrate some of the deficiencies of the current system, Jarvis includes anecdotes from his own work in the public sector. His insider’s point of view of state-level public-health challenges provides some of the most compelling moments. Particularly harsh are his observations about Nevada, which he calls “a caricature of the American free-enterprise concept.” Jarvis goes on to offer a comparison of that state’s legalized sex work, of which he disapproves for many reasons, to the nation’s health care system. However, the book is not merely a series of complaints; in fact, it concludes on a positive note, as the author lobbies for more “purple,” or bipartisan, thinking when it comes to health care. He proposes to reform health care with a “State-Based Universal Healthcare Act” that would empower states to craft their own system of “comprehensive, publicly financed health benefits,” such as one he specifically presents for the state of Utah. Whether this provocative idea is feasible remains an open question, but Jarvis does deserve credit for thinking boldly.

An effectively damning indictment that’s tempered by a glimmer of hope.

Pub Date: Sept. 2, 2018

ISBN: 978-0-9986254-8-5

Page Count: 196

Publisher: Scrivener Books

Review Posted Online: Sept. 17, 2019

Kirkus Reviews Issue: Nov. 15, 2019

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Stricter than, say, Bergen Evans or W3 ("disinterested" means impartial — period), Strunk is in the last analysis...



Privately published by Strunk of Cornell in 1918 and revised by his student E. B. White in 1959, that "little book" is back again with more White updatings.

Stricter than, say, Bergen Evans or W3 ("disinterested" means impartial — period), Strunk is in the last analysis (whoops — "A bankrupt expression") a unique guide (which means "without like or equal").

Pub Date: May 15, 1972

ISBN: 0205632645

Page Count: 105

Publisher: Macmillan

Review Posted Online: Oct. 28, 2011

Kirkus Reviews Issue: May 1, 1972

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From the national correspondent for PBS's MacNeil-Lehrer Newshour: a moving memoir of her youth in the Deep South and her role in desegregating the Univ. of Georgia. The eldest daughter of an army chaplain, Hunter-Gault was born in what she calls the ``first of many places that I would call `my place' ''—the small village of Due West, tucked away in a remote little corner of South Carolina. While her father served in Korea, Hunter-Gault and her mother moved first to Covington, Georgia, and then to Atlanta. In ``L.A.'' (lovely Atlanta), surrounded by her loving family and a close-knit black community, the author enjoyed a happy childhood participating in activities at church and at school, where her intellectual and leadership abilities soon were noticed by both faculty and peers. In high school, Hunter-Gault found herself studying the ``comic-strip character Brenda Starr as I might have studied a journalism textbook, had there been one.'' Determined to be a journalist, she applied to several colleges—all outside of Georgia, for ``to discourage the possibility that a black student would even think of applying to one of those white schools, the state provided money for black students'' to study out of state. Accepted at Michigan's Wayne State, the author was encouraged by local civil-rights leaders to apply, along with another classmate, to the Univ. of Georgia as well. Her application became a test of changing racial attitudes, as well as of the growing strength of the civil-rights movement in the South, and Gault became a national figure as she braved an onslaught of hostilities and harassment to become the first black woman to attend the university. A remarkably generous, fair-minded account of overcoming some of the biggest, and most intractable, obstacles ever deployed by southern racists. (Photographs—not seen.)

Pub Date: Nov. 1, 1992

ISBN: 0-374-17563-2

Page Count: 192

Publisher: Farrar, Straus and Giroux

Review Posted Online: May 20, 2010

Kirkus Reviews Issue: Sept. 1, 1992

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