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NO SUCH THING AS A FREE GIFT

THE GATES FOUNDATION AND THE PRICE OF PHILANTHROPY

Picking up the cudgels wielded by Ida Tarbell and her fellow trustbusters, McGoey produces a startling report.

McGoey (Sociology/Univ. of Essex) probes the business motivations of contemporary philanthropic organizations.

“One of the most acute ironies concerning the size of today’s philanthropic foundations,” writes the author, “is that the emergence of will-financed, politically powerful behemoths is rooted in a political philosophy that cautioned against using the centralized power of states to plan or develop economic growth.” McGoey charges that philanthropy does not necessarily help the underserved and poor, and it often undermines taxation and preserves both wealth and inequality. The author exemplifies her argument by concentrating on Bill Gates and the Bill and Melinda Gates Foundation. Business and philanthropy have always been related, she insists; the giving of Andrew Carnegie and John Rockefeller was driven by a desire to counter hostile public opinion. The author takes up the question of “whether a self-interested action can ever be truly philanthropic,” and she draws attention to “a new, pugnacious, explicitly commercial form of philanthropy.” As the author notes, current charity law does not prevent philanthropists—and their organizations—from donating to for-profit private companies, as long as the “grant is used for solely charitable purposes.” Gates, a hands-on leader, oversees donations and their effects, and in 2013, his organization became “the largest single donor” to the World Health Organization. This provides considerable political clout, and experts have questioned the effectiveness of his polio and HIV/AIDS programs abroad. In the U.S., his funds have gone largely to education, but when initiatives are deemed failures and shut down, recipients have little recourse. There is a public interest, as McGoey acknowledges, in both health and education, where accountability and continuity are primary concerns. Private initiative, tainted by corporate entanglement, often lacks accountability and can cause stability to be replaced by personal whims. The author stresses that much good has been accomplished, as well, but questions continue to accumulate.

Picking up the cudgels wielded by Ida Tarbell and her fellow trustbusters, McGoey produces a startling report.

Pub Date: Oct. 20, 2015

ISBN: 978-1-78478-083-8

Page Count: 304

Publisher: Verso

Review Posted Online: Aug. 8, 2015

Kirkus Reviews Issue: Aug. 15, 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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GOOD ECONOMICS FOR HARD TIMES

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.

It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

Pub Date: Nov. 12, 2019

ISBN: 978-1-61039-950-0

Page Count: 432

Publisher: PublicAffairs

Review Posted Online: Aug. 28, 2019

Kirkus Reviews Issue: Sept. 15, 2019

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