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OUT OF TIME

THE PLEASURES AND PERILS OF AGEING

Segal refers to multiple cultural touchstones in service of her writing; this book should become a touchstone itself for...

Extended meditations on aging.

Segal (Psychology and Gender Studies/Birkbeck, Univ. of London; Making Trouble: Life and Politics, 2008, etc.) opens this memoir/essay collection by admitting that the concept of aging, and of considering one’s place in the world through the increasingly foggy lens of old age, stirs anxiety and even fear. We spend our youthful years moving through the world, trying to construct the “self” we want to present to our peers, and then we spend our older years pining for that youth, trying to hold on to all of its attributes. Segal questions whether there is a way to place positive value on the attributes of old age without paradoxically strong-arming the questions of physical health, mental integrity and the labyrinth of feeling young/looking old. The author explores the thorny questions of dependency, but she goes deeper than just the idea of the reversal of caregiving duties; she explores avenues of dependency, what it can mean in positive and negative terms for those roles to change, and how it never seems to be truly one way or another, except at birth and then at the parent’s advanced old age. Segal walks us through a lively outline of the history of how culture(s) looks at aging, with stories rendering evil as unattractive and old, goodness as beautiful and young. It comprises only a small part of the book, though, as the author’s primary concern is the inner workings of the psyche as age progresses; matters of ageism, relationships changing shape over the years and shifting responses of resistance to death—all these topics and more find voice in this powerful narrative.

Segal refers to multiple cultural touchstones in service of her writing; this book should become a touchstone itself for those interested in aging.

Pub Date: Nov. 15, 2013

ISBN: 978-1-78168-139-8

Page Count: 320

Publisher: Verso

Review Posted Online: Sept. 24, 2013

Kirkus Reviews Issue: Oct. 15, 2013

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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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