by Mary Otto ‧ RELEASE DATE: March 14, 2017
A focused, well-researched depiction of the dental industry’s social and cultural relevance and its dire need for reform.
An astute examination of the complex, insular business of oral health care.
Former Washington Post journalist Otto recognizes poor oral hygiene and maintenance as a major public health problem, and she adroitly probes the ramifications of this persistent “silent epidemic of oral disease.” While those in disadvantaged communities cite affordability, accessibility, and shame as factors in their lack of dental care, the opposite can be said for more privileged socio-economic groups, in which vanity and self-consciousness inspire an obsession with teeth bleaching, porcelain veneers, and spatial alignment. “Bad teeth depersonalize the sufferer,” writes the author. “They confer the stigma of economic and even moral failure.” Aside from economic variances, Otto charts the history of American dentistry, including the astronomical educational debt of dental school students and, consequently, why more progressive dental offices are often established within wealthier enclaves. The author meticulously examines the inexplicable fragmentation of oral health from established American health care systems, the increase in emergency room dental visits by uninsured patients, and how unregulated costs, a shortage of free clinics, and plans like Medicaid further isolate poorer populations from obtaining dental care. She also addresses the widely debated medical claim directly connecting oral health to overall health. Otto presents several case studies reflecting the state of the industry, including a young Miss USA pageant contestant’s pursuit of the “Hollywood smile” and the shocking deaths of two young men from untreated dental abscesses. Though the situation is certainly a grim national concern, Otto presents hope via radical initiatives to stave off the flow of dental demand. Still, she implores, prevention and upkeep are paramount, as “people are held personally accountable for the state of their teeth in ways that they are not held accountable for many other health conditions.”A focused, well-researched depiction of the dental industry’s social and cultural relevance and its dire need for reform.
Pub Date: March 14, 2017
Page Count: 304
Publisher: The New Press
Review Posted Online: Jan. 9, 2017
Kirkus Reviews Issue: Feb. 1, 2017
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by Paul Kalanithi ‧ RELEASE DATE: Jan. 19, 2016
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
Page Count: 248
Publisher: Random House
Review Posted Online: Sept. 29, 2015
Kirkus Reviews Issue: Oct. 15, 2015
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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
Page Count: 432
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
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