An important account of medicine’s role in a world in crisis.
A behind-the-scenes look at the nascent field of humanitarian medicine as it has evolved in recent years of civil wars, famines, tsunamis, and other natural and man-made disasters.
Since 1990, world conflicts and refugee crises have spurred the growth of a massive force of humanitarian aid workers—some 275,000 individuals with the United Nations and NGOs, most of whom lack the formal training needed to deal with complex events like the catastrophic 2010 Haiti earthquake. In that 25-year period, more than 1,000 aid workers were killed in attacks on hospitals, medical staff, and civilian patients. VanRooyen, a professor at Harvard Medical School and the co-founder and director of the Harvard Humanitarian Initiative, came of age professionally in the fields of emergency medicine and humanitarian medicine, which are the focus of this fascinating debut. “What the emergency room is to Detroit, Chicago, and Baltimore, humanitarian medical relief is to the world’s crisis zones,” he writes. Whether in an unstable inner city or a failed state, doctors provide a safety net of emergency health care for people with critical needs. The author recounts his experiences on the ground as an emergency physician in Bosnia, Chad, the Congo, Haiti, Somalia, and many other countries and how he and like-minded colleagues have sought to professionalize humanitarian efforts, which have frequently been criticized as uncoordinated and wasteful. (The Haitian relief effort was a “humanitarian free-for-all,” he writes, involving novice agencies, inexperienced surgical teams, and “disaster tourists.”) In 2005, VanRooyen and others established the Harvard Humanitarian Initiative, a first-of-its-kind, universitywide effort to pursue research, training, and innovative approaches to humanitarian aid that could be leveraged to achieve policy changes. Despite the subtitle, the author devotes relatively little attention to the increasing dangers facing aid workers, focusing mainly on the need to establish rigorous standards for the field in order to prevent the malnutrition and infectious diseases that are the biggest killers in communities in conflict.
An important account of medicine’s role in a world in crisis.Pub Date: April 19, 2016
ISBN: 978-1-250-07212-2
Page Count: 224
Publisher: St. Martin's
Review Posted Online: Feb. 15, 2016
Kirkus Reviews Issue: March 1, 2016
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
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
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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