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AT WHAT COST

MODERN CAPITALISM AND THE FUTURE OF HEALTH

A grim, well-researched case that capitalism is wildly dysfunctional but that reform is possible, if not imminent.

A study of the disastrous collision of capitalism and public health.

Capitalism gives off a fusty air, so many leaders prefer the term free market to describe the system that dominates global economies—and whose flaws are no secret to scholars, including Freudenberg, an expert on public health policy. Since the peak of the so-called “welfare state” in the 1960s, writes the author, the U.S. has adopted neoliberalism, whose strategies of deregulation, tax cuts, privatization, and austerity grant capital markets supreme authority. After the introduction, Freudenberg presents six long chapters on the dismal state of what he calls “the pillars of health.” Our global food system has largely eliminated famine, replacing it with an epidemic of overnutrition, obesity, and diet-related diseases, the result of an avalanche of low-quality, superprocessed, calorie-dense quasi-foods. Education leads to better health, but declining government support has led to an explosion of private enterprise. Charter schools suck money from public funds with the promise of a cheaper, better product, but they have not delivered. For-profit colleges verge on scams, and adolescents are becoming addicted to their electronic devices at the expense of human interaction, a situation that causes depression and anxiety. In the sole chapter that focuses exclusively on health care, the author discusses the war on cancer. He shows how pharmaceutical companies, in their obsessive search for a “blockbuster drug,” churn out wildly expensive chemotherapeutics that may or may not prolong life a few months. In his conclusion, Freudenberg works hard to project optimism. Unions remain moribund, but low-paid workers continue to organize to press for better conditions; others have launched cooperative business ventures. Though the federal government is consistently gridlocked, the author describes state and city programs that provide child care, family leave, affordable public transportation, and living wages. Ultimately, these efforts must coalesce into a mass movement with political clout, and Freudenberg remains hopeful.

A grim, well-researched case that capitalism is wildly dysfunctional but that reform is possible, if not imminent.

Pub Date: March 1, 2021

ISBN: 978-0-19-007862-1

Page Count: 392

Publisher: Oxford Univ.

Review Posted Online: Nov. 23, 2020

Kirkus Reviews Issue: Dec. 15, 2020

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FOOTBALL

A smart, rewarding consideration of football’s popularity—and eventual downfall.

A wide-ranging writer on his football fixation.

Is our biggest spectator sport “a practical means for understanding American life”? Klosterman thinks so, backing it up with funny, thought-provoking essays about TV coverage, ethical quandaries, and the rules themselves. Yet those who believe it’s a brutal relic of a less enlightened era need only wait, “because football is doomed.” Marshalling his customary blend of learned and low-culture references—Noam Chomsky, meet AC/DC—Klosterman offers an “expository obituary” of a game whose current “monocultural grip” will baffle future generations. He forecasts that economic and social forces—the NFL’s “cultivation of revenue,” changes in advertising, et al.—will end its cultural centrality. It’s hard to imagine a time when “football stops and no one cares,” but Klosterman cites an instructive precedent. Horse racing was broadly popular a century ago, when horses were more common in daily life. But that’s no longer true, and fandom has plummeted. With youth participation on a similar trajectory, Klosterman foresees a time when fewer people have a personal connection to football, rendering it a “niche” pursuit. Until then, the sport gives us much to consider, with Klosterman as our well-informed guide. Basketball is more “elegant,” but “football is the best television product ever,” its breaks between plays—“the intensity and the nothingness,” à la Sartre—provide thrills and space for reflection or conversation. For its part, the increasing “intellectual density” of the game, particularly for quarterbacks, mirrors a broader culture marked by an “ongoing escalation of corporate and technological control.” Klosterman also has compelling, counterintuitive takes on football gambling, GOAT debates, and how one major college football coach reminds him of “Laura Ingalls Wilder’s much‑loved Little House novels.” A beloved sport’s eventual death spiral has seldom been so entertaining.

A smart, rewarding consideration of football’s popularity—and eventual downfall.

Pub Date: Jan. 20, 2026

ISBN: 9780593490648

Page Count: 304

Publisher: Penguin Press

Review Posted Online: Oct. 24, 2025

Kirkus Reviews Issue: Dec. 1, 2025

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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