by Nicholas Freudenberg ‧ RELEASE DATE: March 1, 2021
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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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
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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by Abhijit V. Banerjee & Esther Duflo ‧ RELEASE DATE: Nov. 12, 2019
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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