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THE PRICE OF EXCLUSION

THE PURSUIT OF HEALTHCARE IN A SEGREGATED NATION

A profoundly moving testament to the courageous Black doctors who fought against institutionalized racism.

A journalist delves into the history of discrimination against Black American MDs as she uncovers the story of her gifted physician great-grandfather.

Fourteen percent of the U.S. population is Black, yet the number of Black doctors is only 5% of all practicing physicians. In this thoughtful, deeply personal book, Carr examines the roots of this century-old problem through a combination of historical and genealogical research. She brings to life the many, often unsung Black physicians who worked against a white-supremacist medical establishment to not only earn their training as doctors but transform an unjust public health system. Among them is her own brilliant Jamaican-born great-grandfather, Lawrence “Fergie” St. Clair Ferguson, whose life she began piecing together at the start of the Covid-19 pandemic. A veteran who experienced British mistreatment as a Black soldier in World War I, Fergie came to the United States during the Spanish flu pandemic to attend Howard Medical School. That institution was one of the few Black medical colleges that remained open after closures both imposed by the Flexner Report and supported by a racist American Medical Association. Fergie eventually returned to Jamaica to open a successful practice and advocate for community hospitals that served the poor and people of color. His teachers and colleagues in the U.S., meanwhile, fought against the segregationist, often violent legacy of Jim Crow. Some defied the odds to create much-needed services and institutions, only to have that legacy erased—a pattern that has in turn created the health care shortfalls that persist in the Black community to this day. Inspiring and sobering, Carr’s book is a necessary reminder of the reforms still needed to ensure diversity and equality in the public health system.

A profoundly moving testament to the courageous Black doctors who fought against institutionalized racism.

Pub Date: June 16, 2026

ISBN: 9780063288126

Page Count: 304

Publisher: Dey Street/HarperCollins

Review Posted Online: May 18, 2026

Kirkus Reviews Issue: June 15, 2026

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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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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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