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HOW WE DO HARM

A DOCTOR BREAKS RANKS ABOUT BEING SICK IN AMERICA

A powerful contribution to the ongoing discussion on health-care reform.

With the assistance of investigative journalist Goldberg (The Final Act: The Dramatic, Revealing Story of the Moscow Helsinki Watch Group, 1988, etc.), Brawley (Medicine/Emory Univ.), chief medical scientific officer of the American Cancer Society, delivers a scathing indictment of the American medical system.

The authors provide solid documentation in support of the case that the American health system is fundamentally flawed, drawing on illustrative examples taken from his own experience as an oncologist as well as his expertise in public health. Brawley presents a shocking conclusion: “The system is not failing. It's functioning exactly as designed,” with “the greedy serving the gluttonous.” While low-income Americans are denied adequate medical care, the wealthy are also poorly served, often paying for unneeded treatments that can have dangerous side effects. The authors describe the case of a man whose experience was not atypical. While receiving chemotherapy as a precaution against cancer following colon surgery, he became too debilitated to work. When he could no longer afford the co-pays, he landed at Atlanta's Grady Hospital, which accepts patients with financial problems. After evaluating the patient's case, Brawley concluded that he was fortunate that his high-priced previous oncologist would no longer treat him, since he had mishandled the chemotherapy. “A negative wallet biopsy may have saved his life,” he writes ironically. Less fortunate was the breast-cancer patient who received a fatal bone-marrow transplant intended to reduce the risk of recurrence— a procedure based on positive data later proved to be fraudulent. Brawley provides citations from a variety of cases—pharmaceuticals that have dangerous side effects, unnecessary treatments for prostate cancer, etc.—including those of misguided patients who demanded excessive treatment and threatened lawsuits if it was denied.

A powerful contribution to the ongoing discussion on health-care reform.

Pub Date: Feb. 1, 2012

ISBN: 978-0-312-67297-3

Page Count: 256

Publisher: St. Martin's

Review Posted Online: Nov. 27, 2011

Kirkus Reviews Issue: Dec. 15, 2011

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NIGHT

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the...

Elie Wiesel spent his early years in a small Transylvanian town as one of four children. 

He was the only one of the family to survive what Francois Maurois, in his introduction, calls the "human holocaust" of the persecution of the Jews, which began with the restrictions, the singularization of the yellow star, the enclosure within the ghetto, and went on to the mass deportations to the ovens of Auschwitz and Buchenwald. There are unforgettable and horrifying scenes here in this spare and sombre memoir of this experience of the hanging of a child, of his first farewell with his father who leaves him an inheritance of a knife and a spoon, and of his last goodbye at Buchenwald his father's corpse is already cold let alone the long months of survival under unconscionable conditions. 

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the sphere of suffering shared, and in this case extended to the death march itself, there is no spiritual or emotional legacy here to offset any reader reluctance.

Pub Date: Jan. 16, 2006

ISBN: 0374500010

Page Count: 120

Publisher: Hill & Wang

Review Posted Online: Oct. 7, 2011

Kirkus Reviews Issue: Jan. 15, 2006

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GENGHIS KHAN AND THE MAKING OF THE MODERN WORLD

A horde-pleaser, well-written and full of surprises.

“The Mongols swept across the globe as conquerors,” writes the appreciative pop anthropologist-historian Weatherford (The History of Money, 1997, etc.), “but also as civilization’s unrivaled cultural carriers.”

No business-secrets fluffery here, though Weatherford does credit Genghis Khan and company for seeking “not merely to conquer the world but to impose a global order based on free trade, a single international law, and a universal alphabet with which to write all the languages of the world.” Not that the world was necessarily appreciative: the Mongols were renowned for, well, intemperance in war and peace, even if Weatherford does go rather lightly on the atrocities-and-butchery front. Instead, he accentuates the positive changes the Mongols, led by a visionary Genghis Khan, brought to the vast territories they conquered, if ever so briefly: the use of carpets, noodles, tea, playing cards, lemons, carrots, fabrics, and even a few words, including the cheer hurray. (Oh, yes, and flame throwers, too.) Why, then, has history remembered Genghis and his comrades so ungenerously? Whereas Geoffrey Chaucer considered him “so excellent a lord in all things,” Genghis is a byword for all that is savage and terrible; the word “Mongol” figures, thanks to the pseudoscientific racism of the 19th century, as the root of “mongoloid,” a condition attributed to genetic throwbacks to seed sown by Mongol invaders during their decades of ravaging Europe. (Bad science, that, but Dr. Down’s son himself argued that imbeciles “derived from an earlier form of the Mongol stock and should be considered more ‘pre-human, rather than human.’ ”) Weatherford’s lively analysis restores the Mongols’ reputation, and it takes some wonderful learned detours—into, for instance, the history of the so-called Secret History of the Mongols, which the Nazis raced to translate in the hope that it would help them conquer Russia, as only the Mongols had succeeded in doing.

A horde-pleaser, well-written and full of surprises.

Pub Date: March 2, 2004

ISBN: 0-609-61062-7

Page Count: 320

Publisher: Crown

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Dec. 1, 2003

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