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RETHINKING LIFE AND DEATH

THE COLLAPSE OF OUR TRADITIONAL ETHICS

The doctrine of the sanctity of human life is in deep trouble, claims Australian philospher Singer (The Expanding Circle: Ethics and Sociobiology, 1981, etc.), who gives his own clear ideas of what should replace it in this decidedly provocative work. With crisp, dramatic tales involving brain-dead bodies, anencephalic infants, people in persistent vegetative states or with agonizing terminal illnesses, and other now-familiar hospital scenarios, Singer asserts that modern medical practice has become incompatible with a belief in the equal value of all human life. He argues that the ethical problems such situations pose would be simplified if we would only abandon our outdated thinking about life and death. He presents five commandments of what he calls the old ethic and suggests how they might be rewritten. In his scheme, the first, "Treat all human life as of equal worth," becomes "Recognize that the worth of human life varies"; the second, "Never intentionally take innocent human life," becomes "Take responsibility for the consequences of your actions." The third and fourth express Singer's views that people have the right to end their own lives and that unwanted children should not be brought into the world. All of these will trigger outrage in various quarters, but perhaps most provocative is his fifth revision: "Treat all human life as always more precious than any nonhuman life" becomes "Do not discriminate on the basis of species." A founder of the Animal Rights Movement, Singer argues that the right to life properly belongs not to Homo sapiens but to persons, by which he means those beings that possess self-awareness. In this view, an embryo or someone in an irreversible coma is clearly not a person, but a gorilla or a baboon is. Singer can't quite figure out how to regard newborn humans, but he gives infanticide a serious look before backing off. By going to the very core of our beliefs about life, Singer has created just about as controversial a book as possible.

Pub Date: April 1, 1995

ISBN: 0312144016

Page Count: 288

Publisher: St. Martin's

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Feb. 15, 1995

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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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GOOD ECONOMICS FOR HARD TIMES

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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