A vigorous argument for unified public health measures.
A pointed study of how divisiveness and conflict undermine the nation’s response to disease.
Law professor and legal historian Price offers an authoritative history of America’s flawed responses to epidemics. “Not only does the United States have the most fragmented public health system in the world,” she writes, “but most states retain antiquated public health laws that do not serve us well.” Due to poorly constructed laws and underfunded health agencies, the U.S. responds to pandemics “not as one nation, but as fifty-five smaller nations—the states, territories, and commonwealths that politically subdivide the country.” Responsibility for tuberculosis control, for example, “is divided among 2,684 state, local, and tribal health departments.” Price recounts waves of epidemics in the nation’s early years, when there was no treatment except to isolate the ill. With the discovery of a vaccine for smallpox, local, state, and federal authorities mandated vaccination, although not without controversy. Often, citizens looked for groups to blame, including immigrants, Asians, Mexicans, or even people from other states. In response to yellow fever, “shotgun quarantines” were enforced by militias or deputized volunteers. In 1900, an outbreak of bubonic plague in San Francisco led to the quarantine of the city’s entire Chinatown—a strategy struck down by a federal judge. The rollout of vaccines for Covid-19 echoes what occurred with the vaccine for polio in the 1950s. “Not only was there no patent on the vaccine but there was no plan in place to oversee or coordinate its distribution,” writes Price. “America’s first nationwide vaccination effort was chaotic and politically divisive, as demand for the vaccine outpaced supply.” The author effectively shows how every epidemic has generated tensions about which level of government has the authority to make public health decisions. She recommends a stronger federal role in responding to pandemics, including coordination of the nation’s primary health agencies and nationally funded coverage of the costs of testing and treatment.
A vigorous argument for unified public health measures.Pub Date: May 10, 2022
ISBN: 978-0-8070-4349-3
Page Count: 272
Publisher: Beacon Press
Review Posted Online: Feb. 1, 2022
Kirkus Reviews Issue: March 1, 2022
A short, smart analysis of perhaps the most famous passage in American history reveals its potency and unfulfilled promise.
Words that made a nation.
Isaacson is known for expansive biographies of great thinkers (and Elon Musk), but here he pens a succinct, stimulating commentary on the Founding Fathers’ ode to “life, liberty, and the pursuit of happiness.” His close reading of the Declaration of Independence’s second sentence, published to mark the 250th anniversary of the document’s adoption, doesn’t downplay its “moral contradiction.” Thomas Jefferson enslaved hundreds of people yet called slavery “a cruel war against human nature” in his first draft of the Declaration. All but 15 of the document’s 56 signers owned enslaved people. While the sentence in question asserted “all men are created equal” and possess “unalienable rights,” the Founders “consciously and intentionally” excluded women, Native Americans, and enslaved people. And yet the sentence is powerful, Isaacson writes, because it names a young nation’s “aspirations.” He mounts a solid defense of what ought to be shared goals, among them economic fairness, “moral compassion,” and a willingness to compromise. “Democracy depends on this,” he writes. Isaacson is excellent when explaining how Enlightenment intellectuals abroad influenced the founders. Benjamin Franklin, one of the Declaration’s “five-person drafting committee,” stayed in David Hume’s home for a month in the early 1770s, “discussing ideas of natural rights” with the Scottish philosopher. Also strong is Isaacson’s discussion of the “edits and tweaks” made to Jefferson’s draft. As recommended by Franklin and others, the changes were substantial, leaving Jefferson “distraught.” Franklin, who emerges as the book’s hero, helped establish municipal services, founded a library, and encouraged religious diversity—the kind of civic-mindedness that we could use more of today, Isaacson reminds us.
A short, smart analysis of perhaps the most famous passage in American history reveals its potency and unfulfilled promise.Pub Date: Nov. 18, 2025
ISBN: 9781982181314
Page Count: 80
Publisher: Simon & Schuster
Review Posted Online: Aug. 29, 2025
Kirkus Reviews Issue: Oct. 1, 2025
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
SEEN & HEARD
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
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
PERSPECTIVES
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