A detailed and innovative blueprint for fixing what ails American medicine.
Time to radically revamp the American health care system in light of the flawed response to the Covid-19 pandemic and many other dysfunctions, argues this sweeping manifesto.
Kapur, a public policy professor at the University of Maryland College Park, and debut author Chalil, a physician and chairman of the Indo American Press Club, start by noting medical difficulties faced by the United States during the Covid-19 pandemic. These include shortages of masks, personal protective equipment, and ventilators; mass layoffs that caused people to lose their insurance; and bankruptcies among some hospitals that suspended elective procedures to make way for virus cases. They continue with a wide-ranging critique of American medicine, spotlighting its higher costs and poorer health outcomes compared to other developed countries; the lack of accessibility of needy and uninsured patients; shortages of hospitals, doctors, and nurses; and the pressure on providers to improve profits by cutting corners and to defend against malpractice suits with unnecessary tests. To remedy these problems, the authors propose a “Grand Plan To Restructure Healthcare in the U.S.” with a mix of public provisions and market-based competition. They envision a “SafetyNet” of public county hospitals providing basic care to all regardless of insurance or ability to pay. A second system of private hospitals, providers, and insurance, funded by “Enhanced Health Savings Accounts,” would run in parallel and compete in price and quality in a national and global market, with medical services advertised like groceries, complete with coupons. Other plan features include a unitary electronic medical record, caps on malpractice damages, a Comprehensive Consumer Healthcare Score that awards points for healthy lifestyles that could lower insurance rates, initiatives to train more health care professionals, a National Strategic Healthcare Reserve of emergency supplies, and new technologies, from online diagnosis to medical robots.
Kapur and Chalil present their case for far-reaching reforms of American health care in lucid prose that has an incisive bite. (“Calling it a healthcare system is a misnomer. It is a disease-care system, one that focuses on diagnosing and treating symptoms instead of taking on the job of educating individuals and families to take a proactive approach to their health.”) But the book suffers from a meandering, repetitive structure and an occasional lack of focus and rigor; it pursues tangents that some readers may consider dubious, like a brief for traditional Indian ayurvedic healing as an adjunct to Western medicine; and it sometimes gets facts wrong. (The 1918 Spanish flu did not kill “a third of the world’s population”—mortality was between 1% and 6%—and British Prime Minister Boris Johnson did not “support a herd immunity theory until he was hospitalized with the COVID-19 virus”; he imposed a national lockdown to prevent contagion on March 20, 2020, seven days before he tested positive.) The authors’ plan is something of a hodgepodge, with myriad moving parts to achieve many disparate goals, and it’s hazy on some important points, like the costs and funding mechanisms of the public SafetyNet hospitals. Still, Kapur and Chalil manage to steer clear of the dogmas of the right and left to offer a thoughtful, cogent analysis of the manifold problems in the U.S. health care establishment and a wealth of concrete proposals for dealing with them.
A detailed and innovative blueprint for fixing what ails American medicine.Pub Date: Oct. 5, 2020
ISBN: 978-1-7359048-0-1
Page Count: 276
Publisher: TheUNN Corporation
Review Posted Online: Feb. 8, 2021
Kirkus Reviews Issue: March 15, 2021
Review Program: Kirkus Indie
A dauntless, moving account of a kidnapping and the horrors that followed.
Enduring the unthinkable.
This memoir—the first by an Israeli taken captive by Hamas on October 7, 2023—chronicles the 491 days the author was held in Gaza. Confined to tunnels beneath war-ravaged streets, Sharabi was beaten, humiliated, and underfed. When he was finally released in February, he learned that Hamas had murdered his wife and two daughters. In the face of scarcely imaginable loss, Sharabi has crafted a potent record of his will to survive. The author’s ordeal began when Hamas fighters dragged him from his home, in a kibbutz near Gaza. Alongside others, he was held for months at a time in filthy subterranean spaces. He catalogs sensory assaults with novelistic specificity. Iron shackles grip his ankles. Broken toilets produce an “unbearable stink,” and “tiny white worms” swarm his toothbrush. He gets one meal a day, his “belly caving inward.” Desperate for more food, he stages a fainting episode, using a shaving razor to “slice a deep gash into my eyebrow.” Captors share their sweets while celebrating an Iranian missile attack on Israel. He and other hostages sneak fleeting pleasures, finding and downing an orange soda before a guard can seize it. Several times, Sharabi—51 when he was kidnapped—gives bracing pep talks to younger compatriots. The captives learn to control what they can, trading family stories and “lift[ing] water bottles like dumbbells.” Remarkably, there’s some levity. He and fellow hostages nickname one Hamas guard “the Triangle” because he’s shaped like a SpongeBob SquarePants character. The book’s closing scenes, in which Sharabi tries to console other hostages’ families while learning the worst about his own, are heartbreaking. His captors “are still human beings,” writes Sharabi, bravely modeling the forbearance that our leaders often lack.
A dauntless, moving account of a kidnapping and the horrors that followed.Pub Date: Oct. 7, 2025
ISBN: 9780063489790
Page Count: 208
Publisher: Harper Influence/HarperCollins
Review Posted Online: Aug. 15, 2025
Kirkus Reviews Issue: Sept. 15, 2025
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
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