A detailed and innovative blueprint for fixing what ails American medicine.
Awards & Accolades
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
Page Count: 276
Publisher: TheUNN Corporation
Review Posted Online: Feb. 8, 2021
Kirkus Reviews Issue: March 15, 2021
Review Program: Kirkus Indie
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A wide-ranging collection of testaments to what moves the heart.
Black Americans declare their love.
This anthology brings together dozens of love letters by prominent Black Americans. The entries, interspersed with illustrations, address an eclectic mix of topics arranged under five categories: Care, Awe, Loss, Ambivalence, and Transformation. In their introduction, editors Brown and Johnson note the book’s inspiration in the witnessing of violence directed at Black America. Reckonings with outrage and grief, they explain, remain an urgent task and a precondition of creating and sustaining loving bonds. The editors seek to create “a site for our people to come together on the deepest, strongest emotion we share” and thus open “the possibility for shared deliverance” and “carve out a space for healing, together.” This aim is powerfully realized in many of the letters, which offer often poignant portrayals of where redemptive love has and might yet be found. Among the most memorable are Joy Reid’s “A Love Letter to My Hair,” a sensitive articulation of a hard-won sense of self-love; Morgan Jerkins’ “Dear Egypt,” an exploration of a lifelong passion for an ancient world; and VJ Jenkins’ “Pops and Dad,” an affirmation that it “is beautiful to be Black, to be a man, and to be gay.” Tracey Michae’l Lewis-Giggetts’ “Home: A Reckoning” is particularly thoughtful and incisive in its examination of a profound attachment, “in the best and worst ways,” to Louisville, Kentucky. Most of the pieces pair personal recollections with incisive cultural commentary. The cumulative effect of these letters is to set forth a panorama of opportunities for maintaining the ties that matter most, especially in the face of a cultural milieu that continues to produce virulent forms of love’s opposite. Other contributors include Nadia Owusu, Jamila Woods, Ben Crump, Eric Michael Dyson, Kwame Dawes, Jenna Wortham, and Imani Perry.A wide-ranging collection of testaments to what moves the heart.
Pub Date: Oct. 24, 2023
Page Count: 240
Publisher: Get Lifted Books/Zando
Review Posted Online: June 29, 2023
Kirkus Reviews Issue: Aug. 1, 2023
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by Matthew Desmond ‧ RELEASE DATE: March 21, 2023
A clearly delineated guide to finally eradicate poverty in America.
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New York Times Bestseller
A thoughtful program for eradicating poverty from the Pulitzer Prize–winning author of Evicted.
“America’s poverty is not for lack of resources,” writes Desmond. “We lack something else.” That something else is compassion, in part, but it’s also the lack of a social system that insists that everyone pull their weight—and that includes the corporations and wealthy individuals who, the IRS estimates, get away without paying upward of $1 trillion per year. Desmond, who grew up in modest circumstances and suffered poverty in young adulthood, points to the deleterious effects of being poor—among countless others, the precarity of health care and housing (with no meaningful controls on rent), lack of transportation, the constant threat of losing one’s job due to illness, and the need to care for dependent children. It does not help, Desmond adds, that so few working people are represented by unions or that Black Americans, even those who have followed the “three rules” (graduate from high school, get a full-time job, wait until marriage to have children), are far likelier to be poor than their White compatriots. Furthermore, so many full-time jobs are being recast as contracted, fire-at-will gigs, “not a break from the norm as much as an extension of it, a continuation of corporations finding new ways to limit their obligations to workers.” By Desmond’s reckoning, besides amending these conditions, it would not take a miracle to eliminate poverty: about $177 billion, which would help end hunger and homelessness and “make immense headway in driving down the many agonizing correlates of poverty, like violence, sickness, and despair.” These are matters requiring systemic reform, which will in turn require Americans to elect officials who will enact that reform. And all of us, the author urges, must become “poverty abolitionists…refusing to live as unwitting enemies of the poor.” Fortune 500 CEOs won’t like Desmond’s message for rewriting the social contract—which is precisely the point.A clearly delineated guide to finally eradicate poverty in America.
Pub Date: March 21, 2023
Page Count: 288
Review Posted Online: Nov. 30, 2022
Kirkus Reviews Issue: Jan. 1, 2023
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