A compassionate, engrossing story of frustrated hopes and unlikely victories in American health care.
A doctor and professor of medicine adds personal texture to one of the most divisive issues of our time.
As a medical student resident and then hospitalist at Ben Taub Hospital, Houston’s “largest safety-net hospital,” Nuila has witnessed how American health care fails all patients but especially its most vulnerable. In his debut book, the author follows six under- or uninsured patients who are prey to biases and assumptions that fuel impersonal and imprecise care. The stories are revelatory and often heartbreaking—Stephen develops cancer in his tonsils; Roxana is an undocumented immigrant who needs multiple limb amputations; Ebonie is a Black mother navigating a high-risk pregnancy; Geronimo is a green-card holder in desperate need of a liver transplant; Christian is experiencing debilitating knee pain; Aqueria has lost access to medications to manage the HIV she was born with—and they all clearly demonstrate the woeful inadequacies of health insurance coverage in the U.S. Nuila, a skilled writer whose work has appeared in the New Yorker, Guernica, and other publications, shifts elegantly between these narratives and his personal story of following his calling to Ben Taub as well as a lucid study of America’s decline into what he terms “Medicine Inc.” Throughout, the author’s lyricism and empathy defy both typical medical journalism and the reduction of patient care to the management of charts and bills. Nuila’s complete, deeply personal dedication to his content and his exceptional command of prose allow him to translate the mercy, authority, and sense of urgency that patients want at their bedsides and citizens want in policy debates. In the author’s hands, Ben Taub Hospital becomes a beacon of light that brings health care back to the realm of the personal, resisting the failures of partisan imagination and offering space for pioneering medicine and personal triumph.
A compassionate, engrossing story of frustrated hopes and unlikely victories in American health care.Pub Date: March 28, 2023
ISBN: 9781501198045
Page Count: 368
Publisher: Scribner
Review Posted Online: Jan. 11, 2023
Kirkus Reviews Issue: Feb. 1, 2023
PERSPECTIVES
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
SEEN & HEARD
An unflinching self-portrait.
The tumultuous life of a bisexual, autistic comic.
In her debut memoir, Scottish comedian Brady recounts the emotional turmoil of living with undiagnosed autism. “The public perception of autistics is so heavily based on the stereotype of men who love trains or science,” she writes, “that many women miss out on diagnosis and are thought of as studious instead.” She was nothing if not studious, obsessively focused on foreign languages, but she found it difficult to converse in her own language. From novels, she tried to gain “knowledge about people, about how they spoke to each other, learning turns of phrase and metaphor” that others found so familiar. Often frustrated and overwhelmed by sensory overload, she erupted in violent meltdowns. Her parents, dealing with behavior they didn’t understand—including self-cutting—sent her to “a high-security mental hospital” as a day patient. Even there, a diagnosis eluded her; she was not accurately diagnosed until she was 34. Although intimate friendships were difficult, she depicts her uninhibited sexuality and sometimes raucous affairs with both men and women. “I grew up confident about my queerness,” she writes, partly because of “autism’s lack of regard for social norms.” While at the University of Edinburgh, she supported herself as a stripper. “I liked that in a strip club men’s contempt of you was out in the open,” she admits. “In the outside world, misogyny was always hovering in your peripheral vision.” When she worked as a reporter for the university newspaper, she was assigned to try a stint as a stand-up comic and write about it; she found it was work she loved. After “about a thousand gigs in grim little pubs across England,” she landed an agent and embarked on a successful career. Although Brady hopes her memoir will “make things feel better for the next autistic or misfit girl,” her anger is as evident as her compassion.
An unflinching self-portrait.Pub Date: June 6, 2023
ISBN: 9780593582503
Page Count: 288
Publisher: Harmony
Review Posted Online: March 10, 2023
Kirkus Reviews Issue: April 1, 2023
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