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DREAMLAND

A compellingly investigated, relentlessly gloomy report on the drug distribution industry.

Discouraging, unflinching dispatches from America’s enduring opiate-abuse epidemic.

Veteran freelance journalist Quinones (Antonio’s Gun and Delfino’s Dream: True Tales of Mexican Migration, 2007, etc.) cogently captures the essence of the festering war on drugs throughout the 1990s. He focuses on the market for black tar heroin, a cheap, potent, semiprocessed drug smuggled into the United States from Nayarit, a state on the Pacific coast of Mexico. The author charts its dissemination throughout American heartland cities like Columbus and Portsmouth, Ohio, home to a huge, family-friendly swimming pool named Dreamland, which closed in 1993, after which opiates “made easy work of a landscape stripped of any communal girding.” Assembling history through varying locales and personal portraits, Quinones follows a palpable trail of heartbreak, misery and the eventual demise of seemingly harmless people “shape-shifted into lying, thieving slaves to an unseen molecule.” The author provides an insider’s glimpse into the drug trade machine, examining the evolution of medical narcotic destigmatization, the OxyContin-heroin correlation and the machinations of manipulative pharmaceutical companies. His profiles include a West Virginia father burying his overdosed son, a diabolically resourceful drug dealer dubbed “the Man,” and “Enrique,” a Mexican citizen who entered the drug trade as a dealer for his uncle at 14. Perhaps most intriguing is the author’s vivid dissection of the “cross-cultural heroin deal,” consisting of an interconnected, hive-minded “retail system” of telephone operators, dealers (popularly known as the “Xalisco Boys”) and customers; everything is efficiently and covertly marketed “like a pizza delivery service” and franchised nationwide with precision. The author’s text, the result of a five-year endeavor of remote research and in-person interviews, offers a sweeping vantage point of the nation’s ever expanding drug problem. Though initially disjointed, these frustrating and undeniably disheartening scenarios eventually dovetail into a disturbing tapestry of abuse, addiction and death. Thankfully, for a fortunate few, rebirth is possible.

A compellingly investigated, relentlessly gloomy report on the drug distribution industry.

Pub Date: April 21, 2015

ISBN: 978-1620402504

Page Count: 384

Publisher: Bloomsbury

Review Posted Online: Jan. 20, 2015

Kirkus Reviews Issue: Feb. 1, 2015

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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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