Of considerable interest to health policymakers and public-safety officials as well as students of epidemic disease.
The former commissioner of the Food and Drug Administration assesses the systemic failures underlying the world response to the Covid-19 pandemic.
Numerous public entities within the federal government, writes Gottlieb, are charged with preparing for the outbreak of epidemic diseases. Most of their energies were directed toward fighting the flu. “The federal government started off in a weak position, with plans that were ill suited to countering a coronavirus,” writes the author. “This mismatch between the scenarios we drilled for and the reality that we faced left us unprepared. Poor execution turned it into a public health tragedy.” It took time, of course, to recognize fully that Covid-19 spread through a handful of “superspreaders” and mostly indoors in areas that were both crowded and poorly ventilated—the White House during Trump’s frequent self-congratulatory public events, for one. Trump, Gottlieb makes clear, bears plenty of responsibility for the government’s inadequate response, as do lieutenants who politicized the Centers for Disease Control and Prevention, suppressed information, and followed Trump’s lead in rejecting mask-wearing and other safety measures. “The president could have found a middle ground on masks,” Gottlieb writes. “His message could have been: We don’t need mandates….However, we’re going to act responsibly and wear masks.” The author argues that even under different leadership, the response would likely have been little better, at least in part because there is not enough coordination among agencies. He urges that preparation for pandemics be considered a part of national security, with the Pentagon fully involved and with a system that works its way around informed consent “to address a public health emergency” so that data is quickly shared. Moreover, he argues that testing procedures be standardized, as they are not now, with a full inventory of equipment in both public and private hands. These and other measures are urgently needed: If Covid-19 was the worst pandemic in recent history, “it won’t be the last.”
Of considerable interest to health policymakers and public-safety officials as well as students of epidemic disease.Pub Date: Sept. 21, 2021
ISBN: 978-0-06-308001-0
Page Count: 480
Publisher: Harper/HarperCollins
Review Posted Online: July 14, 2021
Kirkus Reviews Issue: Aug. 1, 2021
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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