A hard-hitting, mostly convincing analysis of endemic problems that will require further intensive study.
A broken nation requires crucial changes.
For the last 50 years, journalist and political analyst Brill (Journalism/Yale Univ.; America’s Bitter Pill: Money, Politics, Back-Room Deals, and the Fight to Fix the Broken Health Care System, 2015, etc.) argues, the United States has been deteriorating. Besides a blighted health care system, the author points to other major problems, including underperforming public schools; outdated mass transit systems and power grids; crumbling bridges, highways, and airports; snowballing income inequality; high infant mortality and low life expectancy when compared with other Western countries; political gridlock; voter cynicism and apathy; and lobbyists’ power over elected officials. He blames “the polarization and paralysis of American democracy” partly on a “new aristocracy of rich knowledge workers,” high-achieving, well-educated individuals who have gravitated to law and finance, inventing financial instruments and corporate legal defenses that fed greed but “deadened incentives for the long-term development and growth of the rest of the economy.” Brill calls these individuals, who want to hold onto their wealth, the “protected,” as opposed to the rest of society, “the unprotected,” who need government to act for the common good. The author offers ample evidence that American democracy is in peril. Less persuasive is his optimism that problems can be solved through the efforts of earnest, sometimes influential individuals. Dennis Kelleher, for example, is president of a nonprofit organization called Better Markets, whose goal is to monitor and influence the financial industry. Max Stier, president and chief executive of the Partnership for Public Service, lobbies for implementation of policy: “the unglamorous challenges of making government work,” which involves training managers, senior civil servants, and deputy secretaries in all cabinet departments. Lawyer Philip Howard is a writer and speaker whose book The Death of Common Sense (1995) became a bestseller. Such individuals’ efforts, however inspiring they are, seem hardly enough to lead to massive overhauls of infrastructure (Brill proposes a gas tax for that) or systemic changes in education and health care.
A hard-hitting, mostly convincing analysis of endemic problems that will require further intensive study.Pub Date: May 29, 2018
ISBN: 978-1-5247-3163-2
Page Count: 464
Publisher: Knopf
Review Posted Online: March 19, 2018
Kirkus Reviews Issue: April 1, 2018
For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.
Pub Date: Jan. 1, 1979
ISBN: 0061965588
Page Count: 772
Publisher: Harper & Row
Review Posted Online: May 26, 2012
Kirkus Reviews Issue: Jan. 1, 1979
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
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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