An intensive, mindful critique of modern health care that confronts its flaws and proposes solutions.
A report on the complex social and economic issues that are hindering significant patient health care reforms.
Physician and former chief medical officer for Centria Healthcare Merahn’s collection of insightful essays focuses on his view that improvements to health care networks should be a “social imperative” in order to sustain educational and economic progress and avoid systemic inequities. The source of Merahn’s frustration stems from inaction from decision-makers and medical professionals to embrace patient-focused methods of care delivery. He sees health care as a critical necessity—one that’s battered by the forces of economic instability, racial injustice, unconscious bias, politics, and free market capitalist dynamics. Merahn’s research discovered many health care professionals who felt disconnected from their peers and lacking strategies to repair the devaluation of their occupation. The author takes a broad view of his subject, astutely examining the history of American health care and how it’s been incrementally destabilized by “those with less selfless and less generous agendas”; he also addresses how it’s been defined by revenue economics rather than by a philosophy of delivering quality communitywide care. The author writes that although the Covid-19 pandemic has successfully and swiftly mobilized crisis teams across the globe and, in most cases, amply supplied them with the resources they need, it’s also exposed a glaring lack of equitable access to care due in part to systemic racism. He notes that the crisis has also alarmingly revealed a distinct population with “deficient scientific literacy.”
Driven by what he perceives to be glaring systemic inadequacies, Merahn intelligently outlines an evolutionary plan that includes fundamental improvements in clinicians’ financial stability, an organizational restructuring of the care delivery system, and a revised vision of the kind of coverage and support that the American system should be providing. The author leaves little room for doubt that quality health care is urgently needed by everyone and that the system’s goals have, over time, become derailed by the desire for profit and are in need of a remedy that isn’t solely based on “how we pay for care" and is "more about how we plan for care.” Merahn advocates for increased human connection and noncategorical approaches to illness that, in his view, would “transcend diagnoses and acknowledge the power of emotion in influencing interactions in relationships.” Improved attention to patient dignity, integrity, and privacy are also key to this restructuring, he notes. The major thrust of his argument is based on the belief that health care should be free of doubt and confusion; because it’s become mired in these states, there needs to be a redesign and focused return to a “whole-person” frame of mind. Although the author’s medical industry rhetoric and densely rationalized arguments may sometimes be difficult for readers outside of clinical settings to grasp, his impassioned demands for change are unwaveringly convincing. Merahn’s persuasive call for action advocates for no less than an overhaul—one that redirects attention away from “networks of self-interest embedded throughout the healthcare ecosystem.”
An intensive, mindful critique of modern health care that confronts its flaws and proposes solutions.Pub Date: Nov. 10, 2021
ISBN: 978-1-7359415-2-3
Page Count: 149
Publisher: Conversation Publishing
Review Posted Online: Aug. 17, 2021
Kirkus Reviews Issue: Oct. 15, 2021
Review Program: Kirkus Indie
A scattershot exercise in preaching to the choir.
A British journalist fulminates against Black Lives Matter, critical race theory, and other threats to White privilege.
“There is an assault going on against everything to do with the Western world—its past, present, and future.” So writes Spectator associate editor Murray, whose previous books have sounded warnings against the presumed dangers of Islam and of non-Western immigration to the West. As the author argues, Westerners are supposed to take in refugees from Africa, Asia, and Latin America while being “expected to abolish themselves.” Murray soon arrives at a crux: “Historically the citizens of Europe and their offspring societies in the Americas and Australasia have been white,” he writes, while the present is bringing all sorts of people who aren’t White into the social contract. The author also takes on the well-worn subject of campus “wokeness,” a topic of considerable discussion by professors who question whether things have gone a bit too far; indeed, the campus is the locus for much of the anti-Western sentiment that Murray condemns. The author’s arguments against reparations for past damages inflicted by institutionalized slavery are particularly glib. “It comes down to people who look like the people to whom a wrong was done in history receiving money from people who look like the people who may have done the wrong,” he writes. “It is hard to imagine anything more likely to rip apart a society than attempting a wealth transfer based on this principle.” Murray does attempt to negotiate some divides reasonably, arguing against “exclusionary lines” and for Henry Louis Gates Jr.’s call for a more vigorous and welcoming civil culture. Too often, however, the author falters, as when he derides Gen. Mark Milley for saying, “I want to understand white rage. And I’m white”—perhaps forgetting the climacteric White rage that Milley monitored on January 6, 2021.
A scattershot exercise in preaching to the choir.Pub Date: April 26, 2022
ISBN: 978-0-06-316202-0
Page Count: 320
Publisher: Broadside Books/HarperCollins
Review Posted Online: May 4, 2022
BOOK REVIEW
A powerful guide to national reconciliation.
In this nonfiction book, an activist and scholar shares strategies for peace and reconciliation based on her experiences in West Africa.
More than a decade ago, Hoffman listened to her internal “soul-whispers” calling her to help facilitate peace in civil war–torn Sierra Leone. Drawing from her successful collaboration with local activists, she not only provides a contemporary history of a successful West African peace movement, but also offers a tested strategy for national reconciliation. “The answers are there,” as the book’s title suggests, if only people heed the “larger whispering echoing through our world—a part of our collective, unconscious, awakening, wanting us to listen and receive.” Indeed, listening lies at the center of the volume’s strategy. Fifteen years ago, Hoffman co-founded the nongovernmental organization Fambul Tok with John Caulker, a human rights activist from Sierra Leone. Meaning Family Talk in Krio, Fambul Tok centered on the voices and perspectives of those directly impacted by the nation’s civil war. The organization facilitated more than 200 “tradition-based community bonfire ceremonies of truth-telling, apology, and forgiveness,” involving more than 2,500 villages, 4,500 speakers, and over 150,000 witnesses. Though these events required Sierra Leone to confront “difficult truths,” they became the “taproot…of community healing” and are featured not only in this book, but also in Hoffman’s award-winning 2011 documentary, Fambul Tok. To the author, a former political science professor, they also reveal an alternative solution to Western involvement in Africa, which has traditionally manifested as a top-down, money-centered approach that failed to tap into the “real reasons for peace—healthy and whole communities.” While the volume could have used visual aids like maps and photographs, its account carefully balances an astute scholarly analysis of African geopolitics and Western aid with an intimate portrayal of Sierra Leone’s citizenry. With forewords by the country’s current minister of state in the Office of Vice President and the British director of the Institute for State Effectiveness as well as an afterword by Caulker, this volume has much to teach about the ways in which Western organizations and activists can effect positive global change through humility, listening, and empowering local communities.
A powerful guide to national reconciliation.Pub Date: Oct. 25, 2022
ISBN: 979-8-9862030-1-0
Page Count: 313
Publisher: Blue Chair Press
Review Posted Online: Oct. 13, 2022
Review Program: Kirkus Indie
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