by Susan Sheehan ‧ RELEASE DATE: Sept. 21, 1984
Kate Quinton is 80 (in 1982), long-widowed, severely arthritic, living in a Brooklyn apartment with her middle-aged single daughter Claire, who suffers from severe back troubles and depression. And social-problem journalist Sheehan (A Welfare Mother, Is There No Place On Earth for Me?) follows, minutely, the wearing days that come when Kate's health fails--requiring mother-and-daughter to turn to flawed, bureaucratic (but improving) social services for help. A serious urinary-tract infection sends Kate to the hospital;after several weeks there she is out of acute danger or distress but frail, unable to walk. What to do? Keeping her in the hospital (which she hates) is a gross waste of Medicare money. If she's low-income enough to go on Medicaid (she is), she can go into a nursing home--an idea she loathes--or get a daily attendant for care at home. So Kate eagerly opts for home--and since the Medicaid help won't come till after weeks of red tape (a notorious N.Y.C. problem), she becomes part of the ""Transitional Community Placement"" (T.C.P.) experiment: home attendants supplied to bridge the time between hospital and Medicaid-funded attendants, Both before and after Medicaid, however, the Caribbean/Hispanic women who arrive (or don't arrive) at the Quintons' apartment are an erratic array--many uncaring, slovenly, lazy, with the better helpers soon finding better jobs. There's also trouble from a nasty woman at the Home Resources Administration--the city office that oversees the Medicaid assistance. But finally Kate ends up with a regular, devoted attendant, her situation stabilized. . . with hopes of walking again by the spring of 1983. As always, Sheehan provides a wealth of precise, accumulating (if not very selective) detail in a neutral, stark, mildly ironic manner--especially effective in suggesting the day-by-day ordeal of the home-attendant parade. The basic social issues--hospital vs. nursing home vs. home care--are made clear. As a personal close-up, however, despite a brief background-chapter on the Quintons family history, this lacks the urgency and appeal of other Sheehan reports: Kate and Claire are a tetchy pair whose quirks remain largely unexplored, their viewpoints accepted with what seems like insufficient skepticism. (One wonders, in particular, about a recurring family quarrel in which Claire's sister emerges as the perennial villain.) And the essentially admirable Sheehan/New Yorker delivery--one simple sentence after another--sometimes becomes precious and sentimental here, children's-book-style. Much less substantial or compelling than Is There No Place on Earth for Me?, then, but a worthy, timely, grim/hopeful report nonetheless.
Pub Date: Sept. 21, 1984
ISBN: N/A
Page Count: -
Publisher: Houghton Mifflin
Review Posted Online: N/A
Kirkus Reviews Issue: Aug. 15, 1984
Categories: NONFICTION
© Copyright 2024 Kirkus Media LLC. All Rights Reserved.
Hey there, book lover.
We’re glad you found a book that interests you!
We can’t wait for you to join Kirkus!
It’s free and takes less than 10 seconds!
Already have an account? Log in.
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Welcome Back!
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Don’t fret. We’ll find you.