An engrossing, scholarly study that paints a sobering health care picture.
An economist offers an exhaustive condemnation of the American health care system in this nonfiction book.
With more than four decades of experience in health and retirement benefit plans, Schieber has an in-depth understanding of health care in America. In this voluminous, painstakingly researched work, he provides a historical perspective and current evaluation of the inner workings of the health care system, drawing on his own original explorations and other sources. His negative perspective is obvious: Part 1 is titled “Healthcare USA: A Cancer on the American Dream,” and Part 2 addresses “The Healthcare Provider Market and Exploitation of the Vulnerable.” In both parts, Schieber methodically dissects American health care, peppering readers with a dizzying array of facts and a wealth of statistical tables to support his argument. Part 1 examines health care in light of economic conditions from the 1980s through the 2010s. The controversial and highly politicized Affordable Care Act of 2010, aka Obamacare, does not escape the author’s critical eye. Schieber writes that while it did “improve access to care for many lower-income individuals and families,” the ACA “has provided little relief from excessive health care costs for people with employer-sponsored health insurance.” Part 2 delivers a bleak assessment of America’s health care costs at the provider level, taking into consideration hospitals, physicians, and pharmaceuticals. Schieber is at his best when referring to specific examples, such as his analysis of the development and pricing of insulin. In this part, the author notes that higher health costs are the result of more than just pricing issues; rather, he writes, they involve “widespread failure by almost every component” of the “health-industrial complex.” In Part 3, Schieber cites a 1975 study to dramatize the fact that the American health care system has basically not improved much since then. He recounts encouraging examples, such as Maryland’s testing of an alternative all-payer health program over five decades, as well as systems like Kaiser Permanente that are attempting to control costs. Still, it seems the primary purpose of this absorbing book is to indict American health care rather than propose specific solutions.
An engrossing, scholarly study that paints a sobering health care picture.Pub Date: Jan. 11, 2023
ISBN: 9781667878942
Page Count: 428
Publisher: BookBaby
Review Posted Online: Jan. 11, 2023
Review Program: Kirkus Indie
BOOK REVIEW
A dauntless, moving account of a kidnapping and the horrors that followed.
Enduring the unthinkable.
This memoir—the first by an Israeli taken captive by Hamas on October 7, 2023—chronicles the 491 days the author was held in Gaza. Confined to tunnels beneath war-ravaged streets, Sharabi was beaten, humiliated, and underfed. When he was finally released in February, he learned that Hamas had murdered his wife and two daughters. In the face of scarcely imaginable loss, Sharabi has crafted a potent record of his will to survive. The author’s ordeal began when Hamas fighters dragged him from his home, in a kibbutz near Gaza. Alongside others, he was held for months at a time in filthy subterranean spaces. He catalogs sensory assaults with novelistic specificity. Iron shackles grip his ankles. Broken toilets produce an “unbearable stink,” and “tiny white worms” swarm his toothbrush. He gets one meal a day, his “belly caving inward.” Desperate for more food, he stages a fainting episode, using a shaving razor to “slice a deep gash into my eyebrow.” Captors share their sweets while celebrating an Iranian missile attack on Israel. He and other hostages sneak fleeting pleasures, finding and downing an orange soda before a guard can seize it. Several times, Sharabi—51 when he was kidnapped—gives bracing pep talks to younger compatriots. The captives learn to control what they can, trading family stories and “lift[ing] water bottles like dumbbells.” Remarkably, there’s some levity. He and fellow hostages nickname one Hamas guard “the Triangle” because he’s shaped like a SpongeBob SquarePants character. The book’s closing scenes, in which Sharabi tries to console other hostages’ families while learning the worst about his own, are heartbreaking. His captors “are still human beings,” writes Sharabi, bravely modeling the forbearance that our leaders often lack.
A dauntless, moving account of a kidnapping and the horrors that followed.Pub Date: Oct. 7, 2025
ISBN: 9780063489790
Page Count: 208
Publisher: Harper Influence/HarperCollins
Review Posted Online: Aug. 15, 2025
Kirkus Reviews Issue: Sept. 15, 2025
A powerful reiteration of principles—and some fresh ideas—from the longest-serving independent in congressional history.
Another chapter in a long fight against inequality.
Building on his Fighting Oligarchy tour, which this year drew 280,000 people to rallies in red and blue states, Sanders amplifies his enduring campaign for economic fairness. The Vermont senator offers well-timed advice for combating corruption and issues a robust plea for national soul-searching. His argument rests on alarming data on the widening wealth gap’s impact on democracy. Bolstered by a 2010 Supreme Court decision that removed campaign finance limits, “100 billionaire families spent $2.6 billion” on 2024 elections. Sanders focuses on the Trump administration and congressional Republicans, describing their enactment of the “Big Beautiful Bill,” with its $1 trillion in tax breaks for the richest Americans and big social safety net cuts, as the “largest transfer of wealth” in living memory. But as is his custom, he spreads the blame, dinging Democrats for courting wealthy donors while ignoring the “needs and suffering” of the working class. “Trump filled the political vacuum that the Democrats created,” he writes, a resonant diagnosis. Urging readers not to surrender to despair, Sanders offers numerous legislative proposals. These would empower labor unions, cut the workweek to 32 hours, regulate campaign spending, reduce gerrymandering, and automatically register 18-year-olds to vote. Grassroots supporters can help by running for local office, volunteering with a campaign, and asking educators how to help support public schools. Meanwhile, Sanders asks us “to question the fundamental moral values that underlie” a system that enables “the top 1 percent” to “own more wealth than the bottom 93 percent.” Though his prose sometimes reads like a transcribed speech with built-in applause lines, Sanders’ ideas are specific, clear, and commonsensical. And because it echoes previous statements, his call for collective introspection lands as genuine.
A powerful reiteration of principles—and some fresh ideas—from the longest-serving independent in congressional history.Pub Date: Oct. 21, 2025
ISBN: 9798217089161
Page Count: 160
Publisher: Crown
Review Posted Online: Oct. 21, 2025
Kirkus Reviews Issue: Dec. 15, 2025
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