A solid account of a battle between government and industry.
The story of a lawsuit that highlighted bureaucratic errors in the health care field.
In his debut nonfiction book, Giovanis recounts his multiyear quest to get the federal government to correct a calculation issue involving hospital reimbursement rates that ended in a multimillion-dollar settlement in favor of the hospitals. The author, a hospital administrator–turned-consultant, opens the book with an overview of his personal history, then moves on to the central issue: He discovered an error in the formula being used to determine the amount of Medicare payments to hospitals, and when he notified Medicare administrators about the problem, they quietly updated the formula but refused to discuss making good on past miscalculations. Giovanis and his colleagues filed suit against the federal government and recruited hospitals to join the action, hoping to gather more than 100 plaintiffs; they ended up with more than 700 hospitals signing on, with Giovanis as the leader and decision-maker. As the lawsuit proceeded, the author’s wife, Jayne, was dying of cancer; this book is both a tribute to her and a celebration of a wrong righted. The author does a good job of highlighting the key elements of a complex, obscure topic with significant financial implications, providing calculation details for readers who may be interested but effectively aiming the majority of the text at a general audience. Although Giovanis is the hero of the narrative, he acknowledges the contributions of his colleagues; as a result, this is the story of a team effort rather than an individual crusade. The lawsuit’s outcome is evident from the book’s subtitle, but the author still manages to maintain tension throughout as he describes the many challenges and setbacks that the plaintiffs encountered. The book also offers some intriguing big-picture insights into the roles of career bureaucrats, the for-profit companies that make money from government programs, and the relationship between them. Overall, it’s a well-written story on a niche topic for an audience of nonspecialists and a compelling look at modern governance.
A solid account of a battle between government and industry.Pub Date: June 22, 2021
ISBN: 978-1-64-543511-2
Page Count: 216
Publisher: Amplify Publishing
Review Posted Online: May 11, 2021
Kirkus Reviews Issue: July 15, 2021
Review Program: Kirkus Indie
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
A philosophically rich critique of state violence and mass apathy.
An Egyptian Canadian journalist writes searchingly of this time of war.
“Rules, conventions, morals, reality itself: all exist so long as their existence is convenient to the preservation of power.” So writes El Akkad, who goes on to state that one of the demands of modern power is that those subject to it must imagine that some group of people somewhere are not fully human. El Akkad’s pointed example is Gaza, the current destruction of which, he writes, is causing millions of people around the world to examine the supposedly rules-governed, democratic West and declare, “I want nothing to do with this.” El Akkad, author of the novel American War (2017), discerns hypocrisy and racism in the West’s defense of Ukraine and what he views as indifference toward the Palestinian people. No stranger to war zones himself—El Akkad was a correspondent in Afghanistan and Iraq—he writes with grim matter-of-factness about murdered children, famine, and the deliberate targeting of civilians. With no love for Zionism lost, he offers an equally harsh critique of Hamas, yet another one of the “entities obsessed with violence as an ethos, brutal in their treatment of minority groups who in their view should not exist, and self-decreed to be the true protectors of an entire religion.” Taking a global view, El Akkad, who lives in the U.S., finds almost every government and society wanting, and not least those, he says, that turn away and pretend not to know, behavior that we’ve seen before and that, in the spirit of his title, will one day be explained away until, in the end, it comes down to “a quiet unheard reckoning in the winter of life between the one who said nothing, did nothing, and their own soul.”
A philosophically rich critique of state violence and mass apathy.Pub Date: Feb. 25, 2025
ISBN: 9780593804148
Page Count: 224
Publisher: Knopf
Review Posted Online: Dec. 14, 2024
Kirkus Reviews Issue: Jan. 15, 2025
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