THE GREAT WHITE LIE

HOW AMERICA'S HOSPITALS BETRAY OUR TRUST AND ENDANGER OUR LIVES

Hospital care is a crapshoot for most Americans, according to Pulitzer Prize-winning investigative journalist Bogdanich of The Wall Street Journal, who says here that the myth that all hospitals are equally good and deserving of our trust is medicine's ``great white lie.'' Bogdanich pulls no punches, naming hospitals, administrators, professional associations, doctors, nurses, technicians, and others in his thoroughly documented exposÇ. The problems are manifold—reliance on unqualified temporary help; improper training and supervision of pharmacy and lab technicians; life-threatening patient-discharge policies; and fraudulent billing practices. Competition among hospitals has even pushed some to bribe doctors for patients and to offer bonuses for meeting surgery quotas. Bogdanich cites the failure of the medical establishment to regulate hospitals, and faults the government for relying on such self-regulation. The Joint Commission on Accreditation of Healthcare Organizations, which rarely denies a hospital accreditation, comes in for some sharp criticism, as does the US Department of Health and Human Services, which Bogdanich asserts has recently been headed by people without will or vision. Although Medicare—the nation's largest buyer of hospital services—could dramatically reform care by reimbursing only those hospitals able to demonstrate high quality, prospects for change are poor. One solution Bogdanich explores is an effort by corporations in Cleveland, concerned about rising medical-insurance costs, to direct employees to the highest-quality, low-cost hospitals. In this instance, hospitals and businesses are working together to define and measure quality and by 1992 will be distributing information on quality and costs to employees. Meanwhile, Bogdanich counsels, if there's hospital care in your future, scrutinize it as carefully as you would any other prospective purchase. Hard-hitting and fact-filled indictment of a system overdue for reform. (Includes extensive source notes.)

Pub Date: Nov. 22, 1991

ISBN: 0-671-68452-3

Page Count: 320

Publisher: Simon & Schuster

Review Posted Online: May 20, 2010

Kirkus Reviews Issue: Oct. 1, 1991

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Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

GOOD ECONOMICS FOR HARD TIMES

“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.

It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

Pub Date: Nov. 12, 2019

ISBN: 978-1-61039-950-0

Page Count: 432

Publisher: PublicAffairs

Review Posted Online: Aug. 29, 2019

Kirkus Reviews Issue: Sept. 15, 2019

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Not an easy read but an essential one.

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HOW TO BE AN ANTIRACIST

Title notwithstanding, this latest from the National Book Award–winning author is no guidebook to getting woke.

In fact, the word “woke” appears nowhere within its pages. Rather, it is a combination memoir and extension of Atlantic columnist Kendi’s towering Stamped From the Beginning (2016) that leads readers through a taxonomy of racist thought to anti-racist action. Never wavering from the thesis introduced in his previous book, that “racism is a powerful collection of racist policies that lead to racial inequity and are substantiated by racist ideas,” the author posits a seemingly simple binary: “Antiracism is a powerful collection of antiracist policies that lead to racial equity and are substantiated by antiracist ideas.” The author, founding director of American University’s Antiracist Research and Policy Center, chronicles how he grew from a childhood steeped in black liberation Christianity to his doctoral studies, identifying and dispelling the layers of racist thought under which he had operated. “Internalized racism,” he writes, “is the real Black on Black Crime.” Kendi methodically examines racism through numerous lenses: power, biology, ethnicity, body, culture, and so forth, all the way to the intersectional constructs of gender racism and queer racism (the only section of the book that feels rushed). Each chapter examines one facet of racism, the authorial camera alternately zooming in on an episode from Kendi’s life that exemplifies it—e.g., as a teen, he wore light-colored contact lenses, wanting “to be Black but…not…to look Black”—and then panning to the history that informs it (the antebellum hierarchy that valued light skin over dark). The author then reframes those received ideas with inexorable logic: “Either racist policy or Black inferiority explains why White people are wealthier, healthier, and more powerful than Black people today.” If Kendi is justifiably hard on America, he’s just as hard on himself. When he began college, “anti-Black racist ideas covered my freshman eyes like my orange contacts.” This unsparing honesty helps readers, both white and people of color, navigate this difficult intellectual territory.

Not an easy read but an essential one.

Pub Date: Aug. 13, 2019

ISBN: 978-0-525-50928-8

Page Count: 320

Publisher: One World/Random House

Review Posted Online: April 28, 2019

Kirkus Reviews Issue: May 15, 2019

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