FORCED EXIT

THE SLIPPERY SLOPE FROM ASSISTED SUICIDE TO LEGALIZED MURDER

An anti-euthanasia activist blasts the right-to-die forces, calling their goal ``a social experiment that will lead to cultural and ethical catastrophe.'' As the attorney for the International Anti-Euthanasia Task Force, Smith appears frequently on radio and television to argue against what he calls ``the death culture.'' Opponents of assisted suicide—Smith uses the terms ``assisted suicide'' and ``euthanasia'' interchangeably—will find this a valuable debating manual, for it presents the most common pro-euthanasia arguments and then provides considered responses to them. Noting similarities between today's euthanasia movement and the one that flourished in Germany earlier in this century (despite the compassion that motivates contemporary supporters), and citing the results of what he refers to as ``death on demand'' in the Netherlands, he warns that granting the right to die to the terminally ill will soon be followed by legal killing of the disabled, the chronically ill, and even the depressed. Smith looks at the defeat of referendums to legalize euthanasia in Washington State and California, and examines weaknesses in the safeguards against abuse included in a similar Oregon referendum that narrowly passed but is now tied up in the courts. HMOs, with their emphasis on controlling costs by limiting services, and euthanasia are a deadly combination, he says, predicting that ``the day doctors are legally allowed to kill patients, Wall Street investors in for-profit HMOs will be dancing in the streets.'' A phrase-maker of no mean talent, Smith titles his last chapter ``Hospice or Hemlock: The Choice is Ours.'' In it he argues that we must create a culture of compassion that empowers the disabled, sees every patient as valuable, and provides end-of-life care to the dying. Powerful arguments from a passionate, articulate, sometimes strident spokesman. (Author tour)

Pub Date: June 1, 1997

ISBN: 0-8129-2790-7

Page Count: 304

Publisher: Times/Henry Holt

Review Posted Online: May 20, 2010

Kirkus Reviews Issue: May 1, 1997

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A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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WHEN BREATH BECOMES AIR

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. 30, 2015

Kirkus Reviews Issue: Oct. 15, 2015

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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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