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SYSTEMIC

HOW RACISM IS MAKING US SICK

A powerful argument for a more equitable approach to health care.

An urgent study of how ethnic minority patients are medically disadvantaged because they are economically and socially disadvantaged—and they are dying because of it.

Liverpool, a British journalist for Nature with an expertise in immunology and virology, takes a broad view of a thorny problem: Racism plays a critical factor in health care and, as the Lancet notes, is “a public health emergency of global concern.” Systematic racism presents in many ways in the health sphere, including the persistent belief that Black people have differences enough in their pain receptors that they require less anesthesia in surgery. Biological differences do exist, notes the author, but these are at the genetic level and affect such things as the ability to metabolize certain therapeutic drugs, in the same way that people with certain genetic markers have difficulty metabolizing dairy products. Racism is often marked by simple carelessness. Algorithms for one dermatology app, for instance, were trained on light-skinned people, making their diagnostics suspect for those of darker complexion. Liverpool herself suffers from a skin condition that white doctors said was incurable until one dermatologist pronounced it common eczema that expresses itself somewhat differently on darker skin. Racially grounded disparities in health care are everywhere: Black patients wait far longer for organ transplants than whites, and standardized tests eliminate many from the candidate rolls; Black and brown people were disproportionately affected by Covid-19, and hospitals treating Black patients received fewer funds; childbirth mortality rates are higher for Black women than for white women; and so on. Liverpool notes that while these disparities are measurable, “instead of simply stating that Black people are dying disproportionately because they are poor, we should be asking why Black people…are disproportionately poor in the first place.”

A powerful argument for a more equitable approach to health care.

Pub Date: June 18, 2024

ISBN: 9781662601675

Page Count: 320

Publisher: Astra House

Review Posted Online: April 2, 2024

Kirkus Reviews Issue: May 1, 2024

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F*CK IT, I'LL START TOMORROW

The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.

The chef, rapper, and TV host serves up a blustery memoir with lashings of self-help.

“I’ve always had a sick confidence,” writes Bronson, ne Ariyan Arslani. The confidence, he adds, comes from numerous sources: being a New Yorker, and more specifically a New Yorker from Queens; being “short and fucking husky” and still game for a standoff on the basketball court; having strength, stamina, and seemingly no fear. All these things serve him well in the rough-and-tumble youth he describes, all stickball and steroids. Yet another confidence-builder: In the big city, you’ve got to sink or swim. “No one is just accepted—you have to fucking show that you’re able to roll,” he writes. In a narrative steeped in language that would make Lenny Bruce blush, Bronson recounts his sentimental education, schooled by immigrant Italian and Albanian family members and the mean streets, building habits good and bad. The virtue of those habits will depend on your take on modern mores. Bronson writes, for example, of “getting my dick pierced” down in the West Village, then grabbing a pizza and smoking weed. “I always smoke weed freely, always have and always will,” he writes. “I’ll just light a blunt anywhere.” Though he’s gone through the classic experiences of the latter-day stoner, flunking out and getting arrested numerous times, Bronson is a hard charger who’s not afraid to face nearly any challenge—especially, given his physique and genes, the necessity of losing weight: “If you’re husky, you’re always dieting in your mind,” he writes. Though vulgar and boastful, Bronson serves up a model that has plenty of good points, including his growing interest in nature, creativity, and the desire to “leave a legacy for everybody.”

The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.

Pub Date: April 20, 2021

ISBN: 978-1-4197-4478-5

Page Count: 184

Publisher: Abrams

Review Posted Online: May 5, 2021

Kirkus Reviews Issue: June 1, 2021

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UNCOMFORTABLE CONVERSATIONS WITH A JEW

An important dialogue at a fraught time, emphasizing mutual candor, curiosity, and respect.

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  • New York Times Bestseller

Two bestselling authors engage in an enlightening back-and-forth about Jewishness and antisemitism.

Acho, author of Uncomfortable Conversations With a Black Man, and Tishby, author of Israel: A Simple Guide to the Most Misunderstood Country on Earth, discuss many of the searing issues for Jews today, delving into whether Jewishness is a religion, culture, ethnicity, or community—or all of the above. As Tishby points out, unlike in Christianity, one can be comfortably atheist and still be considered a Jew. She defines Judaism as a “big tent” religion with four main elements: religion, peoplehood, nationhood, and the idea of tikkun olam (“repairing the world through our actions”). She addresses candidly the hurtful stereotypes about Jews (that they are rich and powerful) that Acho grew up with in Dallas and how Jews internalize these antisemitic judgments. Moreover, Tishby notes, “it is literally impossible to be Jewish and not have any connection with Israel, and I’m not talking about borders or a dot on the map. Judaism…is an indigenous religion.” Acho wonders if one can legitimately criticize “Jewish people and their ideologies” without being antisemitic, and Tishby offers ways to check whether one’s criticism of Jews or Zionism is antisemitic or factually straightforward. The authors also touch on the deteriorating relationship between Black and Jewish Americans, despite their historically close alliance during the civil rights era. “As long as Jewish people get to benefit from appearing white while Black people have to suffer for being Black, there will always be resentment,” notes Acho. “Because the same thing that grants you all access—your skin color—is what grants us pain and punishment in perpetuity.” Finally, the authors underscore the importance of being mutual allies, and they conclude with helpful indexes on vernacular terms and customs.

An important dialogue at a fraught time, emphasizing mutual candor, curiosity, and respect.

Pub Date: April 30, 2024

ISBN: 9781668057858

Page Count: 256

Publisher: Simon Element

Review Posted Online: March 13, 2024

Kirkus Reviews Issue: April 15, 2024

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