Fans of the original will learn much from Gladwell’s thoughtful, carefully written reconsideration.
A quarter-century on, Gladwell revisits his best-known book and examines some of its assumptions and conclusions.
Rereading The Tipping Point, Gladwell writes, made him realize “that I still do not understand many things about social epidemics.” The tip point of real estate parlance—it refers to things such as the ethnic composition of a neighborhood when, once a percentage in the growth of race x is reached, members of race y will move up, on, or otherwise out—explains only so much. Often, he writes, “social contagions,” a metaphor used to describe how ideas spread like viruses, can be traced back to just a handful of innovators (or viral superspreaders, for that matter): What matters thereafter is how the ideas (or viral loads) are received and dealt with. For example, why does Illinois have a low rate of opioid abuse relative to Indiana? Because Indiana, like many states, doesn’t require monitoring, which explains why swarms of Big Pharma salespeople descended on those states to push OxyContin and other drugs to epidemic levels. Illinois, by contrast, is one of the states that require triplicate prescriptions: one copy goes to the pharmacist, one to the patient’s records, one to a regulatory agency. That three-tiered pharmaceutical pad, Gladwell writes, “evolves into an overstory,” or governing idea, “a narrative that says opioids are different, spurring the physician to pause and think before prescribing them.” Refining and deepening his and our understanding of the spread of customs, mores, and practices, Gladwell emphasizes those overstories, illustrating them with twisting and turning tales of, for example, how the word holocaust came into general usage (surprisingly, via TV), how the idea of gay marriage gained acceptability, and how widespread social engineering "has quietly become one of the central activities of the American establishment.”
Fans of the original will learn much from Gladwell’s thoughtful, carefully written reconsideration.Pub Date: Oct. 1, 2024
ISBN: 9780316575805
Page Count: 368
Publisher: Little, Brown
Review Posted Online: July 24, 2024
Kirkus Reviews Issue: Sept. 1, 2024
SEEN & HEARD
SEEN & HEARD
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
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
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
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