An urgent, highly readable contribution to the literature of what might be called the politics of disease.
The bestselling author turns to the Covid-19 pandemic and the failure of the U.S. government to contain it effectively.
“Trump was a comorbidity,” one source told Lewis, speaking of the spread of the virus through the country. The Trump administration ignored the threat, failed to act on it, and then tried to suppress those who were advocating lockdowns, school closures, and other measures to avoid the worst-case scenarios that emerged. As Lewis notes, the Lancet, one of the world’s leading medical journals, calculated that if the U.S. had followed the models of its G7 partners, 180,000 of the nearly 600,000 victims would still be alive. In an intricate background section, Lewis delivers a study of how epidemiologists and others had long predicted the pandemic. A high school student, for example, developed a model for a science-fair project in which she determined that an effective means of control would be to vaccinate young people first, since they were the ones who were interacting socially—just the opposite of the tactic later used of vaccinating older people first. Other case studies include the work of a dauntless California public health examiner who tracked the spread of hepatitis and other communicable diseases, all of which provided object lessons that were often lost to political considerations. George W. Bush emerges as a perhaps unlikely case of someone who did the right thing with respect to epidemics while Barack Obama stumbled before getting it right. As for his successor, Lewis writes, “the Trump White House lived by the tacit rule last observed by the Reagan administration: the only serious threat to the American way of life came from other nation-states.” The result was a woefully disjointed response that “got pushed down in the system, onto local health officers,” most of whom were unprepared for the challenge and lacked the means to do much about it.
An urgent, highly readable contribution to the literature of what might be called the politics of disease.Pub Date: May 4, 2021
ISBN: 978-0-393-88155-4
Page Count: 304
Publisher: Norton
Review Posted Online: May 3, 2021
Kirkus Reviews Issue: May 15, 2021
BOOK TO SCREEN
An incisive, urgently relevant analysis of—and call to action on—America’s foundational ideal.
An examination of how the U.S. can revitalize its commitment to freedom.
In this ambitious study, Snyder, author of On Tyranny, The Road to Unfreedom, and other books, explores how American freedom might be reconceived not simply in negative terms—as freedom from coercion, especially by the state—but positive ones: the freedom to develop our human potential within sustaining communal structures. The author blends extensive personal reflections on his own evolving understanding of liberty with definitions of the concept by a range of philosophers, historians, politicians, and social activists. Americans, he explains, often wrongly assume that freedom simply means the removal of some barrier: “An individual is free, we think, when the government is out of the way. Negative freedom is our common sense.” In his careful and impassioned description of the profound implications of this conceptual limitation, Snyder provides a compelling account of the circumstances necessary for the realization of positive freedom, along with a set of detailed recommendations for specific sociopolitical reforms and policy initiatives. “We have to see freedom as positive, as beginning from virtues, as shared among people, and as built into institutions,” he writes. The author argues that it’s absurd to think of government as the enemy of freedom; instead, we ought to reimagine how a strong government might focus on creating the appropriate conditions for human flourishing and genuine liberty. Another essential and overlooked element of freedom is the fostering of a culture of solidarity, in which an awareness of and concern for the disadvantaged becomes a guiding virtue. Particularly striking and persuasive are the sections devoted to eviscerating the false promises of libertarianism, exposing the brutal injustices of the nation’s penitentiaries, and documenting the wide-ranging pathologies that flow from a tax system favoring the ultrawealthy.
An incisive, urgently relevant analysis of—and call to action on—America’s foundational ideal.Pub Date: Sept. 17, 2024
ISBN: 9780593728727
Page Count: 368
Publisher: Crown
Review Posted Online: June 25, 2024
Kirkus Reviews Issue: Aug. 1, 2024
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
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