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THE PEOPLE'S HOSPITAL

HOPE AND PERIL IN AMERICAN MEDICINE

A compassionate, engrossing story of frustrated hopes and unlikely victories in American health care.

A doctor and professor of medicine adds personal texture to one of the most divisive issues of our time.

As a medical student resident and then hospitalist at Ben Taub Hospital, Houston’s “largest safety-net hospital,” Nuila has witnessed how American health care fails all patients but especially its most vulnerable. In his debut book, the author follows six under- or uninsured patients who are prey to biases and assumptions that fuel impersonal and imprecise care. The stories are revelatory and often heartbreaking—Stephen develops cancer in his tonsils; Roxana is an undocumented immigrant who needs multiple limb amputations; Ebonie is a Black mother navigating a high-risk pregnancy; Geronimo is a green-card holder in desperate need of a liver transplant; Christian is experiencing debilitating knee pain; Aqueria has lost access to medications to manage the HIV she was born with—and they all clearly demonstrate the woeful inadequacies of health insurance coverage in the U.S. Nuila, a skilled writer whose work has appeared in the New Yorker, Guernica, and other publications, shifts elegantly between these narratives and his personal story of following his calling to Ben Taub as well as a lucid study of America’s decline into what he terms “Medicine Inc.” Throughout, the author’s lyricism and empathy defy both typical medical journalism and the reduction of patient care to the management of charts and bills. Nuila’s complete, deeply personal dedication to his content and his exceptional command of prose allow him to translate the mercy, authority, and sense of urgency that patients want at their bedsides and citizens want in policy debates. In the author’s hands, Ben Taub Hospital becomes a beacon of light that brings health care back to the realm of the personal, resisting the failures of partisan imagination and offering space for pioneering medicine and personal triumph.

A compassionate, engrossing story of frustrated hopes and unlikely victories in American health care.

Pub Date: March 28, 2023

ISBN: 9781501198045

Page Count: 368

Publisher: Scribner

Review Posted Online: Jan. 11, 2023

Kirkus Reviews Issue: Feb. 1, 2023

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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ELON MUSK

Alternately admiring and critical, unvarnished, and a closely detailed account of a troubled innovator.

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A warts-and-all portrait of the famed techno-entrepreneur—and the warts are nearly beyond counting.

To call Elon Musk (b. 1971) “mercurial” is to undervalue the term; to call him a genius is incorrect. Instead, Musk has a gift for leveraging the genius of others in order to make things work. When they don’t, writes eminent biographer Isaacson, it’s because the notoriously headstrong Musk is so sure of himself that he charges ahead against the advice of others: “He does not like to share power.” In this sharp-edged biography, the author likens Musk to an earlier biographical subject, Steve Jobs. Given Musk’s recent political turn, born of the me-first libertarianism of the very rich, however, Henry Ford also comes to mind. What emerges clearly is that Musk, who may or may not have Asperger’s syndrome (“Empathy did not come naturally”), has nurtured several obsessions for years, apart from a passion for the letter X as both a brand and personal name. He firmly believes that “all requirements should be treated as recommendations”; that it is his destiny to make humankind a multi-planetary civilization through innovations in space travel; that government is generally an impediment and that “the thought police are gaining power”; and that “a maniacal sense of urgency” should guide his businesses. That need for speed has led to undeniable successes in beating schedules and competitors, but it has also wrought disaster: One of the most telling anecdotes in the book concerns Musk’s “demon mode” order to relocate thousands of Twitter servers from Sacramento to Portland at breakneck speed, which trashed big parts of the system for months. To judge by Isaacson’s account, that may have been by design, for Musk’s idea of creative destruction seems to mean mostly chaos.

Alternately admiring and critical, unvarnished, and a closely detailed account of a troubled innovator.

Pub Date: Sept. 12, 2023

ISBN: 9781982181284

Page Count: 688

Publisher: Simon & Schuster

Review Posted Online: Sept. 12, 2023

Kirkus Reviews Issue: Oct. 15, 2023

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