A searching, troubling look at the terrible actualities of homelessness.
Noted long-form journalist Kidder rides along as clinicians try to serve one of Boston’s most marginalized populations.
The term rough sleeper is not used much in American English. It’s a borrowing from the British way of describing the people who sleep where sleep is not intended: doorways, sidewalks, culverts, etc. Kidder’s hero, Dr. James Joseph O’Connell, has spent decades with volunteer and paid workers driving in a medicine- and supply-stuffed van to the places where this population gathers. Many of the rough sleepers are mentally ill or addicts. Most are White, perhaps because, as O’Connell ventures, “the Black and Latino communities are more willing than Boston’s white world to harbor their homeless.” In any event, “once people have fallen to living on the streets, they have reached a certain horrible equality.” Against the work of O’Connell and his Boston Health Care for the Homeless Program stand an array of bureaucrats and the police, who regularly roust the homeless from their camps and nooks, forcing them to find even less hospitable places to survive the night. O’Connell, now well past retirement age, is the tutelary angel of the piece, but many lesser heroes work around the clock to save lives and treat the downtrodden with dignity. The job is thankless and endless. As O’Connell’s mentor told him, “We’re way down on the solution scale,” and indeed, finding a solution to homelessness is a sociological and economic problem more than a medical one. For all that, said one worker, O’Connell keeps on trying: “This is really about accountability, system design, performance. Until that’s fixed, Jim is basically standing at the bottom of a cliff, trying to save people.” Sometimes he succeeds, but too often, for reasons institutional and personal, some people can’t and won’t be saved, and many who can be will slip between the cracks.
A searching, troubling look at the terrible actualities of homelessness.Pub Date: Jan. 10, 2023
ISBN: 978-1-984801-43-2
Page Count: 320
Publisher: Random House
Review Posted Online: Oct. 20, 2022
Kirkus Reviews Issue: Nov. 15, 2022
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
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
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