An expert bottoms-up examination of our diseased health care system.
A fierce denunciation of American medicine in which physicians are the heroes—mostly.
Doctors Dean and Talbot, founders of a nonprofit called The Moral Injury of Healthcare, explain that “moral injury” occurs when we experience something that transgresses our beliefs. For doctors, that means the oath to put patients’ needs first. It’s no secret that doctors must now comply with powerful stakeholders in the system, including insurers, hospital administrators, and oppressive regulators, as well as lugubrious electronic medical records. Stories of health care workers suffering “burnout” fill the media, but most blame overwork aggravated by the pandemic. Not so, maintain the authors. The culprit is moral injury, the result of applying aggressive, modern business methods to medical practice. In the introduction, the authors describe a dynamic entrepreneur whose massive hospital earned huge profits by minimizing staff and maximizing testing and services whether necessary or not, and perhaps breaking the law. Finally sent away with a golden parachute, he was replaced by another entrepreneur who promised “significant value for our shareholders.” As the authors demonstrate consistently, hospital executives see themselves as responsible to stockholders, not to physicians or patients. This includes many nonprofits, whose administrators give profits priority and benefit from them. Dean and Talbot profile the work of physicians forced to endure moral injury who then try, sometimes successfully, to find a practice more to their liking. In the final chapter, they deliver a passionate plea for more sensible and better enforced government regulation and more generous reimbursement from public and private insurance. Neither seems on the horizon. Sadly, heartless, assembly-line health care is more profitable than the good kind and, despite lurid stories, only slightly less effective. Doctors and patients hate it, but in a nation that worships the free market, profit is evidence of a well-run institution. Pair this powerful book with an equally painful yet important view from the top: Brian Alexander’s The Hospital.
An expert bottoms-up examination of our diseased health care system.Pub Date: April 4, 2023
ISBN: 9781586423544
Page Count: 306
Publisher: Steerforth
Review Posted Online: Jan. 11, 2023
Kirkus Reviews Issue: Feb. 1, 2023
An important dialogue at a fraught time, emphasizing mutual candor, curiosity, and respect.
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
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
A welcome call to grow up and cut out the whining.
The New York Times columnist serves up a cogent argument for shelving the grudge and sucking it up.
In 1976, Tom Wolfe described the “me decade” as a pit of mindless narcissism. A half century later, Bruni, author of Born Round and other bestselling books, calls for a renaming: “‘Me Turning Point’ would have been more accurate, because the period of time since has been a nonstop me jamboree.” Our present cultural situation, he notes, is marked by constant grievance and endless grasping. The ensuing blame game has its pros. Donald Trump, he notes, “became a victor by playing the victim, and his most impassioned oratory, such as it was, focused not on the good that he could do for others but on the bad supposedly done to him.” Bruni is an unabashed liberal, and while he places most of the worst behavior on the right—he opens with Sean Hannity’s bleating lie that the Biden administration was diverting scarce baby formula from needy Americans to illegal immigrants—he also allows that the left side of the aisle has committed its share of whining. A case in point: the silencing of a professor for showing an image of Mohammed to art students, neither religiously proscribed nor done without ample warning, but complained about by self-appointed student censors. Still, “not all grievances are created equal,” he writes. “There is January 6, 2021, and there is everything else. Attempts by leaders on the right to minimize what happened that day and lump it together with protests on the left are as ludicrous as they are dangerous.” Whether from left or right, Bruni calls for a dose of humility on the part of all: “an amalgam of kindness, openness, and silliness might be an effective solvent for grievance.”
A welcome call to grow up and cut out the whining.Pub Date: April 30, 2024
ISBN: 9781668016435
Page Count: 288
Publisher: Avid Reader Press
Review Posted Online: Feb. 24, 2024
Kirkus Reviews Issue: April 1, 2024
© Copyright 2024 Kirkus Media LLC. All Rights Reserved.
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