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HOW WE DO HARM

A DOCTOR BREAKS RANKS ABOUT BEING SICK IN AMERICA

A powerful contribution to the ongoing discussion on health-care reform.

With the assistance of investigative journalist Goldberg (The Final Act: The Dramatic, Revealing Story of the Moscow Helsinki Watch Group, 1988, etc.), Brawley (Medicine/Emory Univ.), chief medical scientific officer of the American Cancer Society, delivers a scathing indictment of the American medical system.

The authors provide solid documentation in support of the case that the American health system is fundamentally flawed, drawing on illustrative examples taken from his own experience as an oncologist as well as his expertise in public health. Brawley presents a shocking conclusion: “The system is not failing. It's functioning exactly as designed,” with “the greedy serving the gluttonous.” While low-income Americans are denied adequate medical care, the wealthy are also poorly served, often paying for unneeded treatments that can have dangerous side effects. The authors describe the case of a man whose experience was not atypical. While receiving chemotherapy as a precaution against cancer following colon surgery, he became too debilitated to work. When he could no longer afford the co-pays, he landed at Atlanta's Grady Hospital, which accepts patients with financial problems. After evaluating the patient's case, Brawley concluded that he was fortunate that his high-priced previous oncologist would no longer treat him, since he had mishandled the chemotherapy. “A negative wallet biopsy may have saved his life,” he writes ironically. Less fortunate was the breast-cancer patient who received a fatal bone-marrow transplant intended to reduce the risk of recurrence— a procedure based on positive data later proved to be fraudulent. Brawley provides citations from a variety of cases—pharmaceuticals that have dangerous side effects, unnecessary treatments for prostate cancer, etc.—including those of misguided patients who demanded excessive treatment and threatened lawsuits if it was denied.

A powerful contribution to the ongoing discussion on health-care reform.

Pub Date: Feb. 1, 2012

ISBN: 978-0-312-67297-3

Page Count: 256

Publisher: St. Martin's

Review Posted Online: Nov. 27, 2011

Kirkus Reviews Issue: Dec. 15, 2011

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NIGHT

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the...

Elie Wiesel spent his early years in a small Transylvanian town as one of four children. 

He was the only one of the family to survive what Francois Maurois, in his introduction, calls the "human holocaust" of the persecution of the Jews, which began with the restrictions, the singularization of the yellow star, the enclosure within the ghetto, and went on to the mass deportations to the ovens of Auschwitz and Buchenwald. There are unforgettable and horrifying scenes here in this spare and sombre memoir of this experience of the hanging of a child, of his first farewell with his father who leaves him an inheritance of a knife and a spoon, and of his last goodbye at Buchenwald his father's corpse is already cold let alone the long months of survival under unconscionable conditions. 

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the sphere of suffering shared, and in this case extended to the death march itself, there is no spiritual or emotional legacy here to offset any reader reluctance.

Pub Date: Jan. 16, 2006

ISBN: 0374500010

Page Count: 120

Publisher: Hill & Wang

Review Posted Online: Oct. 7, 2011

Kirkus Reviews Issue: Jan. 15, 2006

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THE PURSUIT OF HAPPYNESS

FROM MEAN STREETS TO WALL STREET

Well-told and admonitory.

Young-rags-to-mature-riches memoir by broker and motivational speaker Gardner.

Born and raised in the Milwaukee ghetto, the author pulled himself up from considerable disadvantage. He was fatherless, and his adored mother wasn’t always around; once, as a child, he spied her at a family funeral accompanied by a prison guard. When beautiful, evanescent Moms was there, Chris also had to deal with Freddie “I ain’t your goddamn daddy!” Triplett, one of the meanest stepfathers in recent literature. Chris did “the dozens” with the homies, boosted a bit and in the course of youthful adventure was raped. His heroes were Miles Davis, James Brown and Muhammad Ali. Meanwhile, at the behest of Moms, he developed a fondness for reading. He joined the Navy and became a medic (preparing badass Marines for proctology), and a proficient lab technician. Moving up in San Francisco, married and then divorced, he sold medical supplies. He was recruited as a trainee at Dean Witter just around the time he became a homeless single father. All his belongings in a shopping cart, Gardner sometimes slept with his young son at the office (apparently undiscovered by the night cleaning crew). The two also frequently bedded down in a public restroom. After Gardner’s talents were finally appreciated by the firm of Bear Stearns, his American Dream became real. He got the cool duds, hot car and fine ladies so coveted from afar back in the day. He even had a meeting with Nelson Mandela. Through it all, he remained a prideful parent. His own no-daddy blues are gone now.

Well-told and admonitory.

Pub Date: June 1, 2006

ISBN: 0-06-074486-3

Page Count: 320

Publisher: Amistad/HarperCollins

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: March 15, 2006

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