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CARTE BLANCHE

THE EROSION OF MEDICAL CONSENT

An enlightening and well-supported examination of shocking malfeasance.

An alarming indictment of exploitative medical research.

Medical ethicist and journalist Washington offers considerable evidence of deceptive and devious practices in medical research, which especially impact Black Americans. After World War II, she notes, in response to “forcible human experimentation” inflicted upon prisoners and concentration camp victims, “the Nuremberg Code was imposed to ban research without voluntary consent. Informed consent was enshrined into U.S. law in 1947 to ensure that research would never be imposed on Americans without their knowledge or consent.” However, researchers have found ways to undermine that law, leading to the continuation of nonconsensual experimental abuse. Reprising evidence that she presented in Medical Apartheid (2007), Washington underscores her argument that African Americans historically have been victimized by researchers. “Whether subjected to laissez-faire experimentation on the plantation, early clinics, or other institutions, black Americans were sold to doctors expressly for nineteenth-century research and physician-training purposes,” she writes. This included the testing of reproductive surgical procedures on Black women “because unlike white women, they could not say no.” The infamous Tuskegee syphilis study, which ran from 1932 to 1972, withheld treatment for 600 Black men diagnosed with syphilis, instead maintaining them in an infected state so they could be “tracked, studied, and ultimately autopsied.” In 2010, researchers “intentionally induced hypothermia in unwitting black men who suffered gunshot wounds.” Prisoners and soldiers have repeatedly become research subjects without their consent, but Washington asserts that nonconsensual research—for profit—is becoming more normalized, risking the well-being of all Americans. She advocates clear disclosures to allow the average patient to agree to become an informed participant, including “possible lifestyle effects” of a given study. A patient who refuses or is deemed incapable of consent “should be considered ineligible for research and simply treated with the best known care, as if there were no research study to worry about.”

An enlightening and well-supported examination of shocking malfeasance.

Pub Date: Feb. 23, 2021

ISBN: 978-1-73442-072-2

Page Count: 150

Publisher: Columbia Global Reports

Review Posted Online: Dec. 8, 2020

Kirkus Reviews Issue: Jan. 1, 2021

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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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F*CK IT, I'LL START TOMORROW

The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.

The chef, rapper, and TV host serves up a blustery memoir with lashings of self-help.

“I’ve always had a sick confidence,” writes Bronson, ne Ariyan Arslani. The confidence, he adds, comes from numerous sources: being a New Yorker, and more specifically a New Yorker from Queens; being “short and fucking husky” and still game for a standoff on the basketball court; having strength, stamina, and seemingly no fear. All these things serve him well in the rough-and-tumble youth he describes, all stickball and steroids. Yet another confidence-builder: In the big city, you’ve got to sink or swim. “No one is just accepted—you have to fucking show that you’re able to roll,” he writes. In a narrative steeped in language that would make Lenny Bruce blush, Bronson recounts his sentimental education, schooled by immigrant Italian and Albanian family members and the mean streets, building habits good and bad. The virtue of those habits will depend on your take on modern mores. Bronson writes, for example, of “getting my dick pierced” down in the West Village, then grabbing a pizza and smoking weed. “I always smoke weed freely, always have and always will,” he writes. “I’ll just light a blunt anywhere.” Though he’s gone through the classic experiences of the latter-day stoner, flunking out and getting arrested numerous times, Bronson is a hard charger who’s not afraid to face nearly any challenge—especially, given his physique and genes, the necessity of losing weight: “If you’re husky, you’re always dieting in your mind,” he writes. Though vulgar and boastful, Bronson serves up a model that has plenty of good points, including his growing interest in nature, creativity, and the desire to “leave a legacy for everybody.”

The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.

Pub Date: April 20, 2021

ISBN: 978-1-4197-4478-5

Page Count: 184

Publisher: Abrams

Review Posted Online: May 5, 2021

Kirkus Reviews Issue: June 1, 2021

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