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THE UNITED STATES OF OPIOIDS

A PRESCRIPTION FOR LIBERATING A NATION IN PAIN

A remarkably thorough and always sensible study.

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Health care attorney Nelson (From ObamaCare to TrumpCare, 2017) provides an in-depth historical and analytical overview of the opioid crisis in America and suggests wide-ranging solutions. 

For decades, the United States has been ravaged by opioid addiction—a problem that’s escalated to epidemic proportions. Nelson traces its historical arc from the late 19th century through the passage of significant legislation, such as the Harrison Narcotics Tax Act in 1914, and the creation of the Drug Enforcement Administration in 1973. The author goes on to present a synoptic account of the problem’s growth in the 1990s, when OxyContin and fentanyl became the most popular opioids, and how inadequate responses from law enforcement, physicians, and the pharmacological industry only exacerbated the crisis. The author asserts that a new emphasis on the treatment of pain, dubbed the “fifth vital sign,” contributed to systemic failures into the present day, as did the insurance industry’s preference for cheaper (though more addictive) drugs and a woeful lack of knowledge and training on the parts of physicians. Nelson also lays blame on what he sees as an overall moral diminishment in America: “We cannot fully address the opioid crisis without seeking to understand this broader crisis of human suffering—the byproduct of a culture of chronic stress, trauma, and increasing isolation as a result of technology and the erosion of social support in our communities.” The author insightfully articulates a plan of reform—“seven pillars” of public health that include establishing outreach and prevention programs, providing more access to addiction treatment, and developing stronger law enforcement responses to the opioid black market. Nelson has a quarter-century of experience as a health care lawyer, and his extraordinary expertise in on full display here. Over the course of his book, he refreshingly furnishes a kaleidoscopic account of the many causes of the opioid crisis rather than launching a political jeremiad that demonizes a particular group. Along the way, he consistently delves into complex matters with sensitivity. This tendency is particularly evident in his discussion of the virtues and vices of cannabis. 

A remarkably thorough and always sensible study.

Pub Date: March 26, 2019

ISBN: 978-1-946633-32-3

Page Count: 347

Publisher: ForbesBooks

Review Posted Online: March 25, 2019

Kirkus Reviews Issue: May 15, 2019

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BRAVE ENOUGH

These platitudes need perspective; better to buy the books they came from.

A lightweight collection of self-help snippets from the bestselling author.

What makes a quote a quote? Does it have to be quoted by someone other than the original author? Apparently not, if we take Strayed’s collection of truisms as an example. The well-known memoirist (Wild), novelist (Torch), and radio-show host (“Dear Sugar”) pulls lines from her previous pages and delivers them one at a time in this small, gift-sized book. No excerpt exceeds one page in length, and some are only one line long. Strayed doesn’t reference the books she’s drawing from, so the quotes stand without context and are strung together without apparent attention to structure or narrative flow. Thus, we move back and forth from first-person tales from the Pacific Crest Trail to conversational tidbits to meditations on grief. Some are astoundingly simple, such as Strayed’s declaration that “Love is the feeling we have for those we care deeply about and hold in high regard.” Others call on the author’s unique observations—people who regret what they haven’t done, she writes, end up “mingy, addled, shrink-wrapped versions” of themselves—and offer a reward for wading through obvious advice like “Trust your gut.” Other quotes sound familiar—not necessarily because you’ve read Strayed’s other work, but likely due to the influence of other authors on her writing. When she writes about blooming into your own authenticity, for instance, one is immediately reminded of Anaïs Nin: "And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” Strayed’s true blossoming happens in her longer works; while this collection might brighten someone’s day—and is sure to sell plenty of copies during the holidays—it’s no substitute for the real thing.

These platitudes need perspective; better to buy the books they came from.

Pub Date: Nov. 1, 2015

ISBN: 978-1-101-946909

Page Count: 160

Publisher: Knopf

Review Posted Online: Aug. 15, 2015

Kirkus Reviews Issue: Sept. 1, 2015

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WHY WE SWIM

An absorbing, wide-ranging story of humans’ relationship with the water.

A study of swimming as sport, survival method, basis for community, and route to physical and mental well-being.

For Bay Area writer Tsui (American Chinatown: A People's History of Five Neighborhoods, 2009), swimming is in her blood. As she recounts, her parents met in a Hong Kong swimming pool, and she often visited the beach as a child and competed on a swim team in high school. Midway through the engaging narrative, the author explains how she rejoined the team at age 40, just as her 6-year-old was signing up for the first time. Chronicling her interviews with scientists and swimmers alike, Tsui notes the many health benefits of swimming, some of which are mental. Swimmers often achieve the “flow” state and get their best ideas while in the water. Her travels took her from the California coast, where she dove for abalone and swam from Alcatraz back to San Francisco, to Tokyo, where she heard about the “samurai swimming” martial arts tradition. In Iceland, she met Guðlaugur Friðþórsson, a local celebrity who, in 1984, survived six hours in a winter sea after his fishing vessel capsized, earning him the nickname “the human seal.” Although humans are generally adapted to life on land, the author discovered that some have extra advantages in the water. The Bajau people of Indonesia, for instance, can do 10-minute free dives while hunting because their spleens are 50% larger than average. For most, though, it’s simply a matter of practice. Tsui discussed swimming with Dara Torres, who became the oldest Olympic swimmer at age 41, and swam with Kim Chambers, one of the few people to complete the daunting Oceans Seven marathon swim challenge. Drawing on personal experience, history, biology, and social science, the author conveys the appeal of “an unflinching giving-over to an element” and makes a convincing case for broader access to swimming education (372,000 people still drown annually).

An absorbing, wide-ranging story of humans’ relationship with the water.

Pub Date: April 14, 2020

ISBN: 978-1-61620-786-1

Page Count: 288

Publisher: Algonquin

Review Posted Online: Jan. 4, 2020

Kirkus Reviews Issue: Feb. 1, 2020

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