A remarkably thorough and always sensible study.
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
Review Program: Kirkus Indie
Skloot's meticulous, riveting account strikes a humanistic balance between sociological history, venerable portraiture and...
A dense, absorbing investigation into the medical community's exploitation of a dying woman and her family's struggle to salvage truth and dignity decades later.
In a well-paced, vibrant narrative, Popular Science contributor and Culture Dish blogger Skloot (Creative Writing/Univ. of Memphis) demonstrates that for every human cell put under a microscope, a complex life story is inexorably attached, to which doctors, researchers and laboratories have often been woefully insensitive and unaccountable. In 1951, Henrietta Lacks, an African-American mother of five, was diagnosed with what proved to be a fatal form of cervical cancer. At Johns Hopkins, the doctors harvested cells from her cervix without her permission and distributed them to labs around the globe, where they were multiplied and used for a diverse array of treatments. Known as HeLa cells, they became one of the world's most ubiquitous sources for medical research of everything from hormones, steroids and vitamins to gene mapping, in vitro fertilization, even the polio vaccine—all without the knowledge, must less consent, of the Lacks family. Skloot spent a decade interviewing every relative of Lacks she could find, excavating difficult memories and long-simmering outrage that had lay dormant since their loved one's sorrowful demise. Equal parts intimate biography and brutal clinical reportage, Skloot's graceful narrative adeptly navigates the wrenching Lack family recollections and the sobering, overarching realities of poverty and pre–civil-rights racism. The author's style is matched by a methodical scientific rigor and manifest expertise in the field.
Skloot's meticulous, riveting account strikes a humanistic balance between sociological history, venerable portraiture and Petri dish politics.Pub Date: Feb. 9, 2010
ISBN: 978-1-4000-5217-2
Page Count: 320
Publisher: Crown
Review Posted Online: Dec. 22, 2010
Kirkus Reviews Issue: Jan. 1, 2010
BOOK REVIEW
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
BOOK REVIEW
BOOK REVIEW
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