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EPIC MEASURES

ONE DOCTOR, SEVEN BILLION PATIENTS.

A fascinating account of a charismatic visionary who successfully battles the convoluted politics of international health...

Smith (Growing a Garden City, 2010) a freelance journalist who covers health and environmental issues for Discover, the Chicago Tribune and other leading publications, chronicles an ambitious project to collect comparative data on global health issues.

In 2013, the Institute for Health Metrics and Evaluation—sponsored and funded by the Gates Foundation—issued its groundbreaking report on world health, The Global Burden of Disease, a “meticulous decades-long creation…measuring the impact of 235 causes of death, 289 diseases and injuries, and 67 risk factors for men and women in 20 age groups.” The author compares the study to the Human Genome Project in its scope and potential benefits, and he identifies the impacts of health issues and available treatments on the duration and quality of life. Smith profiles the vision of director Christopher Murray, a man with a powerful desire to revolutionize the treatment of health on a global scale. Murray’s passion began with summers spent assisting his parents in the operation of a mobile hospital in the African desert. Smith's formal education in health issues began in the 1980s, when he studied biology at Harvard and earned a medical degree. He also received a doctorate in international health economics from Oxford. In 1998, he became the director of a short-lived World Health Organization project to issue an independent, evidence-based report on world health, a report that was a predecessor of the 2013 study. Murray was struck by the conflicting data from international health agencies on global life expectancy, infant mortality, the incidence of chronic disease and more. The boy who had seen poverty firsthand in Africa became a man with a mission “to measure how we sicken and die in order to improve how we live.”

A fascinating account of a charismatic visionary who successfully battles the convoluted politics of international health bureaucracies.

Pub Date: April 7, 2015

ISBN: 978-0-06-223750-7

Page Count: 352

Publisher: Harper Wave

Review Posted Online: Jan. 3, 2015

Kirkus Reviews Issue: Jan. 15, 2015

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.

Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.

Pub Date: Jan. 19, 2016

ISBN: 978-0-8129-8840-6

Page Count: 248

Publisher: Random House

Review Posted Online: Sept. 29, 2015

Kirkus Reviews Issue: Oct. 15, 2015

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