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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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GOOD ECONOMICS FOR HARD TIMES

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.

It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

Pub Date: Nov. 12, 2019

ISBN: 978-1-61039-950-0

Page Count: 432

Publisher: PublicAffairs

Review Posted Online: Aug. 28, 2019

Kirkus Reviews Issue: Sept. 15, 2019

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