From the author who 29 years ago roasted the funeral industry in The American Way of Death: a witty, pungent, comprehensive look at the frequently unfortunate practices that guide how American babies are born. The struggle over abortion has overshadowed many other issues that affect American women. Twenty years ago, giving birth was high on the list of women's concerns. Natural childbirth, Lamaze, midwives, birthing clinics for normal deliveries, even home births were widely discussed and practiced by many pioneering women. Surgical techniques, including Cesareans and episiotomies, were questioned, and often scorned. Mitford's telling investigation of American birthing practices today reveals that little has changed, and that in some cases things are worse. For instance, the infant mortality rate in the US puts it 24th among industrialized Western nations—a rate that could quickly be reduced if out-of-control hospital and doctor costs were reallocated to prenatal care. If this book doesn't pack the surprises that Mitford's exposÇ of funeral homes did, it's only because the issues have been in the air for so long. What Mitford brings to them are hard numbers, revealing interviews, and astute observations, pointing the finger at practices like speeding up normal labor to accommodate the doctors, not the mothers. Or at midwives who are driven out of practice because doctors and hospitals refuse them backup (a throwback, Mitford wonders, to the medieval view of midwives as witches?). And, of course, poor and uninsured women, often most in need of superb medical care, who are treated at best offhandedly, at worst with actual cruelty. Informed choice is the course Mitford recommends—but the choices must be available. An epilogue reviews the rocky history and problematic future of some form of universal health insurance for the US. Indispensable for prospective parents who may discover that they can just say no to doctor-dictated birth practices and can prescribe their own terms for having a baby.
Pub Date: Nov. 6, 1992
ISBN: 0-525-93523-1
Page Count: 352
Publisher: Dutton
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: Aug. 15, 1992
BOOK REVIEW
BOOK REVIEW
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
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
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
PERSPECTIVES
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