A compelling, hard-hitting indictment of U.S. health care and half-measure ObamaCare reforms.
America’s medical system faces severe and worsening problems under ObamaCare and can only be cured by a revolutionary turn toward public health insurance, according to this exposé.
Geyman (Souls on a Walk, 2012, etc.), a medical school professor and former editor of the Journal of the American Board of Family Medicine, argues that while the number of uninsured has dropped because of the 2010 Affordable Care Act, spiraling costs and a decline in quality have left many Americans with unaffordable, inadequate, and insecure health care. He notes that tens of millions still go without insurance; that soaring deductibles and copayments mean that even insured patients often face crippling bills or have to forgo needed care and drugs; and that out-of-network fees and other fine-print gotchas result in huge unanticipated costs that still bankrupt families. Meanwhile, he contends, insurance companies have reduced their coverage and drastically restricted patients’ ability to choose their own hospitals and physicians, requiring them to drop their longtime doctors in favor of strangers and endure long waits because shrunken provider networks don’t have practitioners who can treat them. Geyman pulls no punches in detailing the failings of ObamaCare, but he’s equally hard on the market-based reforms of Republican opponents of the system (“If the Republicans have their way, individuals and families might pay less for skimpy insurance products, but would pay much more for necessary health care”). Instead, he fingers profit-driven health care as the root of the problem and advocates a Canadian-style, single-payer National Health Insurance program funded entirely by the government and delivered by private, not-for-profit hospitals and doctor groups. Geyman’s lucid and very readable (though sometimes repetitive) treatise has plenty of statistics to back up his arguments. But its heart is a series of individual health care horror stories wherein ordinary families find that ObamaCare promises of affordable treatments, universal access, and a choice of providers prove to be hollow. (One patient Geyman profiles was slapped with a $117,000 bill when an out-of-network consulting surgeon he had never met was called in while he was unconscious during a neck operation—a fee his insurer refused to pay.) The result is a smart, savvy analysis that shows the human cost of a broken system.
A compelling, hard-hitting indictment of U.S. health care and half-measure ObamaCare reforms.Pub Date: Jan. 1, 2016
ISBN: 978-1-938218-02-6
Page Count: 238
Publisher: Copernicus Healthcare
Review Posted Online: Nov. 17, 2016
Kirkus Reviews Issue: Dec. 15, 2016
Review Program: Kirkus Indie
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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