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EMERGENCY SEX AND OTHER DESPERATE MEASURES

A TRUE STORY FROM HELL ON EARTH

A modest contribution to the literature of humanitarian aid, joining such recent superior efforts as Philip Rieff’s A Bed...

An earnest report from the trenches, filed by three UN humanitarian aid workers with plenty of bad news to relate.

The tale opens in New York, with young Heidi, married to a high-powered model agent with a taste for the good life, seeking “the perfect little black fuck-me dress to wear” to an industry party. She is dissatisfied with her lot: “I’m thirty years old and my life is over.” Flash forward to Harvard Law grad Ken, who has little interest in the suburban life suited to “ninety percent of my classmates because it provides shelter for all that mirthless self-confidence.” Ken decides instead to save the world, following the path of social-service doctor Andrew, the son of missionaries who has seen his fair share of misery. In 1993, the three meet in Phnom Penh, Cambodia, assigned to monitor the first free elections since Pol Pot left town; there, Heidi reckons that she can save enough money to set herself up decently in New York, Andrew grumbles that the old-school humanitarian aid scene is being overwhelmed by arrivistes, and Ken worries that the last remnants of the Khmer Rouge are now targeting UN workers. Their work done, the three rocket off to trouble spots around the globe, places like Mogadishu, Port-au-Prince, and Srebenica, doing good and eluding danger. The three-voiced memoir is a nice idea, but none of our narrators is a particularly skilled writer, all tend toward sentimentalism (Heidi: “The pure beauty of death is as impossible to describe as the birth of a child, the betrayal of a lover, the moment of orgasm”), and no one delivers any real surprises: from them we learn that war is hell, life as an aid worker is alternately dangerous and boring, and the world is unjust.

A modest contribution to the literature of humanitarian aid, joining such recent superior efforts as Philip Rieff’s A Bed for the Night (2002) and Jason Carter’s Power Lines (2002).

Pub Date: June 1, 2004

ISBN: 1-4013-5201-4

Page Count: 320

Publisher: Hyperion

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: April 1, 2004

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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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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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