A searing and sobering indictment of the public health care system that highlights the inequality of treatment.
In the spirit of investigative journalism, this assessment of public hospitals paints a grim picture of health care for the poor in America.
Debut author King, a former newspaper reporter, focuses primarily on Atlanta’s Grady Memorial Hospital, showing that the public hospital in general has become “the symbol of how the poor are cared for in the United States.” This book traces Grady’s history and compares it to the evolution of four other public hospitals, demonstrating the challenges such centers face in serving their communities. Grady’s story is deftly interwoven with the advents of Medicare and Medicaid and, more recently, the Affordable Care Act. Perhaps most disturbing is King’s insightful exploration of the intersection of race, poverty, and health care, particularly in the South. Grady, for example, which started as “White Grady” and “Black Grady,” was desegregated after the 1964 Civil Rights Act; still, “remnants of Grady’s segregated past lingered for years.” The larger issue, however, was Grady’s compensation for taking impoverished patients. Grady’s Emergency Room, like those of other public hospitals, couldn’t turn away patients with life-threatening ailments. King notes, however, that nonprofit and private hospitals routinely “send patients without life-threatening conditions who come to their ERs to a public hospital for what they deem to be nonemergency care.” Public hospitals typically receive payment for these poor patients via Medicaid—but in the South, “state Medicaid programs have been unusually restrictive.” In fact, the author reports, “by refusing to expand Medicaid, Georgia was leaving about $9 million a day on the table, unclaimed for use by the neediest people in the state and the hospitals that treat them.” Grady survived, writes King, because of the efforts of local business leaders rather than county or state governments. In this important book, the author more briefly recounts similar stories of the other four public hospitals: Parkland Memorial Hospital in Dallas, Jackson Memorial Hospital in Miami, the John H. Stroger Hospital of Cook County in Chicago, and Charity Hospital in New Orleans. Carefully documented, journalistically crafted, and artfully told, this account illuminates the myriad struggles of public hospitals to effectively treat the indigent. King bluntly asks: “Have we reached the point where public officials, particularly those in the South, are frozen in the ice of their own indifference when it comes to the government’s responsibility in caring for the poor?”
A searing and sobering indictment of the public health care system that highlights the inequality of treatment.Pub Date: May 31, 2016
ISBN: 978-1-944962-06-7
Page Count: 352
Publisher: Secant Publishing
Review Posted Online: May 4, 2016
Kirkus Reviews Issue: June 15, 2016
Review Program: Kirkus Indie
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
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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