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ENTRENCHMENT

WEALTH, POWER, AND THE CONSTITUTION OF DEMOCRATIC SOCIETIES

An erudite book featuring important concepts and convincing research, but it’s a text whose diction and political leanings...

An examination of how democracies have had difficulty rising, have endured threats of all sorts (wars, economic crises), and now face new and perhaps even more ominous threats.

Starr (Sociology and Public Affairs/Princeton Univ.; Remedy and Reaction: The Peculiar American Struggle over Health Care Reform, 2011, etc.), the co-founder and co-editor of American Prospect magazine and winner of both the Bancroft Prize and the Pulitzer Prize, returns with a scholarly look at “entrenchment,” which he defines as “the making of changes [in our political and social systems] that then become hard to undo and that increase the resistance to stress at the foundations of society.” His organization is conventional and historical: He defines the terms, distinguishes between various methods of and paths to entrenchment, and examines the effects of power and wealth, stories of slavery and immigration, and the power of rules established by the powerful (rules designed to retain power—e.g., the cutting of taxes on the wealthy, the control of voting rights, the appointment of like-minded judges). The author also discusses the entrenchment of—and threats to—social welfare programs, and he comments on the notion that some deserve health care and public assistance while others do not. He also looks at two dire threats: “oligarchy and populist nationalism.” Although Starr’s principal focus is the history of the United States, he also leaps across the pond occasionally to comment about similar situations in the U.K., France, Scandinavia, and other countries dealing with similar issues. He initially avoids any specific references to the current political situation in America, but by the end, he lands on Donald Trump, who “embodies this fusion of oligarchy and populism and the simultaneous pursuit of enrichment and entrenchment.” The final pages are admonitory—and apprehensive—as the author expresses a sober concern about the survival of American democracy.

An erudite book featuring important concepts and convincing research, but it’s a text whose diction and political leanings will appeal primarily to like-minded academic readers.

Pub Date: June 25, 2019

ISBN: 978-0-300-23847-1

Page Count: 280

Publisher: Yale Univ.

Review Posted Online: April 9, 2019

Kirkus Reviews Issue: May 1, 2019

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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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