A hard-hitting, mostly convincing analysis of endemic problems that will require further intensive study.
A broken nation requires crucial changes.
For the last 50 years, journalist and political analyst Brill (Journalism/Yale Univ.; America’s Bitter Pill: Money, Politics, Back-Room Deals, and the Fight to Fix the Broken Health Care System, 2015, etc.) argues, the United States has been deteriorating. Besides a blighted health care system, the author points to other major problems, including underperforming public schools; outdated mass transit systems and power grids; crumbling bridges, highways, and airports; snowballing income inequality; high infant mortality and low life expectancy when compared with other Western countries; political gridlock; voter cynicism and apathy; and lobbyists’ power over elected officials. He blames “the polarization and paralysis of American democracy” partly on a “new aristocracy of rich knowledge workers,” high-achieving, well-educated individuals who have gravitated to law and finance, inventing financial instruments and corporate legal defenses that fed greed but “deadened incentives for the long-term development and growth of the rest of the economy.” Brill calls these individuals, who want to hold onto their wealth, the “protected,” as opposed to the rest of society, “the unprotected,” who need government to act for the common good. The author offers ample evidence that American democracy is in peril. Less persuasive is his optimism that problems can be solved through the efforts of earnest, sometimes influential individuals. Dennis Kelleher, for example, is president of a nonprofit organization called Better Markets, whose goal is to monitor and influence the financial industry. Max Stier, president and chief executive of the Partnership for Public Service, lobbies for implementation of policy: “the unglamorous challenges of making government work,” which involves training managers, senior civil servants, and deputy secretaries in all cabinet departments. Lawyer Philip Howard is a writer and speaker whose book The Death of Common Sense (1995) became a bestseller. Such individuals’ efforts, however inspiring they are, seem hardly enough to lead to massive overhauls of infrastructure (Brill proposes a gas tax for that) or systemic changes in education and health care.
A hard-hitting, mostly convincing analysis of endemic problems that will require further intensive study.Pub Date: May 29, 2018
ISBN: 978-1-5247-3163-2
Page Count: 464
Publisher: Knopf
Review Posted Online: March 19, 2018
Kirkus Reviews Issue: April 1, 2018
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
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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