An impassioned indictment of a broken system and its enablers and necessary reading as the pandemic intensifies.
The award-winning Yale historian launches a broadside against the American health care system.
“The day that had just begun, December 29, 2019, could have been my last.” So writes Snyder about his hospitalization and subsequent poor treatment over the next few months, experiences that left him enraged at the state of health care in America. “In five hospitals over three months,” the author found himself with a front-row seat to the beginnings of the coronavirus pandemic. He took detailed notes during his time as a patient, and he clearly shows a health care system far more interested in profits than health, a system that follows the dictates of computers and algorithms rather than any one-to-one relationship between doctor and patient. Snyder delivers a scathing critique of this “grotesque” and “ludicrous” system as well as a government response to the pandemic that he dismisses as “magical thinking.” Indeed, the Trump administration’s “unwillingness to test did not mean that we were healthy, only that we were ignorant,” and the “focus on a foreign source of ‘fault’ meant that no one here was to blame. When no one bears responsibility, no one has to do anything.” The author meticulously documents the health problems he suffered—among many others, a burst appendix, tremors, and “an abscess the size of a baseball in my liver”—seemingly all of which were ignored or misdiagnosed by doctors. Snyder compares the impersonalized, economy-driven care he received in American hospitals with the far more nurturing treatment he and his wife had experienced during a childbirth in Austria, a procedure that was both “intimate and inexpensive.” Ultimately, writes the author, “our botching of a pandemic is the latest symptom of our malady, of a politics that deals out pain and death rather than security and health, profit for a few rather than prosperity for the many.”
An impassioned indictment of a broken system and its enablers and necessary reading as the pandemic intensifies.Pub Date: Sept. 8, 2020
ISBN: 978-0-593-23889-9
Page Count: 192
Publisher: Crown
Review Posted Online: July 13, 2020
Kirkus Reviews Issue: Aug. 1, 2020
A deeply learned dive into the frightening visions of technocrats past and present.
The noted historian and New Yorker staffer looks into a future ruled by machines.
Thirty-odd years ago, writes Lepore, liberal democracies of old were being transformed into both authoritarian or autocratic regimes and by “automatocracy, rule by automation, government by machine-driven computation, prediction, and persuasion.” In this pointed rejoinder to Hannah Arendt’s Origins of Totalitarianism (1951), which foresaw a world in which humans were essentially superfluous, Lepore charts a long history that extends deep into the “machine age,” beginning in the 17th century, which saw “the artificial as existing not only outside the natural but above it, an improvement upon it.” In this conception, humans were fallible, while machines faithfully and unfailingly obeyed the rules set for them. A logical progression followed in the 1920s with the rise of the Technocracy movement, a variety of fascism widely accepted in the U.S. that held that far from being free and equal, humans should be governed by scientists and engineers who alone “have the intelligence and education to understand the industrial operations that lie at the heart of twentieth-century life.” It’s a short hop from there to the present, with tech billionaires pushing AI and, in the case of the influential “self-described ‘neo-monarchist’” Curtis Yarvin, a dictatorship aided by it. In all this, Lepore writes, it is not just the human animal that suffers but all animals and all habitats, which can only worsen with the incessant demands for energy, rare earths, and water that AI requires. And what “humans crave, in that artificial world, is nature,” a nature that is increasingly silenced. This undemocratic world, benefiting only the wealthy at the expense of all else, is a prison of screens and keyboards from which, she writes memorably, “What is required is to imagine an escape, and then to conduct it.”
A deeply learned dive into the frightening visions of technocrats past and present.Pub Date: Aug. 25, 2026
ISBN: 9781324098423
Page Count: 320
Publisher: Liveright/Norton
Review Posted Online: May 18, 2026
Kirkus Reviews Issue: June 15, 2026
PERSPECTIVES
PERSPECTIVES
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
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