Genetics is a field of biomedical research that is both in motion and influential over our daily lives. It promises to help millions afflicted with horrific disease, yet it could be poised to change (or unravel?) human life as we seek to write our own destinies in DNA. Real action in this field has only occurred in the last 200 years, starting with Gregor Mendel and accelerating in the early twentieth century. Mukherjee, an oncologist…
This book has sat in my to-read stack for some time. I finally picked it up, and I’m glad I did. I love reading stories about the progress of medical research, the field I work in (specifically translational research). This book focuses on how medicine is evolving, especially zeroing in on in its business aspects as well as its international impacts. Even after the pandemic, precision medicine stands poised to provide more effective treatments in…
The pandemic era provided the world many types of stories that have not been seen in generations, at least since the Spanish Flu Pandemic of 1918. Healthcare workers and governmental leaders had the most stress refracted their way. Jahangir, a colleague and trauma surgeon at Vanderbilt Medical Center and chair of the board of health in Metro Nashville, served in both roles. What was naively thought to last perhaps only weeks or even a few…
This sociological work examines a niche group with a lot of social factors going on that impacts their health. First, there is gender as these are women. Regionally and racially, these women are from Puerto Rico but now live in the mainland US. They are impoverished, like many who come from the island. They have to deal with very real health issues like mental illnesses and the looming risk of HIV. They have risk factors,…
The prevalence of HIV and AIDS in Africa was a looming problem at the turn of the millennium, but heavy American investment in treatment for Africans under George W. Bush’s PEPFAR program addressed the acute symptoms. However, like much in life, smaller, no-less-significant problems exploded soon afterwards, particularly in the vein of post-colonialism. Was this a scientific partnership of equals or was it a contribution from a superior to an inferior? Does PEPFAR create a…
In anthropology, an ethnography is an account of the culture as told by the people in that culture. As such, it’s basically a fancy word for a series of interviews within a group of people linked together. In this work, Mendenhall, a medical anthropologist working at Georgetown University, offers us an ethnography of the early days of the coronavirus pandemic in rural America. She does so in a personal account while she visits her hometown…
In 1991, HIV/AIDS was an immensely scary topic for the public. AZT had just been released, but no one saw it as a cure. Some were even frightened of the long-term side effects. In the decade following, multi-drug HAART therapy transformed HIV into a livable condition, at least for patients in the developed world. But in 1991, the fear the words “HIV” and “AIDS” invoked – especially in those given this diagnosis – needs to…
Since around 2005, I’ve attempted to learn the big picture of American healthcare while focusing on my little niche in the system. After 16 years (and several legislative bills with major changes), I find myself as befuddled by the economic organization as I was at the beginning. Before dying in 2017, Reinhardt was a leading voice in healthcare economics. A Canadian by citizenship and a German by birth but an American by living, he mastered…
Most Americans, heeding the news in 2020-2021 during the coronavirus pandemic, have some bits and pieces about how the “war” against the coronavirus was waged. Very few (yet) have a comprehensive view. Enter Borrell’s The First Shots. In it, he aims to provide a first-draft of a history describing the vaccine’s development. Resulting is an engaging and educational narrative that will inform generations to come. With many actors, Borrell tellingly provides “A Cast of Characters”…
In the 1990s, scientists made significant advances to limit the impact of HIV upon human lives… in the West. However, HIV continued to flourish in sub-Saharan Africa, and it remained for the new millennium to limit its reach there. Bass’s book tells the story of the American effort in this quest that spanned multiple presidencies across both political parties. She concludes with its impact on the COVID pandemic. The effort to defeat HIV/AIDS is so…