Global Health, Random

Eight books that changed the way I see the world

I don’t remember exactly what prompted the change, but in the beginning of 2012 I began reading books again for fun. I’ve probably read about 150 since then and though a few were fiction, the majority pertained to behavioral science, public health, and philosophy. I know, I’m a blast at parties.

Bill Gates is a fun guy

Bill Gates

These 8 books, while not necessarily my favorites, are the ones that have been the most influential in life and how I view the world.

Mountains Beyond Mountains (Tracy Kidder)
This book did more than anything else in guiding me towards a career in public health and infectious disease epidemiology. In it, I learned about the extent of health disparities in the world and the burden of infectious diseases like TB that still kills over a million people each year. Mountains Beyond Mountains is an account of Dr. Paul Farmer, a Harvard MD and Medical Anthropology PhD who co-founded the global health nonprofit Partners in Health. Refusing to accept the status quo, Farmer has been a key figure in changing what is thought of as possible in the world of global health. Check out the book and Partners in Health if you’re at all interested in global health and health disparities. They do incredible work and are the one nonprofit that gets a regular portion of my paycheck each month.

The Omnivore’s Dilemma (Michael Pollan)
Though possibly a bit dense as an introduction (consider In Defense of Food first), this book was the first that really got me thinking about the relationships between the food system, the environment, and our health. Pollan takes you on a journey through America’s food system—visiting feedlots, monoculture farms, and food factories—pointing out problems and directing us towards a healthier future. These two books, along with his most recent Cooked, have been instrumental in shaping my view that a resurgence of cooking at home would do great things for our collective health. Rather than worry too much about HDL/LDL ratios, Omega-3s, and antioxidants (or whatever the nutrients of the day might be), he encourages us to simply “Eat [real] food. Not too much. Mostly plants.” If you’re interested in the food system as a whole, check out The Omnivore’s Dilemma. More about cooking and the history of food from an anthropological perspective? Read Cooked. If you want a more pragmatic introduction to healthy food practices in general, without diving too deeply into long (though very interesting) background research, then definitely look into In Defense of Food first. Each are good by themselves, but the three (and his other books as well) play together very well in guiding us through the entire global food chain, from farm—industrial or otherwise—to plate.

Meditations (Marcus Aurelius)
This is probably the best book I’ve ever read. It’s comprised of brief notes that Marcus Aurelius wrote to himself, never intending, as far as we know, for anyone else to read it. As the emperor of the Roman Empire, arguably the most powerful person on earth at the time, it is all the more surprising to see the restraint and humility he portrayed in his reminders. This is a fantastic introduction to the ancient philosophy of Stoicism (not to be confused with our related, but distinct adjective stoic) and an essential guide to humility, strength, and self-discipline. Read the Gregory Hays translation and make sure you don’t skip the introduction.

The Black Swan (Nassim Nicholas Taleb)
This book isn’t about ballet, but instead about economics and philosophy. Riveting, I know. Essentially, Taleb spends most of the book (and it is probably a bit long) arguing that we rely too heavily on the gaussian distribution or “bell curve” in our predictions and that points at the extremes, black swan events, occur far more frequently than we predict. I understand that this sounds like a statistics textbook, but he uses this claim to talk about numerous situations where this overconfidence has terrible outcomes (market crashes, risk management). Some of the writing was a bit over my head, but I walked away from the book with a newfound appreciation for the unpredictability of the world and a healthy fear of most predictions and forecasting models. If you want a lighter overview, Malcolm Gladwell apparently summarizes the philosophy in a chapter of What the Dog Saw. 

Predictably Irrational (Dan Ariely)
The ability to make rational decisions is a fundamental assumption in standard economic theory, but Dan, a professor of behavioral economics, uses recent behavioral studies to show how frequently this assumption is false or at best incomplete. This is a fascinating and really fun book that shows that not only are we often irrational, but that these irrational decisions are frequently systematic and predictable.

Thinking Fast and Slow (Daniel Kahneman)
This is similar to Predictably Irrational, but serves as a much more comprehensive overview of our inherent biases and heuristics that play a big role in decision making. Daniel Kahneman is one of the founders of behavioral economics—and in fact won a nobel prize for his research. He describes the brain as two competing systems that fight for primal survival and rational reason, respectively, but that don’t always get along. Check out Predictably Irrational first, as this is considerably longer, but if you have a Kindle, this one’s only $3 anyway.

So Good They Can’t Ignore You (Cal Newport)
Cal argues that striving to follow a preconceived “passion” in your career is not only not very helpful in most cases, but can actually be detrimental to one’s job and life satisfaction. If that sounds weird, it’s probably because we’re surrounded by claims to follow our passion for a happy life, but this is a book worth reading, if only to introduce to you a counter argument. More than that, he continues by figuring out what it is, if not a preconceived passion, that does make our careers and lives fulfilling. The title gives away part of his suggested solution, but the conclusion is quite nuanced and really does take the entire book to explore.

The Healing of America (T. R. Reid)
T. R. Reid made me realize just how messed up our healthcare system is and how much better some other countries are doing at keeping their populations healthy (and for considerably less money as well). Regardless of your thoughts on how we should organize our healthcare system, hopefully you at least agree that it’s far from perfect. This is a good introduction to how a few other countries have gone about organizing their healthcare systems, why a pure market-based system doesn’t work, and what we can do to have better health outcomes for less investment at the national level.

Global Health, Travels

Two Limas

As the taxi “merges” (read: changes lanes with zero consideration of the other vehicles in its path) onto the highway of sorts, I realize that everything I know about Lima and Peru after my first 10 days in the country will have to be amended. I’m jammed into the back seat with a fellow TB researcher and a nurse, another nurse in the front by the driver, ducking my head slightly to avoid a painful collision with the low ceiling at every bump in the very bumpy road. We’re on our way to the district of San Juan de Lurigancho, home to over a million residents in Lima, and the location of our TB study population. I’ve already been working for about a week on the project, but until now have mostly remained in my home district of Miraflores and at the University at which I’m working, an easy (hour-long) bus ride away. I have some vague idea of the rest of Lima, the sprawling slums and poor urban regions that comprise much of the 9-million person metropolis, but am not quite prepared for the poverty that faces me. I haven’t seen anything like this since a trip to Nicaragua 3 years ago, and not in the vastness that is Lima.

San Juan de Lurigancho

San Juan de Lurigancho

Continue reading

Global Health

Acceptable Deaths

2.46 million people died last year from diarrheal diseases.

1.34 million from tuberculosis.

1.21 million from road traffic accidents.

27 people died in the Sandy Hook Elementary shooting.

15 in the West explosion.

3 in the Boston Marathon bombing.

Why did these last three drive so much attention and emotional response? Why didn’t the others?

Continue reading


GlobeMed with Dr. Paul Farmer

Global Health

GlobeMed with Dr. Paul Farmer

Global Health

Countering Failures of Imagination

This is a post I wrote with Michelle Truong for the GlobeMed at UT website. You can check out the original post here.

In several events at the University of Texas at Austin last week, Dr. Paul Farmer spoke about health and human rights, building integrated health systems, and working in solidarity with those in the poorest communities in the world.

If you don’t know of Dr. Farmer or Partners in Health, grab a copy of Tracy Kidder’s Mountains Beyond Mountains. Kidder presents a biographical account of Dr. Farmer’s work in some of the poorest areas of the world and of the founding of Partners in Health, an organization that brings healthcare to the world’s poorest communities.

Paul Farmer and Partners in Health have dramatically impacted both of our lives. Brian read Mountains Beyond Mountains on a 2010 trip to Nicaragua and recommended it to Michelle, who read it right before leaving for GlobeMed at UT’s first GROW trip to El Salvador. Perhaps the words rang especially true in Central America, but his story showed us the impact one person can have on the world through his devotion to serving the poor, to working towards a more equitable global health. Like the many others introduced to Dr. Farmer in Mountains Beyond Mountains, we were deeply inspired to learn more as we delved further into the field of global health.

Continue reading

Global Health

To Stop TB in My Lifetime

This is a post I wrote for GlobeMed at UT for World TB Day. It’s the 5th essay in the Global Health You series that tries to show why we fight for global health.

To see the original post, go here.

Four years ago, I’m not sure that I knew tuberculosis still existed. Hadn’t we eradicated it along with diseases like smallpox years prior? For an American teenager like me, tuberculosis likely fell somewhere between cholera and dysentery on the list of diseases that might ruin your pixelated game of Oregon Trail. I don’t know if this speaks more to my ignorance as an 18-year-old college freshman or to the absence of global health coverage in the local media, but it’s nonetheless embarrassing now.

Tuberculosis, TB as it is frequently known, is of course with us to this day and while it primarily plagues those in low- or middle-income nations, the bacterium can be found essentially everywhere. It’s easy to look at the statistics for tuberculosis in the United States alone and see TB as a declining disease, one that affects fewer and fewer people each year. 2012 marked the 20th consecutive year of decline in TB incidence nationally and the first year that the number of new cases fell below 10,000 since we started keeping records in the 1950s. Even globally, the total number of new TB cases has begun to shown a decline. However, every single minute of every single day of the year, 3 people on average die from this treatable disease. Tuberculosis is clearly a continual global threat with an estimated 8.7 million new cases and 1.4 million deaths per year from the pathogen.

Continue reading