Natural Causes

This book is about the healthcare industry, medical care, and wellness, chiefly in an American context.

I should clarify that I personally, staunchly stand by scientific research in this regard, and am dismayed by the rise of anti-vaccination movements, and the general distrust of medicine during Covid. Having said that, I do understand that the way healthcare is structured in the US, and more globally, the history of discrimination on gender, race, and sexuality in health care, do provide grounds for doubting the industry as a whole. There's a tension between these two concepts in Ehrenreich's book that she can't quite resolve, so she goes back and forth between “the insurance companies are making you take medicines you don't need” to “stop believing junk you read on the internet”. I believe the goal was to establish nuance, but her style is very anecdotal, and so easy to be skeptical about in itself. Even when she's debunking points, her tendency to draw conclusions based on singular examples that range from op-eds to twitter posts is very disconcerting. I'm not saying all writing should be data-driven, but surely claims about scientific research should be somewhat better sourced.

On the plus side, there's a lot of interesting fact and detail in the book that I wanted to follow up on. In particular, she discussed the work of Robert Trivers, a scientist, member of the Black Panther Party (they later ex-communicated him), and one of the first to identify the genetic stakes in parenthood. She referenced his book, Wild Life: Adventures of an Evolutionary Biologist, which I immediately wanted to read. 

The book in general is quite glum. Her theme seems to be largely, ‘death is inevitable, why even bother'. Consider this excerpt: “So much then, for the hours - and years - you may have devoted to fitness. The muscles that have been so carefully sculpted and tone stiffen when calcium from the dead body leaks into them, causing rigor mortis, and loosening only when decomposition sets in. The organs we nurtured with superfoods and supplements abandon their appointed functions.....Everything devolves into a stinking pool, or what may sound even worse, a morsel in a rat's digestive system.” She wrote this book at 76, after surviving cancer, and deciding for herself that she was done with scans and checks and probes. I understand that she was tired. But this isn't a model for everyone, especially the young. While we are all going to die, we do have to live until death. The inevitability of death is no reason at all to give up on living, or living well. In an NYT review, Parul Sehgal wrote, “It???s reasonable, even honorable to so coolly make peace with the inevitable. But I confess wanting a bit more raging against the dying of the light.” I agree!