100 books like The Logic of Care

Medicine loves stories about heroic men who made breakthroughs that have saved lives and given us the life expectancies we have today. It has never celebrated women and yet it was a woman, Josephine Baker, who in two decades starting in 1908, by focusing on antenatal and postnatal care, laid a basis for saving lives that has given us the life expectancies we have today. She did so against fierce opposition from doctors who argued that creating conditions that make infants and children healthy would be bad for medical business. Now that life expectancies are falling, and were falling before Covid, we desperately need to recover Baker and her insights. Her book written in 1939 gives clear hints of how unimpressed she would likely be with today’s medical business.

Modern medicine has dramatically extended life expectancies. But as our life spans extend, our fear of death grows. As our hope of living a long life and seeing our children survive grew, we became more rather than less anxious about losing out. We might have expected the opposite. Aries vividly illustrates how people viewed death as a part of life before the nineteenth century and how they reconciled themselves to it. He picks out 1886 as the point where Tolstoy in The Death of Ivan Illych recognized that medical advances were creating anxiety rather than hope. This book may make you less fearful of death. It will ask you whether you can now achieve serenity half as well as those before us did and whether medicine is bad for our sanity? 

Most of us figure doing evil, even if good results, is not ethical but without this, there would be no medicine. Martin Pernick covers the discovery of anesthesia and the ethical dilemmas this new ability to save lives by poisoning people posed. Anesthesia is a technique and techniques are amoral. How do we ensure they enhance rather than diminish us? How do we avoid seduction into a sleep during which we can be cosmetically enhanced? Is there a limit to how many drugs we give children to manage their behaviour – just because we can? Treating and stopping are not the same as not treating. Pernick doesn’t tell us how to manage this calculus, but he makes us aware modern life involves more of a calculus than we might have thought.   

AIDS was the pandemic before Covid. Unlike Covid, it mobilized people to take the science and efforts to find a cure into their own hands – especially people on the fringes of society. Nothing like this had ever happened before. It appeared to mark a watershed where medicine would become a servant of the people rather than people being enslaved to its commercial priorities. Sadly this is not how things worked out. The discovery of Triple Therapy was a high point of modern medicine but we have gone downhill since then with few if any drugs saving lives the way Triple Therapy did. Impure Science shows you vividly what we are up against.

During the past twenty years, hundreds of studies have found that practicing medicine with compassion, caring, and good information-sharing brings significantly better empirical results than usual. In short, relational dynamics affect our measurable physical condition. For instance, biopsy wounds and surgical wounds heal faster if the patients receive compassionate care from their doctors and nurses. Similarly, diabetes patients receiving compassionate care are far less likely to develop metabolic complications. These relational findings should revolutionize medicine, especially considering the hefty savings in healthcare costs. For now, though, “Research shows that physicians routinely miss emotional clues from patients and routinely miss 60-90% of opportunities to respond to patients with compassion.” These two doctors write in an enjoyable conversational style, sharing their own stories as well as the irrefutable data.  

Perry has created two great characters in Aidan and Kate. Both are damaged in their own ways – Kate has diabetes and Aidan lost an arm in Afghanistan - and certain their problems are the only things that define them. Watching them grow and change and accept that they are so much more than their problems makes this a satisfying read.

Mastering Diabetes explains the nature of the disease, and why the standard treatment of Type 2 Diabetes in particular is counterproductive. The authors draw from their own personal experience and the experiences of those they have counseled, but they provide evidence from a raft of scientific studies. They have had striking success, which they report with energy and enthusiasm. With confidence born of that success, they stand conventional diabetes wisdom on its head.

The discovery of insulin in early 1922 was a medical milestone that has since saved countless lives–my own included. Until this moment, a diagnosis of Type 1 Diabetes was a certain death sentence. But as diabetes clinician and historian of medicine, Chris Feudtner points out, the success of insulin has distorted historical accounts of diabetes by marginalising the experience of the patient in favour of narratives that focus on the development of medical technology to treat them. And Feudtner’s diagnosis is confined not just to diabetes but to the history of medicine in general. Following a personal epiphany that patients have an existence beyond X-rays and blood tests, Feudtner set out to address this problem by writing a history of diabetes as told from the perspective of patients. He does so magnificently and offers important insights about our relationship with technology that extend well beyond the treatment of diabetes.

I instantly became of fan of Mira, a STEM-loving pre-teen who is dealing with a lot: her best friend moving away, a very sick cat she adores, and her father’s depression after losing his job. At first, she thinks her big brain has to be the key to unlocking how to solve her troubles, but over the course of the chapters, she realizes that opening her heart to new friends and modeling true perseverance goes a lot farther. This book has so much sweetness and humor, but it's not fluff. Every page feels like a real kid dealing with real stuff and trying to use whatever she can to help her family through a really tough time. 

This book by an award-winning Canadian novelist mixes memoir and essay. The memoir is set in New Brunswick’s Miramichi region in 1961. Richards has no use of his left arm; his best friend is going blind due to diabetes. They are in their last year of playing hockey. Woven into that story are other memories—including of distasteful meetings with people who don’t like the sport—as well as his thoughts on the game and its place in the Canadian psyche. Hockey Dreams is highly personal, so it may not be for readers, but I loved it.