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Within Reason: A Liberal Public Health for an Illiberal Time First Edition

3.7 3.7 out of 5 stars 4 ratings

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A provocative chronicle of how US public health has strayed from its liberal roots.

The Covid-19 response was a crucible of politics and public health—a volatile combination that produced predictably bad results. As scientific expertise became entangled with political motivations, the public-health establishment found itself mired in political encampment.

It was, as Sandro Galea argues, a crisis of liberalism: a retreat from the principles of free speech, open debate, and the pursuit of knowledge through reasoned inquiry that should inform the work of public health.

Across fifty essays, Within Reason chronicles how public health became enmeshed in the insidious social trends that accelerated under Covid-19. Galea challenges this intellectual drift towards intolerance and absolutism while showing how similar regressions from reason undermined social progress during earlier eras. Within Reason builds an incisive case for a return to critical, open inquiry as a guiding principle for the future public health we want—and a future we must work to protect.

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Editorial Reviews

Review

"Despite remarkable successes, Galea argues, public health succumbed to a disturbing strain of illiberalism during the pandemic. . . .Galea makes a powerful case that to carry the worst illiberal outcomes from the pandemic into the next crisis would be a devastating mistake." -- Pamela Paul ― The New York Times

"Galea is a good companion in navigating readers through the political thickets in which public health now operates. [
Within Reason] is not about COVID-19, but the pandemic was an enormous stress test of public health and thrust public health into the center of politics and media attention." ― The Lancet

"In 
Within Reason, Galea provides a collection of his own essays to explore how the pandemic impacted public health in the US, alongside other general issues the pandemic exposed. In addition to providing incisive analysis on this topic, Galea’s essays provide a powerful and thought-provoking look at the trends in public health that were accelerated due to the pandemic." ― Choice

“Powerful, erudite, and immersive—an essential treatise on our needed reformation in public health.” -- Alonzo Plough | Robert Wood Johnson Foundation

“With equal dose of empathy and examination, Sandro Galea challenges us to undertake a deep exercise of self-reflection: how our hard-won political beliefs may betray us in the hope for a greater good.
Within Reason is critically relevant for each of us—and all of us.” -- Julio Frenk | University of Miami

About the Author

Sandro Galea is the dean and Robert A. Knox Professor at the Boston University School of Public Health. He is the author of several books, including The Contagion Next Time and Well: What We Need to Talk about When We Talk about Health.

Product details

  • Publisher ‏ : ‎ University of Chicago Press; First Edition (December 1, 2023)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 284 pages
  • ISBN-10 ‏ : ‎ 0226822915
  • ISBN-13 ‏ : ‎ 978-0226822914
  • Item Weight ‏ : ‎ 13.6 ounces
  • Dimensions ‏ : ‎ 5.75 x 0.75 x 8.75 inches
  • Customer Reviews:
    3.7 3.7 out of 5 stars 4 ratings

About the author

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Sandro Galea
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Sandro Galea, a physician, epidemiologist, and author, is dean and Robert A. Knox Professor at Boston University School of Public Health. He previously held academic and leadership positions at Columbia University, the University of Michigan, and the New York Academy of Medicine. He has published more than 1000 scientific journal articles, 75 chapters, and 24 books, and his research has been featured extensively in current periodicals and newspapers. Galea holds a medical degree from the University of Toronto and graduate degrees from Harvard University and Columbia University. He also holds an honorary doctorate from the University of Glasgow. Galea was named one of Time magazine’s epidemiology innovators and has been listed as one of the “World’s Most Influential Scientific Minds.” He is past chair of the board of the Association of Schools and Programs of Public Health and past president of the Society for Epidemiologic Research and of the Interdisciplinary Association for Population Health Science. He is an elected member of the National Academy of Medicine and the American Epidemiological Society. Galea has received several lifetime achievement awards, including the Rema Lapouse Award from the American Public Health Association and the Robert S. Laufer Memorial Award from the International Society for Traumatic Stress Studies. He is a regular contributor to, and his work is regularly featured, in a range of public media.

Customer reviews

3.7 out of 5 stars
3.7 out of 5
4 global ratings

Top reviews from the United States

Reviewed in the United States on December 4, 2023
a great read, and very timely. a good perspective on the importance of reflection for public health
6 people found this helpful
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Reviewed in the United States on January 8, 2024
An unconvincing mea culpa by a public health bureaucrat on the mishandling of the Covid pandemic. It's not an honest self assessment. It's a thinly veiled campaign for a political agenda.
2 people found this helpful
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