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How could the performance have been better?
The narrator had an odd habit of taking on attributions, so every "he said" or "she said" sounded odd and disjointed.
Any additional comments?
Overall this is a solid book, outlining the history of chronic illness in the United States, both from a medical perspective and, largely, from a patient perspective. There is some excellent insight to glean and a lot to think about, especially as our longer lives mean more of us will deal with some form of chronic illness. Of course, such illnesses run the gamut from the most miserable conditions that cause constant pain or extreme fatigue or other ailments that severely limit many life activities, to milder conditions that either can be reliably controlled with medication and lifestyle changes (e.g., some forms of diabetes) or issues that can be tolerated as a "new normal" (some forms of allergies and asthma). In the end, the book got repetitive and I think the author's desire to be accommodating to everyone's opinion ran astray. Though the author appears to understand that there is absolutely no scientific evidence linking vaccines to autism, she did not make the point strenuously enough. I also thought the author (who deals with a number of diseases and has been chronically ill for her entire life) showed a little short-sightedness in her conclusion when she recounted how some friends and family questioned her decision to have children given that her condition is likely genetic. It isn't that I think a genetic condition means no procreation, but I likewise know that many parents screen for conditions (especially debilitating ones) or screen themselves and their partner to ensure that no deadly conditions will inadvertently be passed on. It seems irresponsible to sweep aside such questions out of hand, only stressing her emotional reaction to people asking if she had considered whether or not it was a good idea to have children, rather than enlarging the discussion as she did for other topics in the book.
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