by Danielle Spencer
As we look toward wending our way out of the COVID-19 global health crisis, what tools can we use to make sense of what we are experiencing? For if there is anything self-evident in our current predicament, it is that any given field—medicine, sociology, political science, psychology—are insufficient in isolation. “Pandemic,” from the Greek πάνδημος, means of or belonging to all the people; and the challenges of this pandemic compel us to take a pan-disciplinary approach.
As it happens, the need for an inclusive and transdisciplinary approach to healthcare is one which has been expressed with regularity. In the U.S., for example, there have been a series of movements in the last 50 years or so; from the biopsychosocial model to patient-centered care, these reforms seek various ways of enacting Francis Peabody’s dictum that “the secret of the care of the patient is in caring for the patient.” “Patient-centered care” should be a redundancy—like food-centered eating, or text-centered reading, or air-centered breathing—but it’s an important corrective to the reductive proclivities of western biomedicine. In a similar spirit, the field of bioethics, arising in response to terrible abuses in research practices, is an intentionally interdisciplinary tent, inviting ethicists, clinicians, epidemiologists, researchers, and everyone with a stake in what happens to our bodies to join the dialogue. Just how inclusive and effective these efforts have proven to be is of course another matter entirely.
In more recent years my own home field of narrative medicine has emerged to join the effort. In part nourished by the late-20th-century “narrative turn” in many humanities and social sciences disciplines (some might be surprised that we were ever estranged from narrative—but some of us certainly were) the field centers the importance of narrative competence in training clinicians and empowering all persons to engage with the narrative complexities of healthcare, striving for greater equity and justice. Read more »


It is time to go home. You can pull down the window shade for some relief; then it’s only 100 degrees. An Air Burkina Fokker F28 has sidled up to join us on the tarmac in Bamako, Mali. Not quite home yet.
There’s a lot we can learn about today’s America by observing the Mormon Church.


I was there when they first went up. From my south-facing bedroom on Morton Street in the village, I watched them grow, floor by floor, to a height unimaginable for that time. When they were finished, I began to measure their height against their distance from my bedroom. If they fell over, would they reach me? Not only was I ignorant of structural engineering, I never gave a thought to what would happen to the people inside if they did fall over. Years later I would learn that they didn’t fall over, they fell down. This time my thoughts were with those people inside.
Sachin Chaudhuri, who lived in Bombay, came to know, I think from Binod Chaudhuri, about my teenage forays into writing political pieces, and he asked me to share them with him, and sent back detailed (handwritten) comments on them. A little later he started encouraging me to write for EW (copies of which he sent me every week). But I was too diffident; I was a neophyte Economics student, and I knew of EW’s sky-high reputation (Prime Minister Nehru had a standing instruction to his assistants that as soon as the weekly comes out it should immediately be at his desk). Many years later in my MIT days when I met Paul Samuelson, the great American economist, he once told me that he thought EW was a unique magazine, having topical columns on every week’s events and at the same time publishing specialized analytical articles, some quite technical. I found out that he, like many stalwart economists and other social scientists in the world at that time, had himself written for EW—this was partly a tribute to the magnetic personality of Sachin Chaudhuri which attracted some of the finest minds and created a rich intellectual aura around the magazine.

In these dying days of summer, as I steel myself for the onslaught of an uncertain term ahead, I’ve been reading
The Italian author Sandro Veronesi’s latest novel, his ninth, The Hummingbird, is a clever book that offers the reader both literary pleasure and serious thought. The novel is essentially a family saga, and like all family histories and stories it has a complexity of interpersonal relationships and human emotions all woven into the story. It sounds so typical of life and the reader might begin to think that the novel is a family saga that could be tedious, but that is far from the truth. Veronesi has skilfully used structure to fracture any complacency or perception of the characters and the story, and his novel is a superb piece of skilled writing with unexpected twists and turns.
Andrea Chung. From the series Vex, 2020.
The day I began writing this essay, Portland Oregon braced for yet another round of uncharacteristic heat. Over several months of preparation, as I had been reading and pondering Kim Stanley Robinson’s big, detailed, hyper-realistic science-fiction book The Ministry for the Future, our normally cool northwest town had found itself repeatedly facing drought and high temperatures. Now we were about to be trapped under a “heat dome” of 115 degrees Fahrenheit (46° C) – Las Vegas temperatures, Abu-Dhabi temperatures – for days on end.
