There is a great deal of debate and attention on the UK National Health Service at the moment as it celebrates its 70th anniversary this year. If you live in Britain, you can’t move for television, radio and newspaper commentaries at the moment. But the talk is not just about celebration, but about what we want and expect public services to provide in the way of healthcare, and, just as important, how the immense costs of it all should be met. The challenges are mind-boggling: we have an ageing population, advanced medicines come at a high price, the long-term nature of public health investment, not to mention dealing with developed world problems such as obesity, addiction and mental illness. The issues are massive.
The NHS was described by politician Nigel Lawson as “the closest thing the English people have to a religion” and it is indeed dear to the hearts of many. Observe the profile it enjoyed at the opening ceremony to the London 2012 Olympics and the influence the promise of extra cash for the NHS most likely had on the Brexit debate.
I have no intention of starting a political debate here, but if health is on your mind, you might want to dip into some books with a medical theme. Here are some of my suggestions (not all of which I have read, I should add):
- Still Alice by Lisa Genova – a moving account of a 50 year-old woman’s development of early onset Alzheimers. Made into a film starring Julianne Moore.
- Everything Everything by Nicola Yoon – a YA book about a young woman suffering from a rare condition which means her immune system is dangerously impaired.
- The Diving Bell and the Butterfly by Jean-Dominique Bauby – a harrowing true story where the author developed locked-in syndrome after a car accident. He was initially thought to be in a coma, but was in fact fully conscious. He was eventually able to communicate through blinking, and wrote this book using only this tool. Incredible and reminds you of the fragility of life.
- The Fault in Our Stars by John Green – another YA novel, both my daughters love this book, about teenage terminal illness. Also made into a tear-jerker of a film.
- This Is Going to Hurt by Adam Kay – award-winning non-fiction writing from a junior doctor telling it like it is on the NHS front-line.
- Call the Midwife by Jennifer Worth – love the TV show, currently reading the follow-up Farewell to the East End, Worth was a young midwife in East London in the 1950s so for a taste of the early days of the NHS look no further.
- Eleanor Oliphant is Completely Fine by Gail Honeyman – a young Scottish woman’s mental illness, compounded by loneliness, detachment and the harshness of modern life.
- The Curious Incident of the Dog in the Night-time by Mark Haddon – challenging life events, seen through the eyes of a young man with Asperger’s Syndrome. A must-read.
- Two Girls, Fat and Thin by Mary Gaitskill – I have recommended this book so many times. It’s an intense novel about eating disorders, mental health and sexuality.
If you have suggestions for any other books with a medical theme that you have enjoyed, I would love to hear them.
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Browsing in the bookshop last year, I noticed that she had published her own autobiography, at the age of 83 – I note with some pleasure that her 84th birthday is in fact today! Many happy returns! Reading the blurb whetted my appetite – I was not aware of her life as a groundbreaking Literary Editor at the Sunday Times, or that she had five children, including one boy who died as a baby, and another son who was born with severe disabilities, nor that her first husband, fellow journalist Nicholas Tomalin, was killed in 1973, when her children were still very young. It sounded like a very interesting read.
The novel is set in Renaissance Florence; the sense of time and place is profound. You can almost smell the streets wafting from the pages! Dunant is a meticulous researcher and the novel feels very authentic. The central character is Alessandra, the fifteen year-old daughter of a wealthy cloth merchant. Much to the frustration of her family Alessandra is a precociously intelligent young woman, a talented artist, a strong personality and has a deep desire to be out in the world. These are all traits which are highly inconvenient for the family and not compatible with the kind of life she will be expected to lead.
I had read this book previously, but many years ago as an undergraduate, so whilst I had remembered the basic story, I had forgotten much of the detail. I had forgotten for example just how brilliant the writing is and how very like Jane Austen Flaubert can be in his use of irony. By all accounts, Flaubert was a perfectionist and spent years on this book; it is certainly masterful and for me the writing was sublime. I had also forgotten how unlikeable all the characters are! Even Emma, our supposed “heroine”, is at times unpleasant, childish, selfish, superficial and self-obsessed. When I discussed it with my husband (who speaks fluent French and read it in the original) he was surprised that I did not find Charles Bovary, Emma’s husband, sympathetic. Interesting that he felt affection for the long-suffering, betrayed husband who loved his wife to the death, despite her many faults, whereas I found him ineffectual and basically unable to connect with his wife on any level, and that was part of the problem in their marriage.
It is extraordinary to think that this remarkable novel, still as popular and as shocking today as ever, was written when Mary was just 19 years old. The fact that she was such a literary talent is not surprising given that she was the offspring of the two famous intellectuals, Mary Wollstonecraft, philosopher and author of the seminal feminist work A Vindication of the Rights of Woman, and William Godwin, the radical political philosopher. In her lifetime, she was highly regarded as a radical writer and intellectual, as well as being the wife of the poet Percy Bysshe Shelley, whom she met and fell passionately in love with at the age of 17. Her reputation since her death, however, has been overshadowed by that of her husband’s, with whom she bore four children (three died in infancy), whose affairs and financial troubles she endured, and whose poems she edited both before and after his death. Percy Bysshe Shelley drowned at sea in 1822, just six years into their marriage when she was 25. She died at the age of 53 in London from a suspected brain tumour.
By any standards her life was remarkable and in the last few years her reputation has been revived and she has begun to be more widely considered as a formidable talent in her own right, rather than just a ‘one-book author’. Frankenstein has been a staple of English literature GCSE and A level syllabuses for years, but most of her other works have fallen out of print. A new biography, In Search of Mary Shelley: The girl who wrote Frankenstein, by Fiona Sampson was published earlier this year, some of which I caught when it was serialised in Radio 4 recently. What I heard sounded fascinating. Sadly it is not available on the BBC iPlayer at the moment.