Natural Causes: An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer

by Barbara Ehrenreich Narrated by Joyce Bean

Overview

From the celebrated author of Nickel and Dimed, Barbara Ehrenreich explores how we are killing ourselves to live longer, not better.

A razor-sharp polemic which offers an entirely new understanding of our bodies, ourselves, and our place in the universe, Natural Causes describes how we over-prepare and worry way too much about what is inevitable. One by one, Ehrenreich topples the shibboleths that guide our attempts to live a long, healthy life -- from the importance of preventive medical screenings to the concepts of wellness and mindfulness, from dietary fads to fitness culture.
But Natural Causes goes deeper -- into the fundamental unreliability of our bodies and even our "mind-bodies," to use the fashionable term. Starting with the mysterious and seldom-acknowledged tendency of our own immune cells to promote deadly cancers, Ehrenreich looks into the cellular basis of aging, and shows how little control we actually have over it. We tend to believe we have agency over our bodies, our minds, and even over the manner of our deaths. But the latest science shows that the microscopic subunits of our bodies make their own "decisions," and not always in our favor.

We may buy expensive anti-aging products or cosmetic surgery, get preventive screenings and eat more kale, or throw ourselves into meditation and spirituality. But all these things offer only the illusion of control. How to live well, even joyously, while accepting our mortality -- that is the vitally important philosophical challenge of this book.

Drawing on varied sources, from personal experience and sociological trends to pop culture and current scientific literature, Natural Causes examines the ways in which we obsess over death, our bodies, and our health. Both funny and caustic, Ehrenreich then tackles the seemingly unsolvable problem of how we might better prepare ourselves for the end -- while still reveling in the lives that remain to us.

Editorial Reviews

The New York Times - Parul Sehgal

Ehrenreich has called herself a "mythbuster by trade." In previous books, she's assailed the positive-thinking movement…and gone undercover to investigate low-wage work in the era of welfare reform…and middle-class job insecurity. The wellness movement, as you might imagine, doesn't stand a chance. She fillets it with ease and relish—revealing the paucity of research supporting the usefulness of everything from annual physical exams to meditation—and dismantles nostrums about the innate balance and wisdom of the body…Natural Causes is peevish, tender and deeply, distinctively odd—and often redeemed by its oddness…The pleasures of her prose are often local, in the animated language, especially where scientific descriptions are concerned. Her description of cells rushing to staunch a wound is so full of wonder and delight that it recalls Italo Calvino.

The New York Times

[Ehrenreich's] description of cells rushing to staunch a wound is so full of wonder and delight that it recalls Italo Calvino...She sits in contemplation of death itself in the book's concluding, very beautiful passages, bringing to it her characteristic curiosity and awe at the natural world.

Jackson Lears

Barbara Ehrenreich is a singular voice of sanity amid our national obsession with wellness and longevity. She is deeply well-informed about contemporary medical practices and their shortcomings, but she wears her learning lightly. NATURAL CAUSES is a delightful as well as an enlightening read. No one who cares about living (or dying) well can afford to miss it.

Newsweek

Engaging...Ehrenreich's scathing takedown of the wellness industry, New Age banalities and the epidemic of overdiagnosis will have you reconsidering how you live and die, and possibly second-guessing your next colonoscopy.

New York Times

The book is peevish, tender, and deeply, distinctively odd…She sits in contemplation of death itself in the book’s concluding, very beautiful passages, bringing to it her characteristic curiosity and awe at the natural world.”

Huffington Post

Natural Causes explains why Ehrenreich, now 76, decided to forgo preventive medical care treatments, like cancer screenings, annual exams and Pap smears, after determining that she was, in her words, ‘old enough to die.’”

Publishers Weekly

Claiming to be 'old enough to die,' feminist scholar Ehrenreich (Living with a Wild God) takes on the task of investigating America's peculiar approach to aging, health, and wellness...Ehrenreich's sharp intelligence and graceful prose make this book largely pleasurable reading.

Pulitzer Prize-winning and New York Times bestsell p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px 'Helvetica Neue'; color: #45

Ehrenreich's sharp and fearless take on mortality privileges joy over juice fasts and argues that, regardless of how many hours we spend in the gym, death wins out. An incisive, clear-eyed polemic, NATURAL CAUSESrelaxes into the realization that the grim reaper is considerably less grim than a life spent in terror of a fate that awaits us all.

Booklist

[Ehrenreich] offers a healthy dose of reformist philosophy combined with her trademark investigative journalism. In assessing our quest for a longer, healthier life, Ehrenreich provides a contemplative vision of an active, engaged health care that goes far beyond the physical restraints of the body and into the realm of metaphysical possibilities.

Kirkus Reviews (starred review)

Research and rumination on the complexity of our human bodies and the misconceptions of our minds…A powerful text that floods the mind with illumination.”

The Arts Desk

'Wham bam, thank you, ma'am' might be one response to this polemical, wry, hilarious and affecting series of counterintuitive essays by one of the most original and unexpected thinkers around...This is a book itself teeming with ideas and possibilities: maddening, stimulating, exciting and surprising, testifying in its own way to the expanding prospects of ideas that turn topsy-turvy, every-which-way as we try to make sense of the great unknowns.

Wall Street Journal

Ehrenreich's observations about our culture-wide denial of bodily decay lead[s]...down distinct paths of interrogation and discovery. For all [her] research, [she is] not prepared to give us easy answers. Still...dry humor and raw, personal accounts help make thinking about our common fate bearable. We may have a few extra years yet to sip kale smoothies, run marathons and get tested for everything under the sun, but we ought not make physical health our ultimate hope.

The Guardian

This book is joyous. It is neither anti-medicine nor anti-prevention; it is pro-balance, pro-scepticism and pro-perspective. Paradoxically, Natural Causes is about hope. If you are struggling with choices that weigh hope in potential medical advances that damage quality of life against non-treatment and the acceptance of a terminal diagnosis, this may not offer much comfort, but...as with so many of Ehrenreich's books, NATURAL CAUSES is a much-needed tonic.

BookPage

Richly layered with evidence, stories, and quotations…and sprinkled with barbed humor. Ehrenreich lets nobody off the hook, skewering Silicon Valley meditators and misogynist obstetricians with equal vigor.”

Kirkus (starred review)

Throughout the text, [Ehrenreich] employs the erudition that earned her degree, the social consciousness that has long informed her writing, and the compassion that endears her to her many fans...A powerful text that floods the mind with illumination-and with agonizing questions.

The Times

Informative, provocative and entertaining.

Pulitzer Prize winner and New York Times bestselli Matthew Desmond

Ehrenreich’s sharp and fearless take on mortality…An incisive, clear-eyed polemic.”

The Guardian Blake Morrison

[Ehrenreich] is one of our great iconoclasts, lucid, thought-provoking and instructive, never more so than here.

New York Times bestselling author of Strangers in Arlie Hochschild

...[A] provocative, informative, hilarious, and deeply moving book. A must read.

New York Times Book Review

Ehrenreich is one of our best thinkers about exactly the issues we’re facing, like the economy, inequality and health.”

The Atlantic

Ehrenreich proves a fascinating guide to the science suggesting that our cells, like the macrophages that sometimes destroy and sometimes defend, can act unpredictably and yet not randomly.

Washington Post

Takes an important, albeit uncomfortable, look at the health-seeking practices of our era…Nevertheless, although this is not a line of inquiry Ehrenreich pursues, maybe immortality isn’t our only objective. Perhaps in collectively visiting the third spaces provided by gyms or yoga studios, we partake in rituals that point to another goal: the creation of community.”

From the Publisher

"Ehrenreich's sharp and fearless take on mortality privileges joy over juice fasts and argues that, regardless of how many hours we spend in the gym, death wins out. An incisive, clear-eyed polemic, NATURAL CAUSESrelaxes into the realization that the grim reaper is considerably less grim than a life spent in terror of a fate that awaits us all."
—Matthew Desmond, Pulitzer Prize-winning and New York Times bestselling author of Evicted

"...[A] provocative, informative, hilarious, and deeply moving book. A must read."—Arlie Hochschild, New York Times bestselling author of Strangers in their Own Land: Anger and Mourning on the American Right

"Throughout the text, [Ehrenreich] employs the erudition that earned her degree, the social consciousness that has long informed her writing, and the compassion that endears her to her many fans...A powerful text that floods the mind with illumination-and with agonizing questions."—Kirkus (starred review)

"[Ehrenreich] offers a healthy dose of reformist philosophy combined with her trademark investigative journalism. In assessing our quest for a longer, healthier life, Ehrenreich provides a contemplative vision of an active, engaged health care that goes far beyond the physical restraints of the body and into the realm of metaphysical possibilities."—Booklist

"Barbara Ehrenreich is a singular voice of sanity amid our national obsession with wellness and longevity. She is deeply well-informed about contemporary medical practices and their shortcomings, but she wears her learning lightly. NATURAL CAUSES is a delightful as well as an enlightening read. No one who cares about living (or dying) well can afford to miss it."—Jackson Lears, PhD, Editor in Chief of the Raritan Quarterly Review

"This book is joyous. It is neither anti-medicine nor anti-prevention; it is pro-balance, pro-scepticism and pro-perspective. Paradoxically, Natural Causes is about hope. If you are struggling with choices that weigh hope in potential medical advances that damage quality of life against non-treatment and the acceptance of a terminal diagnosis, this may not offer much comfort, but...as with so many of Ehrenreich's books, NATURAL CAUSES is a much-needed tonic."—The Guardian

"'Give me a lever and a place to stand and I will move the earth,' promised Archimedes. In Natural Causes, Barbara Ehrenreich has achieved an Archimedean feat. Her lever is made of erudition, acuity and irreverence; her place to stand is the perspective of cultural criticism; and she has turned the current understanding of body and self upon its head. To read this book is a relief: at last, what needed to be said!"—Jessica Riskin, author of The Restless Clock: A History of the Centuries-Long Argument over What Makes Living Things Tick

Claiming to be 'old enough to die,' feminist scholar Ehrenreich (Living with a Wild God) takes on the task of investigating America's peculiar approach to aging, health, and wellness...Ehrenreich's sharp intelligence and graceful prose make this book largely pleasurable reading."—Publishers Weekly

"...[R]ichly layered with evidence, stories and quotations...and sprinkled with barbed humor. Ehrenreich lets nobody off the hook, skewering Silicon Valley meditators and misogynist obstetricians with equal vigor. It's impossible to read this book without questioning the popular wisdom about the body and its upkeep. At the very least, you'll be able to make better decisions about how to work out, whether to have that mammogram and when to just order the steak."—BookPage

"[Ehrenreich's] description of cells rushing to staunch a wound is so full of wonder and delight that it recalls Italo Calvino...She sits in contemplation of death itself in the book's concluding, very beautiful passages, bringing to it her characteristic curiosity and awe at the natural world."—The New York Times

"Ehrenreich proves a fascinating guide to the science suggesting that our cells, like the macrophages that sometimes destroy and sometimes defend, can act unpredictably and yet not randomly."—The Atlantic

"[Ehrenreich] is one of our great iconoclasts, lucid, thought-provoking and instructive, never more so than here."—Blake Morrison, The Guardian

"Informative, provocative and entertaining."—The Times

"'Wham bam, thank you, ma'am' might be one response to this polemical, wry, hilarious and affecting series of counterintuitive essays by one of the most original and unexpected thinkers around...This is a book itself teeming with ideas and possibilities: maddening, stimulating, exciting and surprising, testifying in its own way to the expanding prospects of ideas that turn topsy-turvy, every-which-way as we try to make sense of the great unknowns."—The Arts Desk

"Ehrenreich's observations about our culture-wide denial of bodily decay lead[s]...down distinct paths of interrogation and discovery. For all [her] research, [she is] not prepared to give us easy answers. Still...dry humor and raw, personal accounts help make thinking about our common fate bearable. We may have a few extra years yet to sip kale smoothies, run marathons and get tested for everything under the sun, but we ought not make physical health our ultimate hope."—Wall Street Journal

"Engaging...Ehrenreich's scathing takedown of the wellness industry, New Age banalities and the epidemic of overdiagnosis will have you reconsidering how you live and die, and possibly second-guessing your next colonoscopy."—Newsweek

Kirkus Reviews

★ 2018-02-06
Ehrenreich (Living with a Wild God: A Nonbeliever's Search for the Truth about Everything, 2014, etc.) returns with research and rumination on the complexity of our human bodies and the misconceptions of our minds.The author has a doctorate in cellular immunology, and throughout the text, she employs the erudition that earned her degree, the social consciousness that has long informed her writing, and the compassion that endears her to her many fans. Ehrenreich leads us through the recent biomedical research that shows us, among other things, that our immune systems can turn on us, actually easing (rather that preventing) the spread of cancer cells. Elsewhere, she writes about the puzzles of menstruation (why do human women bleed far more than other creatures?), autoimmune diseases, and the pervasive belief that we can control our lives. "We are not," she writes, "the sole authors of our destinies or of anything else." The author also explores the social and cultural aspects of health and aging: She notes how wealthier, healthier people look upon the poor—who are more likely to smoke and eat poorly—with moral disdain. She goes after the medical establishment for what she believes are superfluous, redundant tests and procedures, and she assails the self-help industry for our currently dominant, and often unhelpful, ideas of selfhood and wellness. Ehrenreich sees the body-mind connection as incredibly complex and discusses the odd notion that cells often do what they want rather than what they're "supposed" to do. The author will certainly not endear herself to the pious among us; her discussions of the origins and evolution of religious ideas are hardly orthodox. Mostly, she urges that we recognize that death is natural, that we enjoy our lives while we can, and that we disabuse ourselves of any self-serving notions of post-mortem permanence or even influence.A powerful text that floods the mind with illumination—and with agonizing questions.

Product Details

BN ID:	2940173723321
Publisher:	Hachette Audio
Publication date:	04/10/2018
Edition description:	Unabridged

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