HOSTAGE NEGOTIATIONS

The disturbing message of “Swap” is that human beings are currency, i.e., nothing more than a dollar bill, a euro, a yen, a pound, a franc, or a renminbi. Like a hot war, the Cold War monetizes human lives.

Books of Interest
 Website: chetyarbrough.blog

Swap (A Secret History of the New Cold War)

Author: Drew Hinshaw, Joe Parkinson

Narrated By: Keith Brown

Drew Hinshaw (on the left) is a senior reporter at The Wall Street Journal.

Joe Parkinson is also a reporter at The Wall Street Journal. Both are Pulitzer Prize finalists and nominees.

Human life is viewed in this new Cold War’ era as economic transaction.

“Swap” is a detailed explanation of how human beings are just bargaining chips. Hinshaw and Parkinson argue that the Cold War has been resurrected by Russia. Russia uses accusations, sometimes lies, and unreasonable charges against foreign travelers and native dissidents to gain leverage in a blood sport that convicts, incarcerates, imprisons, or murders alleged internal spies, dissidents, and foreign citizens. The authors of “Swap” have researched the 2024 hostage exchanges between Russia and the U.S. to illustrate how crude and transactional hostage-taking has become in a new Cold War.

Hinshaw and Parkinson note that 24 prisoners and 2 children were swapped in what is called the “Rubik’s Cube” hostage exchange of 2024.

“Rubik’s Cube” is meant to describe the complexity of a 2024′ human exchange of prisoners between the West and Russia. The most publicly known hostage release from Putin’s Russia was Brittney Griner (the WNBA star) who was the first to be released when Paul Whelan (a former U.S. Marine), Trevor Reed (also a U.S. Marine), Evan Gershkovich (a Wall Street Journal reporter), and Alsu Kurmasheva (an American journalist visiting her family in Russia) were also hostages but later released in a complicated exchange between many nations’ leaders. This later group was released through the work of the American State Department during the Biden administration which had been criticized by some because of Griner’s celebrity being more important than others. Whether true or not, Hinshaw and Parkinson explain the political reality of hostage taking and exchange has evolved since the earlier Cold War.

Vadim Krasikov (a Russian assassin convicted in Germany), several Russian spies, smugglers, and hackers were released to Russia in exchange for a mega-swap of Americans after Griner’s exchange. The mega-swap was highly complicated and a dramatic example of what negotiated hostage exchanges really mean in the 21st century.

Paul Whelan (Canadian-born U.S. Marine arrested in Russia in 2018.)

This complicated “Rubik Cube” transaction began in 2018 when Paul Whelan had been jailed and convicted in a Russian court for alleged spying. (Interestingly, Whelan had been dishonorably discharged from the Marines for bad conduct related to larceny in 2008.) Along with Whelan’s arrest, Trevor Reed’s conviction and incarceration was in 2019, Brittney Griner in 2022, and Evan Gershkovich in 2023. Each arrest was for different alleged transgressions which added to the negotiation difficulties.

Evan Gershkovich (American journalist and reporter for The Wall Street Journal.)

Brittney Griner (American professional basketball player.)

It was the Wall Street Journal’s hostage (Evan Gershkovich) and the WNBA player (Brittney Griner) that intensified negotiations and public awareness of hostage exchange. The authors of “Swap” explain why awareness is only the beginning of understanding. Whelan’s twin brother is identified as one of the most relentless advocates for Paul Whelan’s release. Whelan’s entire family became “accidental diplomats” by injecting themselves into the American government’s ponderous efforts to get Paul Whelan released. The family injected themselves into the American government’s process by becoming squeaky wheels in the negotiating offices of the government.

Several different countries participated in a multiple hostage swap after Griner’s release. Germany, UK, France, Netherlands, Poland, Lithuania, and the Czech Republic were persuaded by the U.S. government to exchange a convicted assassin and several alleged Russian cyber operatives and spies to gain release of Whelan, Reed, Kurmasheva, and Gershkovich.

This negotiated human exchange is a complicated transaction that involved many governments’ participation and agreement. It required coordinated release of eight Russian operatives, one of which was a convicted assassin, and seven others, either proven or suspected spies or smugglers, to be exchanged for Russia’s imprisoned hostages. Along with the U.S., Germany agreed to release a convicted assassin, while the UK, France, Netherlands, Poland, Lithuania, and Czech Republic agreed to return several alleged Russian cyber operatives and spies. The releases were coordinated by the CIA and MI6 with the transaction to take place in Turkey. This was an amazing operation that required agreement and coordination by 8 nations to secure an agreement with the President of Russia.

The disturbing message of “Swap” is that human beings are currency, i.e., nothing more than a dollar bill, a euro, a yen, a pound, a franc, or a renminbi. Like a hot war, the Cold War monetizes human lives.

Hostage taking has changed human beings into a commodity like money. War and now hostage release dehumanize society.

TWO OLD MEN

Age is an existential risk that can only be managed by the checks and balances of others which is why America’s government has survived and prospered despite good and ethically or morally corrupt Presidents.

Books of Interest
 Website: chetyarbrough.blog

Original Sin (President Biden’s Decline, Its Cover-Up, and His Disastrous Choice to Run Again)

AuthorJake Tapper, Alex Thompson

Narrated By:  Jake Tapper

“Original Sin” is a hard-hitting expose by two tough minded reporters that convincingly explain President Biden did not have the cognitive ability to be America’s President in the last two years of his Presidency. This is a particularly hard pill to swallow because the current President of the United States is old while being at the opposite end of the political spectrum. At 74, this book reviewer is old. Age undoubtedly has an impact on this reviewer’s cognitive abilities and the cogency of what he thinks and writes. President Trump is 79 years old. The difference is that what a critic writes means nothing in respect to governance of the United States and the impact it has on American citizens and world events.

Trump’s decisions and actions have had great impact on U.S. relationship with other countries, American public policy, and the economic future of Americans.

Trump has directed the firing of thousands of government employees. Because of Trump’s authoritarian characteristics, he surrounds himself with sycophants who are more interested in pleasing him than managing the government’s responsibility for America’s welfare and role in the world. Authoritarianism is untrue of Biden who throughout his public career has been a consensus builder, not an autocrat. This is not to suggest Biden is not fundamentally wrong in not immediately supporting an alternative candidate for the Presidency. The authors of “Original Sin” clearly explain Biden fails America by waffling on his candidacy for a second term.

Old age is a risk for every manager of other people’s lives and opportunities.

Biden is not at fault for getting old but people who worked with him are guilty of negligence in their service to the American people. Tapper and Thompson offer numerous examples of Biden’s intellectual decline. The importance of their assessment of Biden’s failing capabilities is a warning to all managers of other people’s lives, employment, and family responsibilities. Age is a life circumstance that affects every human being. One who is losing their cognitive ability cannot see it in themselves. It is the responsibility of others to help older people relinquish responsibility for those things they can no longer handle.

Relinquishment by a man or woman who has great responsibility is a hard thing to accept. Age effects people in different ways. The catch 22 is that loss of cognitive ability is unseen by the person who loses it. It is the responsibility of those who rely on one who is losing their reasoning ability to manage the circumstance of that decline.

Putting politics of government aside, President Trump is old. The concern one has is the risk of relying on those who work for Trump, like many who worked for Biden, may see loyalty as more important than the public interest of America. Age is an existential risk that can only be managed by the checks and balances of others which is why America’s government has survived and prospered despite good and ethically or morally corrupt Presidents.

America will survive Trump but it will take time to reset America’s relationship with the world. America has had good and bad Presidents in both political parties but its foundation of checks and balances have kept it on course for the betterment of society. It is nations with leaders that have no checks and balances that threaten social and economic equality.

INEPTITUDE

“The Mission” is a depressing view of American ineptitude that reminds one of the Bay of Pigs, Vietnam, Iraq, Afghanistan, and 9/11.

Books of Interest
 Website: chetyarbrough.blog

The Mission (The CIA in the 21st Century)

AuthorTim Weiner

Narrated By:  Stefan Rudnicki

Tim Weiner (Author, American reporter, awarded Pulitzer Prize and National Book Award for books on espionage, national security and foreign policy.)

This is a tough book to read/listen to because of its damning assessment of the American CIA. Weiner is not the only American writer to reveal failed operations of the CIA but his access to their files seems like America’s attempt to understand and improve CIA operations’ management. That is the best face one can put on Weiner’s highly critical assessment of CIA operations. The CIA’s official response is that Weiner is biased, and his research of CIA files misrepresents the complexity of intelligence work. Some historians suggest Weiner cites CIA’ failures without enough context to balance the need for a covert intelligence agency.

The more troubling concern inferred by Weiner is the Trump Presidency and his authoritarian character and tolerance for leaders like Putin who think “might makes right”. What use will Trump make of the CIA’s covert power?

As the Turkish proverb says, “fish stinks first at the head”. Weiner notes, along with the huge escalation of drone assassinations by a liberal Democrat like Obama, one wonders what Trump may do in his second term.

Weiner explains the second Bush administration uses the CIA to push for evidence of WMD in their desire for justification to invade Iraq. The facts did not matter because the President wanted action. Under the Bush administration, the CIA adopts “enhanced interrogation techniques” (brutal torture) of political prisoners kept at Bagram Air Base. Weiner argues the CIA mission of covert intelligence is distorted in a drift toward paramilitary operations causing civilian casualties. One gets a sense that the second Bush administration is reacting to the horrendous 9/11 attack because of his administration’s failure to acknowledge CIA’s evidence that Bin Laden planned an attack on the U.S. The evidence of an attack’s imminence is clearly reported to the President by CIA leadership. This is a tough pill to swallow because the intelligence purpose of the CIA seems subordinated by both Democrats and Republicans to political interest rather than nation-state security.

Weiner vilifies CIA leaders like George Tenet, Porter Goss, and Leon Panetta. Tenet assures President Bush of Iraq’s possession of WMD. Goss, a Republican appointed by Bush, and Panetta, appointed by Obama, transformed the CIA into a paramilitary force after 9/11. Obama authorized use of drones in covert killings of over 500 foreign agents based on CIA’ espionage and analysis of their activities. Weiner notes Michael Hayden authorized torture programs by the CIA. Wiener argues torture programs and authorized assassinations damaged CIA’s credibility and effectiveness. To Wiener, the CIA’s leadership decline reaches back to Allen Dulles’s Cold War and William Casey’s Iran-Contra entanglement during the Reagan years. Covert action became more important than intelligence gathering.

“The Mission” is a depressing view of American ineptitude that reminds one of the Bay of Pigs, Vietnam, Iraq, Afghanistan, and 9/11. Wiener offers a dim view of both Democratic and Republican leadership in America. One hopes America can be better than what Wiener reveals in “The Mission”. The jury may still be out, but Trump’s administration seems likely to continue America’s international decline.

EMIGREE

“The Sun is Also a Star” is a nicely written book that will keep reader/listeners interested in knowing what happens to two young lovers. One is left in suspense until its last chapters.

Books of Interest
 Website: chetyarbrough.blog

The Sun is Also a Star 

Author: Nicola Yoon

Narrated By: Bahni Turpin & 2 more

Nicola Yoon (Author, Jamaican American, NYT’s bestselling author, National Book Award finalist, electrical engineering undergraduate at Cornell, graduated from Emerson College with a Master of Creative Writing.)

Nicolo Yoon, the author, worked as a programmer in investment management for 20 years before publishing her first book, “Everything Everything”. It became a best seller. “The Sun is Also a Star” is her second published book which also became a best seller. Interestingly, the Jamaican born writer’s husband is a Korean American graphic designer. One presumes her book partly reveals her life experience in America. The credibility of her love story lies in the truth of the saying that “birds of a feather flock together”, an apocryphal Biblical saying that reaches back to the “Book of Ecclesiasticus” in the first century. Her hero and heroine are highly intelligent teenagers of immigrant parents who are influenced by their parent’s native cultures. Being children of immigrants, highly intelligent, high performers in academics, and living in America are why one thinks of the “birds of a feather…” analogy.

JAMAICA, SOUTH OF CUBA, OFF OF THE FLORIDA COAST.

“The Sun is Also a Star” is about a Jamaican girl, a South Korean boy, and the girl’s parents who are being deported because of their illegal immigration status. The heroine’s father comes to America illegally to pursue a career. His wife and daughter follow later in presumably the same illegal way. The girl’s father struggles as an unsuccessful aspiring actor. He and the girl’s mother work at menial jobs for the families’ survival. They are within a day of being deported by the American government. Their daughter loves her mother and is ambivalent about her father. She is a bright high school student nearing graduation. The daughter is seeking help from an immigration attorney to delay and hopefully stop their deportation. On her way to an immigration lawyer’s office, she meets a handsome South Korean boy near her age who is interviewing with an Ivy League school in the same building in which the lawyer practices his profession. They serendipitously meet and their lives become intertwined.

Over 200,000 immigrant arrests in America have been made as of August of 2025.

This is a fairy tale story that offers a truth about the iniquity of arbitrary enforcement and forced ejection of purported illegal immigrants in America. The second term of the Trump’ presidency shows how wrong it is to deport alleged illegal immigrants without judicial review. Obviously, if a legal review shows an immigrant is a criminal there is justification for immediate deportation. If the legal review shows an immigrant has always been a productive and law-abiding citizen of America, some may reasonably argue they should be directed to a program that allows them to eventually become legal residents of the United States.

Without legal review, a valuable source of American productivity is unnecessarily lost. To argue that loss is justified by jobs that will be filled by citizens of the United States is weak because many of the jobs taken are not taken by American citizens because the wages are too low, the physical demands too high, and the hospitality needs of much of America are unmet. It is true that many in America are unemployed because they have chosen to not get a good education and choose to remain unemployed by being unwilling to work for low wages. Their unemployment is not because of illegal immigrants but because of the choices they have made in their lives. Construction, agriculture, hospitality, retail, healthcare, and small businesses have been negatively impacted by the deportation of immigrant labor. In some industries, up to 40% of the workforce has been impacted by deportation.

Yoon’s story is a fairy tale of young love between an illegal and legal immigrant living in America.

Nicolo Yoon explains how love between two people occurs when they have similar life experiences and relate to those experiences with shared intelligence. The young girl and boy have similar life experiences in America. Both choose to educate themselves. The two young teenagers have parents that love them who have their own prejudices and life experiences in ways that influence their children to be ambivalent about the love they have for each parent.

Most parent’s, regardless of their culture, want a better life for their children.

Yoon illustrates the motivations and consequences of people who decide to emigrate. Whether emigrating legally or illegally, emigrees are faced with the difficulty of adjusting to a different culture that conflicts in good and bad ways with the culture they have left. Emigree’ parents wish well for their children but many fail to grasp the freedom offered by American culture to choose their own path in life. Even though life choices are influenced by one’s intellect, emotions, and (in America) a white majorities’ discrimination, most young people are able to choose their own path in life.

“The Sun is Also a Star” is a nicely written book that will keep reader/listeners interested in knowing what happens to two young lovers. One is left in suspense until its last chapters.

MUSICAL CLASSICS

Pleasure in a classical performance can appeal to one who is familiar with the technical aspects of a production and to another for its emotional impact. Both Greenberg and Plotkin offer valuable insights to the relevance and reason for attending classical music performances in this ever-changing world.

Books of Interest
 Website: chetyarbrough.blog

Classical Music 101 (A Complete Guide to Learning and Loving Classical Music.)

Author: Fred Plotkin

Narrated By: Fred Plotkin

Fred Plotkin (Author, speaker, consultant on food, opera, and Italian culture.)

This is an informative overview of classical music but would have been better if some of the music referred to had been included in an audio version of Plotkin’s book. It is an interesting contrast to Professor Greenberg’s “Great Courses” lectures about classical music. Both writers offer insight to a non-musician’s interest in classical music. Both address Western classical music. They offer sketches of major figures like Bach, Mozart, Beethoven, and others. Greenberg introduces more information about musical grammar to offer a vocabulary of understanding while Plotkin focuses on how to listen and how modern renditions of the classics can be different from their original performances. The added dimension offered by Plotkin is the emotive qualities of particular musical instruments in a musical production.

Plotkin’s book is a more intuitive introduction to classical music productions than Greenberg’s lectures.

Plotkin’s music review is about the sensual message that classical music offers listeners. Greenberg, though equally insightful, offers a technical explanation of a classical’ composers or performers production. It would have been helpful to hear the difference between an original classical production and a modern interpretation, but Plotkin chooses not to use that audio tool. Plotkin’s high praise for Beethoven’s ninth symphony would have been a welcome audio addition to his insightful book.

Greenberg’s lectures are historical and chronological while Plotkin’s story is more about musical interpretation by different instruments in classical music productions.

Music, Opera, and History

Plotkin delves into the change in performances based on newly invented music instruments and different interpretations by performers of classic pieces. A piano began as a harpsichord in the 1700s which plucked strings like those on a tightly drawn bow. This evolves into an escapement that has hammers striking taught strings evolving into today’s pianos. The range of sounds grows with the addition of foot pedals and framed strings evolve from wooden infrastructure to cast iron frames that allow tighter strings and richer sound. (See the review of “Chopin’s Piano“) The number of keys is standardized at 88 by the late 19th century. From these earlier changes, digital pianos are created in the late 1900s and soon hybrid pianos are made with both acoustic and digital features. Musical instrument evolution explains why Plotkin suggests listeners compare an original classical piece of music in a modern format. It may become emotively different from older recordings because of instrument focus in the music or change in the instrument of presentation. Plotkin notes there are experiential and interpretive differences in modern performances of the classics. Here is where an audio example would have been helpful.

Plotkin notes that difference in musical performances go beyond changes in musical instruments. He notes interpretations of the classics change. He explains artists like Emanuel Ax and Marilyn Horne use tempo, and phrasings dynamics that offer different experiences to a listener. (Another example of why it would have been easier to understand if there was an audio example.) Plotkin endorses listening to recordings of musical productions because they offer clarity and access to a wider audience. However, Plotkin notes that a live performance offers more spontaneity and emotional immediacy than a recording.

It is feelings of a modern audience that excites Plotkin’s imagination

Plotkin makes the point that an historical original may or may not be the best that a composers’ creation offers to a modern audience. However, it is feelings of a modern audience that excites Plotkin’s imagination. In Plotkin’s opinion, a classics’ meaning is not to be cast in stone because times change, and yesterday’s history may not resonate with today’s events. What Plotkin is driving for is the cultivation of expert listeners who can appreciate yesterday’s classics because they resonate with today’s events, though composed in a different era, they offer new perspective to modern events.

One who has listened to both Greenberg’s lectures and Plotkin’s book recognize both want to reach an audience of non-specialists to nurture their interest in classical music.

Both believe classical music is an interpretive exercise based on an orchestra’s performance. They are peas in a pod when it comes to wanting to see emotional transformation in a person listening to a classic’s performance. Both Greenberg and Plotkin believe the classics are meant to be a sensual experience. Greenberg educates his audience on the structure and historical complexity of classical music. Plotkin focuses on classical musical instruments and performances that remain classics because of their emotive relevance to the present as well as the past.

Different points of view about classical music.

One presumes Greenberg’s and Plotkin’s two views of classical music may come into conflict in the changes from the original intent of great composers who have created what Greenberg may argue is a timeless masterpiece. Greenberg’s technical understanding of composition may seem more important than a transitory emotional response from a less knowledgeable audience. Here is where a detailed presentation of Beethoven’s ninth could have clarified the values of the classics noted in Plotkin’s excellent book. One wonders how a modern performance of Beethoven’s ninth might be different from an earlier version.

Value of musical classics.

Both Greenberg and Plotkin offer equal enlightenment on the value of musical classics. Audiences will always have different understandings of classical performances. The goal of a great classical performance is to please its audience. Pleasure in a classical performance can appeal to one who is familiar with the technical aspects of a production and to another for its emotional impact. Both Greenberg and Plotkin offer valuable insights to the relevance and reason for attending classical music performances in this ever-changing world.

UNINTENDED CONSEQUENCE

Technology is a key to social need which has not been well served in the past or present and could become worse without pragmatic accommodation.

Books of Interest
 Website: chetyarbrough.blog

Daughters of the Baboo Grove (From Chian to America, a True Story of Abduction, Adoption, and Separated Twins)

Author: Barbara Demick

Narrated By: Joy Osmanski

Barbara Demick (Author, American journalist, former Beijing bureau chief for the Los Angeles Times.)

This is a brief and fascinating historical glimpse of a government policy gone awry. Like America’s mistaken policies on immigration, Barbara Demick’s story of China’s one-child policy traces the effects of government overreach. Demick tells the story of a rural Chinese family who births twin sisters during the time of China’s unjust enforcement of their one-child policy. One sister is abducted by Chinese government officials, and is adopted by a family in Texas. The ethics of an inhumane Chinese government policy and the perfidy of free enterprise are exposed in Demick’s true story of two children’s lives.

The territorial size of China in respect to continental America.

China’s one-child policy leads to a Chinese criminal enterprise to capitalize on kidnapping and selling children born to families that could not afford the fines for having more children than the law allows. Undoubtedly, most children born were cherished by their parents, but the hardship of life and human greed leads to unconscionable human trafficking. Kidnapping became a part of a legal and criminal enterprise in China. Government policy allowed bureaucrats and scofflaws to confiscate children from their parents and effectively deliver or sell children to orphanages or people wanting to adopt a child. Demick recounts stories of grieving parents and grandparents that cannot get their children back once they have been taken.

Child trafficking, broken families, loss of personal identity, human shame, and the immoral implication of other countries interest in adopting children are unintended consequences of a poorly thought out and implemented government policy.

Demick becomes interested in this story because of a message she receives from a stepbrother of an adopted Chinese sister that has a twin that lives in China. Because of Demick’s long experience in visiting and reporting on China, she had a network of people she could call. Using adoption records, Demick is able to find the Texas stepsister who had been kidnapped when she was 22 months old. She was trafficked to an orphanage in the Hunan Province of China. Years later, through messaging apps, the twins communicated with each other and shared their photographs. They eventually meet in China in 2019.

One is hesitant to argue a government policy is a unique act of China when every government makes policy decisions that have unintended consequences.

America’s policy decisions on immigration are a present-day fiasco that is as wrong as the one-child policy in China’s history. The one-child policy is eventually rejected by the Chinese’ government but Demick’s book shows how bad government policy has consequences that live on even when they are changed by future governments. America’s policy on immigration will be eventually reversed but its damage will live on.

Getting back to the story, Demick is instrumental in having the mother of Esther (aka E) and the twins meet in China.

One is hesitant to argue a government policy is a unique act of China when every government makes policy decisions that have unintended consequences. The twins are initially reticent but warm to each other in a way that bridges the cultural and language divide between the sisters. The two mothers see their respective roles in their daughter’s lives. E and her identical twin, Shuangjie, are reserved when they meet because of the cultural distance that was created by E’s adoption.

E. appears more confident than Shuangjie who is more reserved and less assured.

However, Demick suggests they seem to mirror each other in subsequent meetings. One feels a mix of emotions listening to this audiobook version of “Daughter’s of the Bamboo Grove”. They have grown up in different environments but seem to have been raised in similar economic circumstances, though the two economies are vastly different in income per household, the two appear to be raised in similar economic classes.

Every person who reads/listens to “Daughter’s of the Bamboo Grove” can view the story from different perspectives.

There is the perspective of identical twins raised in different families, cultures, and histories. How are identical twins different when they are raised by different parents and in different cultures? Another perspective is that Xi and Trump have had dramatic effects on the societies their policies have created. The Twin’s meeting in 2019 is one year after my wife and I had visited China. Xi had become President after his predecessor began opening China’s economic opportunities. Two incidents on the trip when Xi had become President come to mind. The first is the feeling one has of being monitored everywhere and the internet restrictions when used to ask questions. The second was an incident in a crowded Chinese market when I was approached by a beefy citizen who raised his arms and seemed to be angrily talking to me in Chinese which I sadly did not understand. The distinct impression is that I was not welcome. This was a singular incident that did not repeat in our 21-day tour, but it seemed like an expression of hostility toward America.

This listener/reader thinks of the unintended consequences of Trump’s treatment of alleged illegal immigrants.

Trump’s immigration policy is similar to China’s earlier mistake with the one-child policy. America’s, China’s, and Japan’s economies are highly dependent on youth which is diminished in two fundamental ways. One is by public policy that restricts birth, and the other is immigration. Freedom of choice is a foundational belief in democracy while considered a threat in autocracy. In America today, it seems there is little difference between America, Japan, or China in regard to government policy that threatens the future. All have an aging population that can only be aided by younger generations. Even though manufacturing may become less labor intensive, public need in the service industry will grow. Technology is a key to social need which has not been well served in the past or present and could become worse without pragmatic accommodation.

GENERIC DRUGS

Katherine Eban believes generic drugs are important for global health because of affordability and accessibility. One wonders if anyone who reads or listens to “Bottle of Lies” will take generic drugs if they can afford the original FDA approved product.

Books of Interest
 Website: chetyarbrough.blog

Bottle of Lies (The Inside Story of the Generic Drug Boom)

Author: Katherine Eban

Narrated By: Katherine Eban

Katherine Eban (Author, American Rhodes scholar with a MPhil from University of Oxford.)

“Bottle of Lies” is a history of duplicity and dishonesty in the generic drug industry. It is a damning dissection of the lure of money at the expense of human life. On the one hand, affordability, healthcare savings, global health, and the value of regulation are made clear in “Bottle of Lies”. On the other, Katherine Eban shows how the lure of capitalism and greed creates an incentive to evade regulation and kill innocent people seeking drug treatment for their illnesses.

Katherine Eban reveals the history of an India drug company named Ranbaxy that was founded by two brothers, Ranbir Singh and Gurbax Singh.

In 1937, these two entrepreneurs recognized the economic opportunity of creating a drug manufacturing operation with lower labor costs in India to capture the market in drugs nearing their patent expiration dates. They were focused more on organizational cost cutting and the money that could be made than the efficacy of the drugs they could produce. The company was sold in 1952 to their cousin Bhai Mohan Singh. This cousin transformed Ranbaxy to a pharmaceutical giant, but his experience was in construction and finance, not pharmaceuticals. However, his son Parvinder Singh joined the company in 1967 and was a graduate from Washington State University and the University of Michigan with a master’s degree and PhD in pharmacy.

Parvinder Singh (1944-1999, became the leader of Ranbaxy in 1967.)

Eban argues Parvinder Singh looked at his father’s business as a scientist with a pharmaceutical understanding and a desire to produce lower cost drugs for the world for more than a source of wealth. Parvinder appeared to value quality, transparency, drug efficacy, and long-term credibility for Ranbaxy. Parvinder recruited talent who believed in lowering costs and maintaining the efficacy of drugs the company manufactured. However, Parvinder dies in 1999 and the executives who took over the company focused on maximizing profit rather than the efficacy of the drugs being produced. Parvinder’s leadership is succeeded by Brian Tempest who expands the company by navigating the regulatory restrictions on generic drug manufacture. Tempest tries to balance profitability with global health efficacy of generic drugs. Parvinder’s son, Malvinder Singh eventually becomes the CEO of the company. He returned control to the Singh family. The corporate culture changed to what its original founders created, i.e., a drug producer driven by profit. Malvinder was not a scientist.

Malvinder Singh (Born in 1973, Grandson of Bhai Mohan Singh and son of Dr. Parvinder Singh.)

Under Malvinder, Eban shows the company turns from science to economic strategy to increase revenues of Ranbaxy. Internal checks on the efficacy and testing of their drugs is eroded. Criticism from regulators and whistleblowers are either ignored or sidelined by company management. Peter Baker Tucker’s role in exposing Ranbaxy is detailed in Eban’s history. With the help of Dinesh Thakur, an employee of Ranbaxy, Tucker bravely exposed the company’s fraud. (Thakur received $48 million compensation as a whistleblower award.) Tucker is an FDA investigator who reviewed Ranbaxy’s internal documents that revealed their fabricated data about their drug manufacturing process.

Peter Baker Tucker (aka Peter Baker, former FDA investigator.)

Ranbaxy is sold to a Japanese company called Daiichi Sankyo in 2008. Eban explains that Malvinder concealed critical information about FDA investigations and data fraud in the company’s sale. Malvinder and his brother, Shivinder Singh, are arrested in 2019 and remain in custody in 2021, facing multiple fraud accusations.

Sun Pharma acquires the remnants of the Ranbaxy-Sankyo’ sale.

Though Eban does not focus on what happens after the sale to the Japanese company, it is sold at a loss to Sun Pharmaceutical Industries and Singh family’s ownership is sued by Sankyo for hiding regulatory issues of the company. Daiichi received a $500 million settlement but effectively lost money on their investment. Eban, in “Bottle of Lies” offers a nuanced indictment of generic drug manufacturer and sale.

Eban believes generic drugs are important for global health because of affordability and accessibility.

Quality and drug efficacy must be insured through international regulation. Eban endorses unannounced inspections, routine testing of the drugs, and strict legal enforcement against poor manufacturing systems. Without transparency and oversight of all drug manufacturing, human lives are put at risk.

This is quite an expose, but it ends with criticism of inspections of China’s drug manufacturing capabilities.

The inspections of foreign companies that manufacture generic drugs, like those she refers to in her book, are conducted by similar inspectors who do not know the culture or language of the countries in which generic drugs are being produced. The FDA was paying their inspector in India $40,000 per year at the time of Ranbaxy’s investigation. It is by instinct, not interrogation, that malfeasance is detected. Too much is missed when one cannot talk to and clearly understand employees of manufacturing companies.

It seems America has two choices: one is to increase the salaries of FDA inspectors and require that they know the language of the countries in which they are working and two, set up a system of random reverse engineering of generic drugs allowed in the United States. This not to suggest all other FDA regulations would not be enforced when a generic drug is proposed but that site reviews would be more professionally conducted. One wonders if anyone who reads or listens to “Bottle of Lies” will take generic drugs if they can afford the original FDA approved product.

CAPITALIST DEMOCRACY

America’s current government may not be the criminal enterprise of Drew Hayes’ “Forging Hephaestus”, but it reflects on the worst characteristics of capitalist democracies.

Books of Interest
 Website: chetyarbrough.blog

Forging Hephaestus: Villains’ Code Series, Book 1 

Author: Drew Hayes

Narrated By: Amy Landon

Drew Hayes (Author, humorist writer who earned a BA in English from Texas Tech University.)

“Forging Hephaestus” is the beginning of a series of books that this critic is unlikely to complete. The first book, “Forging Hephaestus” sets the table for some interesting points about systems of power, identity, and morality that reminds one of government control and influence. However, Hayes is creating a secret guild of criminals’ intent on ruling the world of crime.

Drew’s story begins with the creation of a young woman that embodies the force of fire.

She is like the mythological god of fire though not appearing as someone who is male or has, as the Greek myth goes, any physical imperfection. One presumes the author is challenging the patriarchal truth of history that shows power, aggression, and ambition are not only masculine. Additionally, the choice of Hephestus as a woman makes one think about a person who exemplifies both creation and destruction, i.e., the birth and death of humanity.

If one thinks of Hayes’ story as a cynical allegory of government, rather than a criminal enterprise, it becomes more interesting to this reviewer.

What Drew describes as a Villains’ Guild is like a government elected by people who believe they are voting for someone who represents their interests. In reality, voters are voting for self-interested people who may or may not govern in voter’s best interest. At best, governments try to serve the public but are not gods of infallible understanding that can legislate what is always in the best interest of its citizens. Generally, governments control through compliance, not morality. Order is prized over justice and equity. That desire for order changes elected officials’ loyalty to those who are elected as much as to people who voted for them.

The guild that Hayes creates audits and enforces their criminal objectives with state surveillance and internal security.

State surveillance and internal security are the same tools used by government which are even more effective today than in the past because of technology. (A past trip to China after Xi had taken power shows how internet searches are restricted when one is in a Bejing’ hotel.) The paradox of surveillance and internal security is that no one is truly free whether they are a part of those who govern or are the governed. Human nature exploits the weak, the ethnic, and ill-informed. Government representatives are no more virtuous or venal than the citizens who elected them. That is why citizens become skeptical about the legitimacy of their government’s concern about common good.

Trump’s world view.

Listening/reading “Forging Hephaestus” is an apocryphal story to some who feel President Trump is the quintessential example of one who is more interested in himself and his family’s wealth than the people who voted for him. America’s current government may not be the criminal enterprise of Drew Hayes’ “Forging Hephaestus”, but it reflects on the worst characteristics of capitalist democracies.

EQUALITY

Discrimination is certainly based on the color of one’s skin but also on gender, ethnicity, and income inequality. Those nations that embrace equality of opportunity for all will be the leaders of the future in the age of technology

Books of Interest
 Website: chetyarbrough.blog

Caste (The Origins of Our Discontent)

Author: Isabel Wilkerson

Narrated By:  Robin Miles

Isabel Wilkerson (Author, American journalist, winner of the Pulitzer Prize in journalism in 1994 while serving as the Chicago Bureau Chief for the NYTimes.)

Isabel Wilkerson has written a provocative book about what she characterizes as a rigid social hierarchy in America that undermines the ideals of democracy. Wilkerson weaves her personal life and the history of black experience with the sociological failings in America’s treatment of race. She notes the past and present truth of white America’s unequal treatment of its citizens based on race. However, her characterization of America’s discrimination as a caste system and its comparison to India’s and Nazi Germany’s governments is hyperbolic. Nevertheless, it creates a sense of urgency for those who believe in the ideal of human equality. It is difficult, if not impossible, to compare other nation’s inequality with America’s effort and present-day failure to fulfill the ideals of democracy.

The timeliness of Wilkerson’s book seems appropriate in relation to the backward steps being taken by Donald Trump.

Some Americans feel threatened by demographic change that will make white citizens less than 50% of America’s population by 2045. In theory, no one should care if all people are treated equally. What history shows is that the ideals of equality have never been achieved in America or in any other country with a dominant race and/or ethnicity.

Trump’s effort to return America to its past is interpreted by some as a return to industrial production.

America’s return to industrialization is a false flag that will not make America Great. Reindustrialization and keeping America white is a fool’s errand based on demography and the age of technology. Trump’s desire for power, adulation, and loyalty have little to do with prejudice but everything to do with appealing to the worst fears of middle-class America. Trump is willing to use whatever dog whistle is required to satisfy his desire for power and prestige. He understands the fears of the middle class and where American power lays. Power and money are the driving forces of capitalism. Middle class American’s buying power has stagnated or fallen since the 1970s despite the increasing wealth of the top 10% of American citizens. The middle class of America is something Trump appealed to in his re-election for a second term because of their disproportionate loss of income and the rising wealth of America’s business leaders. The irony is that Trump is one of the beneficiaries of that income gap between the very rich and the working-class.

Income growth in America.

Income disparity trend in the U.S. through 2015.

Wilkerson is right in the sense that America’s real objective should be to ensure equality of all. She is arguing we should have a greater sense of urgency in achieving equality. Equal treatment for all is a formula that can maintain America’s position as an economic, military, and political hegemon. American industrial hegemony is yesterday’s goal. Technological advancement is today’s goal. To achieve today’s goals, equal treatment of all becomes essential in technology because intelligence, innovation, and persistence does not lie in any one race, sex, or creed.

America is class conscious but not in the same way as either India’s or Nazi Germany’s histories.

Wilkerson notes a caste system can be built around ethnicity, religion, language, or gender but race discrimination is what she has personally experienced and underlays much of her comparisons of American history with India and Nazi Germany. Equality of opportunity is key to continued growth of human beings and national economies in the age of technology. In the short term, one may see an autocratic country like China become an economic and military hegemon, but maintenance of that success is dependent on equality of opportunity for all, not just those in power.

One can sympathize with the author’s view of discrimination but her comparison of America to India and Nazi Germany misses too much of what unequal treatment in America is based upon.

Discrimination is certainly based on the color of one’s skin but also on gender, ethnicity, and income inequality. Those nations that embrace equality of opportunity for all will be the leaders of the future in the age of technology.

SUPREME COURT

To Leah Litman, Trump’s election seems a setback but not a reversal of the ideal of balancing equal rights with private interests. As Alexander Pope wrote in his poem, in the 18th century “Hope springs eternal in the human breast”.

Books of Interest
 Website: chetyarbrough.blog

Lawless (How the Supreme Court Runs Conservative Grievance, Fringe Theories, and Bad Vibes)

Author: Leah Litman

Narrated By:  Leah Litman

Leah Litman (Author, BA in Chemistry & Chemical Biology, constitutional law scholar with Doctorate from University of Michigan Law School.)

One doubts Leah Litman would suggest there are no biological differences between men and women considering her education as a science major and legal scholar. As a science major, she knows there are chromosomal, hormonal, physical, and reproductive system differences between the sexes. However, Litman is spot on in arguing women do not have equal rights with men just as all races and ethnicities do not in the ideals of American Democracy. Litman argues that legally, equality is not being enforced in America today and is being diminished by today’s Supreme Court of the United States.

American Supreme Court

Litman persuasively argues today’s Supreme Court has eroded women’s rights by supporting legal theories that are ideologically promoted by political conservatives but not by precedents set by an earlier Supreme Court. Today’s majority at the Supreme Court has succumbed to the influence of conservative theories about the sexes rather than precedents set by an earlier Supreme Court.

It is not that the sexes are not different but that they deserve equal treatment under the law.

The point made by Litman is that the Supreme Court has found that in “all forms of discrimination”, equality of opportunity is mandated by the 14th amendment which provides equal protection under the law to all citizens with assurance that no person should be deprived of life, liberty, or property without due process. Further, the Civil Rights Act of 1964 prohibits discrimination based on race, color, religion, sex, or national origin in employment, education, and public accommodation. Previously settled law by the Supreme Court is being ignored in reversing Roe v. Wade, criminalizing same sex intimacy and marriage, and denying equal rights to the LGBTQ community.

What Litman is pointing to is the politicalization of the Supreme Court.

One might argue the Court has always been a political body. America’s history of discrimination has been reinforced and attacked in different eras of the Court. As the Turkish saying, “A fish rots from the head down”, today’s Justices of the Supreme Court are reversing precedents set in former rulings. America elects a President every four years. Even though Supreme Court justices are appointed for a lifetime, they decide to retire at some point in their careers and are replaced by recommendations of a current President with acceptance or rejection by Congress. If a conservative is in the office of the Presidency, then the recommendation will be based on candidates who reinforce a President’s political leaning. The same, of course, is true for a more liberal President.

Litman infers a politicalization of the Supreme Court lies at the feet of those who choose to vote, promote, and support candidates of their choice.

America is at a conservative revisionist point in the history of the Court with Donald Trump’s election. America has only itself to blame or praise for that revisionism. The obvious leaning of Litman is liberal in that she strongly believes in equal rights for all Americans. Her plea is for Americans to wake up to the importance of voting, promoting, and supporting candidates for public office.

American Democracy remains the best form of government despite wavering on balancing equal rights and private interests.

A perfect society will balance equal rights with private interests. America is not there, but it has a greater possibility of getting there than any other form of governance. To Leah Litman, Trump’s election seems a setback but not a reversal of the ideal of balancing equal rights with private interests. As Alexander Pope wrote in his poem, in the 18th century “Hope springs eternal in the human breast”.