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This latest enterprise, in my mind, can truly be called, without apologies, a "reference" volume, possessing qualities consistent with what I associate to be the purest definition of what this word is supposed to mean.
The critical aspects are these: Beyond printing each "year" on the vertical edges of each page, this volume isn't all about images. It lists Oscar winners. It lists every film that was nominated for Best Picture. It illustrates, in wonderful color, posters of films that in most cases, were ROBBED of a Best Picture nomination. But the editors keep going. They list "honorable mentions," a concession that the panelists on its selection committee (for which I was honored to be a member), did not always agree with the choices that ended up in your book.
I'm conceited when it comes to Oscar. I'm a professional writer who happens to be an amateur film historian, who, in 1972, was a winner in the San Diego Union-Tribune's Academy Award history contest, having studied this subject obsessively, watching every Oscar telecast since 1962. So it's obvious why I would disagree with my fellow panelists on a number of selections, and in such cases, why it was a lousy feeling to see some of my choices "overruled" and put into the "Honorable Mention" category, or worse, not even listed at all. Yet the selection process was completely fair.
Some choices were obvious and expected, e.g., "Singin' in the Rain," "The Third Man," "The General," "Queen Christina," "City Lights," "Pinocchio," "North by Northwest," "Rear Window," "Some Like it Hot," "Breakfast at Tiffany's," "A Hard Day's Night" and "2001."
But some choices were baffling. How can anyone, for example, leave off films like "The Seven Year Itch (1955)," "Duck Soup (1933)," "National Velvet (1944)," "A Tree Grows in Brooklyn (1945)," "Black Narcissus (1947)," "Key Largo (1948)," "The Miracle Worker (1962)," "Two for the Road (1967)," "A Man and A Woman (1966)," "Glory (1989)," "The Commitments (1992)," "Fearless (1993)," "Dead Man Walking (1995)" or "Three Kings (1999)?"
And some selections, forgive me, were overrated. What's a film like "Dracula" doing in there? "Frankenstein," yes, but has anyone tried to sit through "Dracula" in its original, un-musically scored version without unintentionally laughing? A film that stands the test of time does so without falling back on the post of the technical limitations of any era. Is the monetary value of the film's poster and/or its standing as an iconic title greater than the merits of good old-fashioned story telling? Dracula is a classic, but a Best Picture nominee it wasn't, nor should it have been, any more than "Blazing Saddles," despite my tremendous affection for the latter.
What about "Journey to the Center of the Earth" over "Pillow Talk?" "How to Murder Your Wife" over "The Flight of the Phoenix" or even "Cat Ballou?" "A Funny Thing Happened to the Way to the Forum" over Billy Wilder's "The Fortune Cookie?" Perhaps the worst was seeing the ponderous "Far From the Madding Crowd" selected over Stanley Donen's underrated "Two for the Road" and "The Day of the Jackal" knocking off Bogdanovich's enchanting, "Paper Moon." And the panelists who, in apparently sufficient numbers, were responsible for putting garbage like "Ace Ventura: When Nature Calls" even on the "Honorable Mention" list deserve 50 lashes with an well-oiled, leather whip.
Debating cinema as art (as opposed to posters) makes for great fun, and this is why this book is worth buying and talking about. But I was most happy with four selections in particular that were associated with the agonizing process the editors' chose to make this book historically credible.
The first was Ernst Lubitsch's "The Shop Around the Corner (1940)," that wall-to-wall Margaret Sullavan-James Stewart howler that still holds up as being done one of the greatest romantic comedy films from Hollywood's Golden Age. The second was "Say Anything (1989)," writer Cameron Crowe's first directorial effort. The third was Terence Malick's haunting "Days of Heaven (1978)." But the fourth, the one that brought the most joy, was the panel's selection of David Lean's wonderful 1945-46 collaboration with Noel Coward, "Brief Encounter (1946)." I can only count on one hand the number of people I know out here on the West Coast who have seen this near perfect 86-minute film. Yes, I disagreed with some of the choices, but this particular selection confirmed that the editors did their homework in their efforts to create a credible cross section of non-Hollywood industry historians to join their "jury." I applaud them for selecting this movie despite the higher profile titles released the same year, such as "Gilda," which even though was among my selections, I was only mildly disappointed to see "missing the cut." The latter is high grade "B" material compared to "Brief Encounter."
Moreover, I applaud the editors for assembling one of the finest pictorial books ever published about Oscar history, featuring posters associated with films that were shamefully overlooked by the Academy of Motion Picture Arts and Sciences. Admittedly, not all of the posters feature great art, but the point is to document history. I hope there will be a second volume featuring the films that at least made "honorable mention." For this first volume (which no one in publishing history has ever done in terms of subject matter), panelists were limited to listing just five "losing" films each year. But we know that some years it was feast or famine in terms of quality.
Combining great images with great history, if Hershenson and Allen continue to keep the quality as great as this, they'll be publishing forever, and not just to the narrow band of hard core movie poster collectors who DON'T make up the greater body of book buyers in America.
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That being poor is associated with ill health would seem to go without saying. Many studies in the past three decades have established that absolute levels of income or education or class are related to morbidity and mortality. The Whitehall studies of the British civil service, begun in 1967, showed that mortality rates were three times as high among people in the lowest employment grades (porters) than among those in the highest grades (administrators) in a relatively homogeneous population of office-based civil servants who had access to comprehensive health care. The Whitehall studies and the Multiple Risk Factor Intervention Trial in the United States show that conventional risk factors (smoking, obesity, inactivity, and high blood pressure) explain only 25 to 35 percent of the differences in mortality rates among persons of different incomes. In fact, socioeconomic status is now understood to be the single most powerful determinant of health. This in itself is a stunning notion --one that is overlooked by physicians who are not oriented to population health.
Physicians are accustomed to think of the socioeconomic determinants of disease in terms of an individual person's risk factors. The story, revealed in these collected papers, is more complex. It now seems clear that absolute wealth or income is a less important determinant of health than the relative disparity in income or the income gap between the rich and the poor. Wilkinson is a leading proponent of the relative-income hypothesis. He finds no clear relation between income and health when comparisons are made between countries. For example, there is no relation between the per capita gross domestic product and life expectancy at birth in comparisons among developed countries with similar levels of industrialization.
Wilkinson and now a number of other scientists have, however, found a strong relation between income inequality and health. Countries with the longest life expectancy -- Japan, Iceland, and France -- are not necessarily the wealthiest, but they are the countries with the least income inequality. These relations are not limited to nations but can also be seen at regional and local levels. In the United States, for example, states with the narrowest, most equitable income distributions, such as New Hampshire, have longer life expectancy than less egalitarian states, such as Mississippi and Louisiana.
What connects income inequality to the health of individual persons? Biologic scientists have explored the connections between social rank and biologic determinants of disease, such as immune function and endocrine responses to stress. Several such studies are presented in this book. Social scientists have long asked why some communities have effective institutions, respect for the law, and healthy citizens, whereas others do not. Social capital, defined as civic engagement and mutual trust among community members, may be an important intervening variable between income inequality and health. Communities with high social capital, or cohesiveness, are associated with higher levels of political participation, lower levels of crime and delinquency, and better health status.
The conclusions reached by several of the book's authors, that socially engineered reductions in income inequality might produce substantial health benefits for the population, are certain to provoke controversy. The debate about an assured national income -- dormant for 20 years -- may be revived. The relative-income hypothesis has implications for matters of public policy, including education, poverty, and crime, and the authors suggest specific additional research that is needed to support the development of policy in these areas. Some policy makers are designing programs on the basis of socioeconomic research. Dr. David Satcher, the surgeon general of the United States, has, for example, made the reduction of inequalities in health based on race and class the priority of his office.
The Society and Population Health Reader is organized in four sections, each with an introductory essay that includes study questions and suggestions for further reading, followed by reprints of recent research articles - 40 in all -- as they appeared in the medical literature. About half the articles are by the editors. Although some criticism of the relative-income hypothesis is presented, for the most part, the book reflects the editors' positions. For the general reader who is willing to stay the course and plow through the 40 articles, I cannot think of a better introduction to this fascinating field. This book is uniquely useful for the professional student of these topics or for research scientists developing an interest in the field.
Michael McCally, M.D., Ph.D. Mount Sinai School of Medicine New York, NY 10029
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