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Survival of the City: Living and Thriving in an Age of Isolation Hardcover – September 7, 2021

3.9 3.9 out of 5 stars 53 ratings

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One of our great urbanists and one of our great public health experts join forces to reckon with how cities are changing in the face of existential threats the pandemic has only accelerated


Cities can make us sick. They always have—diseases spread more easily when more people are close to one another. And disease is hardly the only ill that accompanies urban density. Cities have been demonized as breeding grounds for vice and crime from Sodom and Gomorrah on. But cities have flourished nonetheless because they are humanity’s greatest invention, indispensable engines for creativity, innovation, wealth, and connection, the loom on which the fabric of civilization is woven.

But cities now stand at a crossroads. During the global COVID crisis, cities grew silent as people worked from home—if they could work at all. The normal forms of socializing ground to a halt. How permanent are these changes? Advances in digital technology mean that many people can opt out of city life as never before. Will they? Are we on the brink of a post-urban world?

City life will survive but individual cities face terrible risks, argue Edward Glaeser and David Cutler, and a wave of urban failure would be absolutely disastrous. In terms of intimacy and inspiration, nothing can replace what cities offer. Great cities have always demanded great management, and our current crisis has exposed fearful gaps in our capacity for good governance. It is possible to drive a city into the ground, pandemic or not. Glaeser and Cutler examine the evolution that is already happening, and describe the possible futures that lie before us: What will distinguish the cities that will flourish from the ones that won’t? In America, they argue, deep inequities in health care and education are a particular blight on the future of our cities; solving them will be the difference between our collective good health and a downward spiral to a much darker place.

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Editorial Reviews

Review

“Expansive and entertaining. . . . [A] fast-paced and highly readable journey . . . the book serves as a useful tool in the effort to redefine the role of the city in an age of increasingly polarized politics, and reminds us that urban health is—as Fiorello La Guardia once remarked about cleaning the streets—not a Democratic or Republican issue.” —New York Times Book Review
 
“Glaeser’s
Survival of the City: Living and Thriving in an Age of Isolation, written with Harvard health economist David Cutler, shares the pleasing style of its predecessor [Triumph of the City], an engaging mixture of history and analysis . . . ‘The age of urban miracles need not be over,’ Messrs. Glaeser and Cutler write. ‘Indeed, it must not be.’” —Wall Street Journal

Survival of the City lays out a compelling vision for reasonable, doable and affordable policy changes that would improve the quality of life in cities and benefit everyone across the nation . . . This is an important book of ideas, history and policy recommendations, a book that should be read and discussed by anyone concerned with the future of cities.” Inside Higher Ed

“Ambitious and timely . . . a valuable resource on how to make America’s cities better.”
—Publishers Weekly

“A sweeping investigation of threats to urban life. . . . A thoughtful and useful consideration of the fate of cities in the age of Covid-19.”
Kirkus

“Over the past three decades, David Cutler has done pathbreaking work on the determinants of health, while Ed Glaeser has done pathbreaking work on cities and economic growth. Now they’ve teamed up to write a book that focuses on the intersection between these two areas: how cities shape our health and livelihoods amidst a global pandemic. A fascinating read that helps us understand how we got to where we are today and design policies to build healthier, opportunity-rich cities in the future,
Survival of the City will be a terrific resource for the public and policymakers for years to come.” —Raj Chetty, William A. Ackman Professor of Public Economics, Harvard University

“This is a must-read for anyone interested in the health of cities and their residents. Glaeser and Cutler sift through the evidence to offer an incisive, engaging analysis of the real challenges posed by pandemics and other threats to urban life. Their clear and balanced policy prescriptions will protect cities from long COVID and help them emerge from the pandemic as resilient and vital as ever.”
—Ingrid Gould Ellen, Paulette Goddard Professor of Urban Policy and Planning at NYU Wagner

“David Cutler and Ed Glaeser have written an important book on an important topic. They discuss the crucial question of how to prevent cities from becoming privileged enclaves—a development that would impoverish the world. The outline an important prescription for protecting cities around the world by addressing and learning to better address the nexus of governance, jobs, and taxes.”
—Thomas R. Frieden

“In this readable yet rigorous book, two brilliant economists tackle the question of our time: How can the people and places whose energies drive our economy thrive in a post-COVID world? Their answer: put health improvement above medical care, striving outsiders before privileged insiders, and cities at the heart of a revitalized American dream.”
—Jacob S. Hacker, Stanley B. Resor Professor of Political Science, Yale University; coauthor of Let Them Eat Tweets

Survival of the City is a smart and surprising account of how the modern metropolis can bounce back from the current crisis, and a compelling argument for sweeping policy change. The authors—one liberal, one conservative—are not ideologically aligned, but their differences yield fresh ideas and bursts of insight. I found myself learning from, arguing with, and thoroughly enjoying every part of this totally necessary book.” —Eric Klinenberg, Helen Gould Shepard Professor in Social Science, New York University

Survival of the City is a work of stunning brilliance. I learned something on every page, and these are topics I thought I understood. This book is a must read for anyone who hopes to talk intelligently about a post-COVID world.” —Steven Levitt, William B. Ogden Distinguished Service Professor of Economics, University of Chicago; coauthor of Freakonomics

“This fascinating book is about everything—the plague, COVID-19, obesity, robots, schools and more—all seen through the lens of the city, its past and future. It's a gripping read for anyone, but especially those who are wondering just what is the place of the city in their post-pandemic lives.”—Emily Oster, professor of economics, Brown University

About the Author

Edward Glaeser is the Fred and Eleanor Glimp Professor of Economics in the Department of Economics at Harvard University. Professor Glaeser has published extensively on cities and their evolution over the last thirty years, and he is the author of Triumph of the City. He leads the Urban Economics Working Group at the National Bureau of Economic Research, and co-leaders the Cities Programme at the International Growth Center. Glaeser is a member of the American Academy of Arts and Sciences and the National Academy of Public Administration.

David Cutler is the Otto Eckstein Professor of Applied Economics in the Department of Economics at Harvard University. Honored for his scholarly work and singled out for outstanding mentorship, Professor Cutler's work in health economics and public economics has earned him significant academic and public acclaim. He has served on the Council of Economic Advisors and the National Economic Council, and has advised businesses and governments on health care. Cutler is a member of the National Academy of Medicine and the American Academy of Arts and Sciences.

Product details

  • Publisher ‏ : ‎ Penguin Press (September 7, 2021)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 480 pages
  • ISBN-10 ‏ : ‎ 0593297687
  • ISBN-13 ‏ : ‎ 978-0593297681
  • Item Weight ‏ : ‎ 12.8 ounces
  • Dimensions ‏ : ‎ 6.3 x 1.06 x 9.53 inches
  • Customer Reviews:
    3.9 3.9 out of 5 stars 53 ratings

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Edward L. Glaeser
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Edward Glaeser is the Fred and Eleanor Glimp Professor of Economics at Harvard. He is widely regarded as one of the most innovative thinkers around and when not teaching has spent his professional life walking around and thinking about cities.


Customer reviews

3.9 out of 5 stars
53 global ratings

Customers say

Customers find the book worth reading, saying it's interesting and thought-provoking. However, opinions are mixed on the thought-provoking aspect, with some finding it useful and good reminders, while others say it doesn't present one outstanding thesis and reviews various ideas.

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3 customers mention "Readability"3 positive0 negative

Customers find the book worth reading. They say the first five chapters are interesting and thought-provoking.

"...Still, many of the ideas discussed in this book are very interesting and thought-provoking." Read more

"...I found the first five chapters quite interesting, especially the discussion about ancient and medieval cities coping with the plague and other..." Read more

"...It’s worth a read though." Read more

5 customers mention "Thought provoking"3 positive2 negative

Customers have mixed opinions about the book. Some mention it's very interesting and thought-provoking, while others say it doesn't present one outstanding thesis and reviews various ideas.

"...There is considerable interesting information about the history of the New York sewer system...." Read more

"...Overall some useful information and good reminders though a bit dry at times." Read more

"The book does not present one outstanding thesis but rather reviews various ideas in various fields...." Read more

"...of the ideas discussed in this book are very interesting and thought-provoking." Read more

Top reviews from the United States

Reviewed in the United States on December 2, 2021
The book does not present one outstanding thesis but rather reviews various ideas in various fields. Some of the fields are directly related to cities, others – less so. Still, many of the ideas discussed in this book are very interesting and thought-provoking.
Reviewed in the United States on September 16, 2021
The authors offer a series of essays loosely concerning the impacts of public health crises throughout history on the viability of cities, with an emphasis on the impacts of COVID. I found the first five chapters quite interesting, especially the discussion about ancient and medieval cities coping with the plague and other infectious diseases. Later chapters, however, seemed like a hodgepodge of topics and ideas, and lacked focus for me. I think that this book could have been much better organized. For example, only on page 122 do the authors reveal their central theme: "The vulnerability of large, dense, interconnected cities requires an effective proactive public sector". The authors do provide a concise critique of the US health care system, showing how this made COVID worse than it should have been. Overall, I think that this book should have been focused more clearly on public health issues.
2 people found this helpful
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Reviewed in the United States on September 27, 2021
Survival of the City : Living and Thriving in an Age of Isolation (2021) by Edward Glaeser and David Cutler looks at how cities have dealt with disease, health, crime and other issues in the past and how they can deal with them in the future. Glaeser is an urban economist at Harvard and Cutler is a health economist at Harvard.

The book starts by looking at how pandemics of the past have damaged cities and societies. The Plague of Justinian was effectively the end of the Roman Empire in the West and the start of the Middle Ages. Then the Black Death was close to the end of the Middle Ages and drove per capita wealth and wages up which led to dramatic social change.

The impact of Covid 19 on the modern City is then discussed. Glaeser and Cutler believe that even with more remote work cities will still thrive. They see a few days in the office and a few at home becoming more common. They think that office real estate will, if it’s less needed, be converted into more housing or other uses. They would also like to see a better global institution for new infectious diseases. They say this will be a new NATO. Unfortunately for the book NATO’s effectiveness looks much less. Roughly twenty years after NATO defeated the Taliban it looks like the Taliban have defeated NATO. The challenge of a new global anti-disease body is formidable. The Chinese refusal to have a serious, independent inquiry into the origins of Covid 19 shows the political problems that a disease NATO would encounter. No doubt the WHO and various other organisations will be changed following Covid 19, but it’s not clear that they can be made to be much more effective. Later in the book they describe this new institution as being something like an Apollo project. It might be better to compare it to The War on Drugs, The War on Cancer or the War on Terror though.

On the technical side the rapid discovery and genetic sequencing of Covid 19 was very impressive, as was the extremely fast creation of a vaccine. But the political handling of the virus has not been as successful. The authors cite New Zealand has a model of good governance, but it’s also fair to look at New Zealand as a place where the geography helped enormously. Also, if New Zealand is cited as an example of great governance in a book on cities the authors might want to look at New Zealand’s incredible housing costs that are driven by a failure to allow building up and out.

Survival of the City looks at the history of how cities have survived disease in the past and the constructions of sewers and fresh water systems that made cities so much safer. There is considerable interesting information about the history of the New York sewer system.

The book then turns to how the US spends so much on health care and doesn’t have great results and in particular how public health spending in the US is lower than in most other developed countries. They point out that the US’s system made it hard to collate data on the pandemic and made the response worse.

There is an interesting chapter on how food technology made modern cities possible with pasteurization, refrigeration and much improved packaging and shipping. They also postulate that the nature of work has changed the impact of pandemics. They say that because so many more people worked on farms and in factories in 1918 rather than in the services economy that the impact of the disease was less economically in the past.

Survival of the City has an interesting chapter on remote work with various studies about the impact of it. They point out that training and building company culture is done much better in person than remotely. This extends into a discussion of the centripetal forces that bring people toward big cities and the centrifugal forces that move them out of the inner city. Work being in the center brings people in while transportation technology often allows them, or pushes them out.

The cost of cities also pushes people. Ed Glaeser has written about how zoning has caused people to leave cities due to high housing costs. Survival of the city looks at how gentrification is impacting cities and they use Boyle Heights in Los Angeles as an example. They point out that the real problem in Los Angeles is the huge cost of housing where people want to be and that anti-gentrification activists, by slowing housing growth inadvertently drive up housing prices.

Survival of the City also looks at how policing in the US could be changed in response to the Black Lives Matter (BLM) movement. They frame this in an interesting way by describing how policing shifted dramatically in the 1980s due to a number of horrendous murders by prisoners who had been released and how this led to the three strikes and your out rule which was then over used and led to mass incarceration that has also had adverse impacts. The authors suggest that an over reaction to BLM that led to defunding the police would be deleterious. Instead they suggest that better policing with less incarceration of drug offenders would be better.

Education is also discussed with the authors suggesting more teacher accountability and empirically verified changes that result in improvements. Here there is little discussion of how recent history and how people have been trying to improve education for decades with fairly little to show for it.

Survival of the City is an interesting book but like this review it rambles. There is also an assumption by the authors that things can be improved with new government programs that are smarter but there is perhaps a lack of acknowledgement of the failures of past programs that were as good as people could actually make them. Hopefully though better programs will be created and no doubt there will be some improvements. No doubt that cities will also muddle though.

Survival of the City contains much of interest but it isn’t as good as Glaeser’s ‘Triumph of the City’. It’s worth a read though.
11 people found this helpful
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Reviewed in the United States on December 21, 2022
Addresses the challenges of pandemics to cities. from two of the leading scholars in the world.
Reviewed in the United States on October 11, 2021
A few weeks ago, some idiot on Twitter wrote that "it isn't government's job to protect you from a virus." The purpose of this book is to prove otherwise- in particular, to show that over the past millenia, government has sometimes been quite helpful in protecting its citizens from infectious disease.

In the Middle Ages, the most effective city goverments sought to avoid the bubonic plague by forcing travelers to quarantine themselves, much as Israel did in 2020-21. In the 19th century government financed sewers and water filtration systems to protect people from drinking polluted water, thus eliminating water-borne diseases such as cholera. The authors cite one study showing that clean water was responsible for 3/4 of the infant mortality reduction in 19th-c. urban America, and half the overall mortality reduction.

Although the authors discuss COVID-19, much of their analysis is out of date. For example, they write "With contagious disease, even living near a city puts one at risk"- but as of right now (Oct. 2021) COVID-19 is more widespread in rural areas than in dense cities. The authors write that low levels of obesity protect India from high COVID death rates- a generalization that turned out to be false in 2021. The authors assume that COVID-19 first arose among bats; however, some commentators now believe that it may have originated in a lab in China (a view indirectly supported by this book, since it details how Chinese officials misled the World Health Organization in January 2020 about the dangers of COVID).

The rest of the book is a set of essays related to urban policy; although they have some interesting historical tidbits, they generally don't seem that useful. Their chapter on education concludes that experimentation is important, which although certainly true is hardly worth a lengthy discussion. Their chapter on housing emphasizes the harm done by restrictive zoning, but doesn't seem to me to add anything to Glaeser's earlier work.
3 people found this helpful
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Top reviews from other countries

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Andres
5.0 out of 5 stars Great read and reflections on the COVID pandemic
Reviewed in Canada on January 19, 2022
- Contains a comprehensive history on pandemics and the resiliency of societies to them.
- Provides great case studies on COVID response across the world.
- Proposes solutions that are innovative and intertwined to prevent new pandemics and to help us heal and connect as a society.
Char_Liberte
4.0 out of 5 stars 感染症対策のために都市ができること
Reviewed in Japan on November 23, 2021
本書は感染症に直面する米国の都市が抱える問題点を示している。

都市は創造性の塊だ。でも、内部の人を守り外部の人を放棄する傾向がある。コロナの影響でリモートワークが広まり社交も減ってしまった。本書は都市生活の存続と繁栄に必要な条件を探っていく。重要なのは説明責任を果たす政府と都市の成長を阻む規制の撤廃と学ぶ謙虚さだとみている。
疫病のせいでアテネはスパルタに負けた。ローマ帝国でも起きた。共同体から病人を隔離したり、家族で隔離したり、共同体の周りに防壁を作ったり、病原の周りに防壁を作ったりして人類は抵抗してきた。病気の蔓延を防ぐには正しい医学知識と有効な政府が必要だ。WHOは感染症を早期に抑え込める組織ではない。NATOのように、構成国を少数にして目的と統制を明確化し、科学を重視し、潤沢な予算のある国際組織が新たに必要である。
黄熱病やコレラと闘う上で上下水道の整備は政府がとれる非常に有効な対策である。隔離を担当する法の執行者は効果を上げるためには信頼されている必要がある。人と野生動物との接触を減らすために国際的な取り組みを作るといい。貧困国で疫病が蔓延すると結局は先進国にも被害が及ぶのだから、水道整備などを援助するのは先進国の利益にもなるだろう。
平均寿命は発展している都市の住民の方が長い。これは年収が低い人についても同様に言える。都市化するにつれ人は運動をせずともまた時間をかけずともカロリーを得ることができるようになった。フライドポテトのような大量生産品がすぐに手に入るようになり人は誘惑に負け肥満になっている。薬品会社はオピオイドの新製品を開発するたびに安全だという虚偽の主張をしてきており、薬物中毒者を大量に生み出した。教育程度は肥満にならなかったり薬物や酒や危険なセックスを避けたりと健康に直結するが、健康に悪いことを知ることができるというよりは我慢強さや健康促進製品を買う余裕を生んだりするという影響の方が大きい。感染症を避けるにはそもそも健康であることが重要であり、そうなるような行動変容が求められている。
アメリカは膨大な予算を医療制度のために割いているが効果は芳しくない。これは、私的な医療に焦点を置き、健康促進ではなく病人をケアすることを重視し、多くの保険未加入者がいるため。前もって感染症に対応するシステムを組んでおく必要がある。テストや封鎖を素早く行う能力も重要。
黒死病は生き残ったものを豊かにした。独占者は競合を潰すために規制を利用することがあるが、紡績工場の安全規制はその初期の例。滅菌と冷凍とパッケージ技術の向上のおかげで都市は拡大することができた。スペイン風邪は経済に悪影響をほとんど及さなかった。コロナと違いは、その頃は農場と工場で働く人が多くまた人々は必需品を消費していたこと。いまは対面が重視されるサービス業が中心であり疫病の影響をモロに受けるのだ。コロナ前からも米国の起業は減っている。第三者から規制の費用便益分析をして不要な規制は撤廃したり、規制を担当する政府の部局を一本化する必要がある。
技術革新には、車やテレビのように人口密度が高いことの魅力を減らすようなものもあれば、蒸気機関車や高層ビルやエレベーターのような増やすようなものもある。19世紀は後者が多く20世紀は前者が多かった。情報通信業が発展しても人は都市に住んだままだが、これは人と話すとアイデアが生まれたりするしまた楽しいため。テレワークは生産性を伸ばすが生産性の低い労働者を引き寄せる。すでに住んでいる人を守り引っ越してくる人を防ぐような規制を止めることが発展には必要。
ロサンゼルスのボイルハイツは米国都市の持つ問題を示す良い例。19世紀末に優れた市長がいて公園や教会や学校が建ち人気となった地域だ。自動車が発展して移動しやすくなってからは富裕層がそれまで使っていた古い住居を利用する多くの低中所得者が流入した。そして実質的な人種的隔離が起きた。優れた政治家と運動家が生まれ、ヒスパニックの多い地域としては収入は恵まれるようになった。しかし地下鉄が通るようになってからは移動して来ようとする美術館と、それはジェントリフィケーションであるとみなす住民との間に激しい対立が生まれている。しかしこれは新しい建築に対する規制が生んだ悲劇であり、真の敵は制度である。アメリカ内で引っ越しは減っている。フリーライド問題は小数名の間では解決できるものなのでそのような少数の政治集団が生まれる。この集団は既存の人員を守り新参者は防ぐ。これがまさに米国の都市で起きていることだ。
収監と犯罪発生の間には三つの関係がある。まず、収監を恐れて犯罪をしなくなる可能性があること。次に、犯罪を犯しやすい人間を閉じ込めること。最後に、牢の外で合法な職に就くのを諦め犯罪を犯すようになることだ。3ストライク法は確かに犯罪は予防しているがその費用はかなり高い。そして犯罪者を閉じ込めれば犯罪発生も減る。バランスが重要だ。レイ・ケリーというNYPDの能吏はパトロールを増やしてDV被害を減らし、テロの対策も優れていて賞賛された。しかし彼が導入した停止と捜検(stop and frisk)という方法はあまり効果を上げていない。犯罪が起きやすいところを重点的に警護するのは効率的だが、方法が良くないということだ。警官の組合は内部者を守るように動き、問題のある警官でも守ってしまう。しかし警察の予算を削っても結局悪影響が大きいのは貧しい人だ。治安と尊厳を守るよう明確な指標を導入していく必要がある。教育制度は警察よりもその目的を明確化するのは困難だ。人口密度が薄かったり都市の中心から離れていたりと優れた環境で育つほどのちに高収入になれ、教育は重要だ。しかし優れた教員や学校を表彰しようとテストを行っても教師により不正がなされるだけでうまくいかない。職業訓練を組み込んだりしていくと良いのかもしれない。
感染症に対応する科学的な国際機関を組織し、慢性病よりも感染症に主眼を置いた公衆衛生への予算を作りすぐにワクチンを作り広める公的機関を作り、感染症の犠牲になりやすい貧困者を助けるような教育改革を行い、企業と手を組み職業訓練をするような学校を試したり、公正な法機関を作ることが米国には求められている。都市は希望の源であり人々の強さを示す場所なのだ。