I'm giving this anthology three stars because it is either that, or nothing, and I respect the genesis behind this collection as well as so many of the contributors, though I may not be impressed by the works presented here.
Clearly this anthology emerged from the particular circumstances surrounding the campaign by Jesse Helms and others to attack artistic freedom in the USA. The problem with work inspired by media headlines is that they quickly become period pieces - the fact Helms and most of the other political/pop-cultural personalities and references will need to be Googled by anyone born after 1980 speaks for itself. The other problem is that because of the nature of Helm's attacks most of the contributors have submitted work that strives to be 'shocking' - golden showers, coprophilia, masochism, S&M - but none of which seems 'High Risk' now, at least not in Europe. I found many of the stories tiresome and boring.
The really outstanding story was 'Wrong' by Dennis Cooper - but not for the reasons you might think. In many ways Cooper is the poster boy for 'shocking' literature which is more of a cliche than a truth, more people think they know what he writes about then have actually read him. It is at least twenty years or more since the last time I read this story from his first book but I was astounded by how fresh it read, how true and honest, but also shocking and disturbing - that I can not say the same for the vast majority of the material in this volume is because they are striving to shock but are lacking imagination and vision as well as good writing. Agenda driven writing may have its heart in the right place but it inspires journalism, at its best, not literature and certainly not anything that be considered art.
Writing that challenges or shocks grows out a writers vision and talent. While reading this anthology I reread a story by a UK author, Simon Burt, called 'Floral Street' from an anthology of short stories with the same name, published in 1986. I think it is way more challenging and shocking than any of the derivative twaddle in this anthology. It would possibly be found more disturbing now than when it was first published. It is utterly immoral and shocking but a brilliant piece of writing by an author who puts the High Risk authors well into irrelevance.