Book #122 of 2024:
On Call: A Doctor’s Journey in Public Service by Anthony Fauci, M.D.
Dr. Anthony Fauci may not have become a household name until the recent COVID-19 pandemic, but that experience capped off a long and distinguished career in patient care, scientific research, and public health policy. In this 2024 autobiography, the newly-retired author reflects back on that time and the seven presidents he’s had the honor to serve under, all of whom except Donald Trump seem to have been genuinely interested in listening to the science on infectious disease and committed to saving lives from it both domestically and abroad.
Which is not to say that this title is a political hit job, but it certainly joins a wide body of tell–all memoirs that confirm just how dysfunctional the Trump White House was, with warring factions of petty tyrants, an insistence on wishful thinking over expert advice, and the paranoid assessment of every dissenting voice as a partisan enemy. As the director of the National Institute of Allergy and Infectious Diseases and the increasingly public face of the government’s coronavirus response, Dr. Fauci pushed back against that environment as best as he could, always sharing the latest honest updates on the virus with the American people even when it meant publicly contradicting the president himself.
But most of this book isn’t about that presidential term at all, although there’s a common theme of the good doctor speaking truth to power. Instead, he walks us through his start as one of the first researchers to pay attention to the burgeoning HIV/AIDS crisis of the 1980s and 90s, and how he came to listen to activists from the gay community and involve them in the decision process for future studies and outreach plans, even when they were hostile towards him in the press and shunned by his peers in the medical field. He lost several close friends to the disease, but was instrumental in ultimately deciphering a way to combat it, which he explains in clear terms for the lay reader. We then follow him and his team over the course of the 2001 anthrax scare and other relatively minor outbreaks across the next few decades, like swine flu, bird flu, Ebola, Zika, and SARS — incidents that were contained in large part due to the writer and his colleagues taking decisive actions with the federal support that was so lacking in early 2020.
All of which brings us back to Trump, for whom Fauci does not hold back his criticisms as a man whose decisions swung wildly based on which advisor happened to talk to him last and who regularly put the perception of a strong economy (and his subsequent reelection odds) over the health of his fellow citizens. And while none of that is exactly news, it hits hard after reading the author’s effusive praise for other conservative figures like George Bush, George W. Bush, or even Trump’s own vice president, Mike Pence. As a civil servant who happily aided previous Republicans and Democrats alike, he chafed against Trump’s leadership not over politics, but over all the chaos and dangerous willful abandonment of the truth.
This memoir also addresses the hatred and lies that have been directed at Tony Fauci himself over the past few years, with the explicit encouragement of Trump and his cohort of MAGA Republicans. From death threats against his family to bizarre claims blaming him for all manner of outlandish conspiracy plots, it speaks to a troubling trend in the right-wing disinformation chamber to drag down anyone and everyone seen as aligning themselves with the left. I’m reminded of Dr. Christine Blasey Ford’s own recent memoir on that subject, and how, like Fauci, she wasn’t aiming to be political at all. But for the thoughtcrime of openly opposing a particular conservative, both individuals were reviled as liberal liars by the supposed patriots under Trump.
Luckily, Anthony hasn’t let the attacks bother him too much, and writing now in his 80s after finally stepping down from his various responsibilities, he seems content to enjoy his well-earned retirement with his wife, his three daughters, and his grandchildren. While he’s somewhat bemused by his new status as a recognizable celebrity, he’s still eager to share his hard-won insights into the spread of contagion with the same natural communication style that’s served him so well over the years. On behalf of a grateful nation — or the non-Trumpy parts of it, at least — I thank him for his service and for this excellent read.
★★★★☆
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