by John Green
My older daughter is a huge fan of the Green brothers, so she pre-ordered this book to get an autographed copy. She took it with her to college, so I had to read one from the library.
Mr. Green alternates personal stories of tuberculosis patients (past and present, but most often a young man named Henry from Sierra Leone whose cheerful tour of a hospital focused Mr. Green's interests on tuberculosis) with historical facts and numbers about the disease. His treatment of about everything is necessarily broad rather than deep.
One omission, for example, is an acknowledgement of the complex process of drug development: basic research, detailed studies, approval, and manufacturing. He argues there's a problem with the way markets drive the pharmaceutical industry:
When markets tell companies it's more valuable to develop drugs that lengthen eyelashes than to develop drugs that treat malaria or tuberculosis, something is clearly wrong with the incentive structure. (p. 130)
And thinks we should have a different system:
And so we must fight not just for reform within the system but also for better systems that understand human health not primarily as a market, but primarily as a shared priority for our species. (pp. 174-175)
I agree there are real conversations we should have about our modern decision to leave all drug development and manufacturing in the hands of for-profit companies, but this book doesn't do more than say we should have the conversation.
My daughter assures me Mr. Green has done extensive videos covering these kinds of questions. I think his decision to mention these issues in the book without providing an in-depth analysis was therefore a strategic one. Those kinds of conversations can happen after he gest people to even care enough to ask the questions.
In my college days, I read books about diseases for fun more often than I read novels. I also have a degree in biology. This is not a scientific book; it's not even a history of science book. This is a chatty book with a single goal: to increase how much people in rich countries care about helping cure tuberculosis.
This book is written at a middle grade level. There are, of course, descriptions of illness and tragedy. There are also some references to more mature topics, so you may want to have your kids wait until high school to read it. I did not assign this book to my older daughter, but I did include it in the list of resources for health in her narrative transcript. I would do the same for my other kids if they read it.
I respect Mr. Green's dedication to his chosen cause. I believe he's doing a lot to bring the tragedy of tuberculosis to the attention of many Americans. The recent dismantling of USAID has sadly derailed much of the work that was benefiting those with tuberculosis, and we can expect a drastic increase in death and suffering for many years to come from tuberculosis and other diseases. Hopefully this book helps encourage people to demand their congressmen and congresswomen return to the fight against infectious disease around the world.
I have received nothing in exchange for this post. Links to Bookshop and Amazon are affiliate links. I checked this book out of our local library.