The Premonition: A Pandemic Story

by Michael Lewis

Hardcover, 2021

Call number

614.5 LEW

Collection

Publication

WW Norton (2021), 304 pages

Description

"For those who could read between the lines, the censored news out of China was terrifying. But the president insisted there was nothing to worry about. Fortunately, we are still a nation of skeptics. Fortunately, there are those among us who study pandemics and are willing to look unflinchingly at worst-case scenarios. Michael Lewis's taut and brilliant nonfiction thriller pits a band of medical visionaries against the wall of ignorance that was the official response of the Trump administration to the outbreak of COVID-19. The characters you will meet in these pages are as fascinating as they are unexpected. A thirteen-year-old girl's science project on transmission of an airborne pathogen develops into a very grown-up model of disease control. A local public-health officer uses her worm's-eye view to see what the CDC misses, and reveals great truths about American society. A secret team of dissenting doctors, nicknamed the Wolverines, has everything necessary to fight the pandemic: brilliant backgrounds, world-class labs, prior experience with the pandemic scares of bird flu and swine flu...everything, that is, except official permission to implement their work. Michael Lewis is not shy about calling these people heroes for their refusal to follow directives that they know to be based on misinformation and bad science. Even the internet, as crucial as it is to their exchange of ideas, poses a risk to them. They never know for sure who else might be listening in"--… (more)

User reviews

LibraryThing member SamSattler
I’ve learned a lot from reading Michael Lewis books in the past, and I’ve always enjoyed the author’s writing style and talent for making it as much fun to read truth as it is to read fiction. The Premonition, however, pretty much fails to reach the high standard Lewis set for himself in his
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previous books. In fact, because The Premonition, for all practical purposes, chronologically ends around March 2020, it left me as baffled as ever about what has been going on behind the scenes regarding this country’s battle with COVID-19 for the past year-and-a-half.

“In February 2021, The Lancet published a long critique of the U.S. pandemic performance. By then 450,000 Americans had died. The Lancet pointed out that if the COVID death rate in the United States had simply tracked the average of the other six G7 nations, 180,000 of those people would still be alive.”

So what happened? Whose fault is that the American response was as ineffective and inefficient as it was? And most important of all, why did it happen?

According to Lewis, politicians (Republicans and Democrats, alike) share a large part of the blame for the country’s unfocused response to the coronavirus that probably hit our shores for the first time around December 2019. But the politicians, again according to Lewis’s reckoning, are not the primary villains here; that honor belongs instead to the Centers for Disease Control (CDC), the agency that Americans at one time could depend on to protect their health, not make things worse out of a fear to look bad. As Lewis puts it”

“The CDC did many things. It published learned papers on health crises, after the fact (emphasis mine). It managed, very carefully, public perception of itself. But when the shooting started, it leapt into the nearest hole, while others took fire.”

Perhaps the biggest — and thus, the most shocking — revelation that Lewis makes in The Premonition is that the CDC’s horrible leadership during the entirety of the COVID-19 pandemic stems all the way back to the agency’s politicization in the mid-1970s. That’s when politicians started appointing the chief of the CDC rather than allowing the best man or woman to rise to the top based on effectiveness and years of experience. That change, in effect, caused CDC leaders to worry more about their jobs and personal futures than about the diseases they were there to combat on behalf of the public.

The bulk of this 300-page book follows a small group of brave scientists willing to risk their reputations, many of whom had once worked in either the Obama or Trump White Houses, as they come to grips with the idea that if the virus is going to be contained, they are the ones who are going to have to come up with the plan to do it. So that’s what they do. But we will never know if their plan would have worked because no one in Washington D.C. or inside the CDC would even listen to their ideas. Instead, they were blown off until it was too late for their plan ever to work as well as it could have — and even today (May 23, 2021) just under 1,000 Americans per day are still dying from COVID-19.

Bottom Line: The Premonition is not the book I was hoping it was when I picked it up, so it is partially my fault that I find it disappointing. I want to know what happened in 2020 after the federal government put the burden on state governments to solve the problem for themselves. I want to know who did, and didn’t do, their jobs at all levels of government. That’s the book I want to read about COVID-19. Maybe it was just too soon to expect that one.
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LibraryThing member deldevries
A glimpse behind the curtain going back to Bush and Obama and the work in government to consider risk and preparation for future disease pandemics. Dramatically describes the break between knowledge/preparation and government agency stonewalling, attempts to control political messages, and the lack
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of leadership. Seems fair and balanced overall. However, near the end of pg 295, reference to Stanford professor John Ioannidis does not go back to source research material and instead focuses on headline one liner only.
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LibraryThing member breic
Michael Lewis is a great writer, and his stories are compelling and extremely readable. Lewis zooms in on one or a few subjects, to draw a picture of a wider scene. This book is no different. A problem with his few-subject approach, though, is that it can be simplistic and, especially, one-sided.
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That was certainly the case with "Flash Boys," although in my opinion the criticisms there were overblown and despite some arguable details the big picture wasn't far wrong.

In "The Premonition," though, Lewis's choice of principal subject is very problematic, and, for me, ruins the book. Charity Dean should not have been part of the story. Dean is not trustworthy, she does not seem to have good judgement, and, now leading a startup company, she is also financially conflicted.

> It wasn’t easy to make even the most persuasive fake flowers seem real. [Dean] had to keep neighbors from getting too close, and invent excuses for keeping them off her porch. Instead of gardening she had to pretend to garden, which was even more difficult. She felt like an idiot waving to strangers while watering plastic flowers, but for months she went right on doing it. “It felt icky,” she said. “I just got sucked into it.” … She knew that her fraud was bound to be exposed, but she kept doubling down on it anyway.

When Lewis heard this story, shouldn't he have eaten his sunk costs and moved on to find a better source? He doesn't. Dean has a very high opinion of herself.

> The new story had gained focus after she’d taken the job as a local public-health officer. Its theme was bravery, and it compelled her to recognize those moments when she was doing, or failing to do, a thing out of fear. Coupled with her natural interests and abilities, it had turned her into an action hero. She believed that, in the bargain, her narrative had saved her life. Soon Charity’s purpose was clear, and not only to her but to anyone who watched her in action: she was put on earth to fight battles, and wars, against disease. To save lives and perhaps even an entire country.

Perhaps the "action hero" thing is Lewis's own exaggeration, and shouldn't be blamed on Dean. But still. The basic story here is that Dean was always right about everything, everybody else always wrong, but that Dean was afraid of saying anything, even though she thought she could save hundreds of thousands of lives, because she was afraid of losing her job.

> Three days later, a Sunday, Duane asked her to join them on a conference call. She hadn’t responded to the emails. Anything she wrote from her state email account might as well be made public, and she worried what might happen if anyone suspected that she had entered some back-channel conversation with the Trump administration. She’d learned, from other battles, that there was a fair chance that anything she said, even in private, would end up in the Los Angeles Times. She told Duane that she’d come onto his conference call but only to listen, not to speak. “I was nervous about being fired for even being on the call,” she said.

And yet, when the pandemic hits and California Governor Newsom is trying to put her in charge of the response, she decides to … quit her job. She is wowed by Facebook money, gets entirely behind a crazy idea to manage the pandemic by sequencing every virus sample to track its spread (an idea which Lewis accepts as brilliant without even considering the problems), and then quits to start her own company. "Action hero," indeed.

Despite this serious flaw, Lewis does throw in some other good stories, and even some (hopefully valid) insights.

> The CDC had lots of great people, but it was at heart a massive university. “A peacetime institution in a wartime environment,” Carter called it. Its people were good at figuring out precisely what had happened, but by the time they’d done it, the fighting was over

> “They really should just change the name,” she said. “It shouldn’t be the Centers for Disease Control. It should be the Centers for Disease Observation and Reporting. That’s what they do well.”

Other fragments from modern history:

> [George W.] Bush asked the U.S. Congress for $7.1 billion to spend on his three-part pandemic strategy, and Congress gave it to him. To staffers on the U.S. House Appropriations Committee, John Barry’s The Great Influenza became known as “the seven-billion-dollar book.”

> He now had a rule: if you visit a hospital to investigate some problem, visit more than once, as on the first visit the locals assume that you have come merely to find fault and assign blame rather than to enlist them as partners in the hunt for the flaw in the system. He’d learned that from some field anthropologists whom he had sought out. “They taught me how important it was to have a second visit when they visited villages,” said Carter. “The second visit made a statement to the villagers, and it usually wasn’t until the second visit that trust emerged.”

> The new [2009 H1N1] flu would turn out to be less lethal than it might have been. The CDC would report that somewhere between forty and eighty million Americans had been infected but only 12,469 had died. Their judgment had been vindicated, and President Obama’s decision had worked out, and everyone would soon move on and forget about the pandemic that wasn’t.
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LibraryThing member Tytania
This is a book about the handling of the COVID-19 pandemic in the US; but it's written by Michael Lewis, so it's not going to be a polemic or a dry history. It's a book about a few real-life characters who had some interesting roles to play, and their unique perspectives.

- Scientist Bob Glass: his
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daughter's (and, let's face it, his) eight-grade science project is a model of communicable disease spread, which points the super-spreading finger mainly at children, for their multitudinous and highly physical social interactions. The model concluded that closing schools and keeping children isolated was the best way to stop the spread of a flu-like illness, counterintuitive though it may seen when it's the older cohorts who suffer the most adverse effects.

- Charity Dean: a California public health officer with a hero complex; I had a hard time truly understanding her character and her motivations under different circumstances. She also just didn't seem all that important to the story.

- Richard Hatchett: one of the first picks to work on a task force to produce a pandemic plan of action back in the George W. Bush administration; because President Bush had read a book (!) called THE GREAT INFLUENZA about the 1918 flu pandemic, and it scared him into wanting to craft a governmental plan of action to deal with pandemics. (Yes, the last Republican president whose initials were not DJT actually read books - those were the days!)

- Carter Mecher: kind of the main character, someone that Lewis obviously respects a great deal; a doctor at the Veterans Administration, and unofficial leader of the task force.

So the pandemic plan is written with its emphasis on social distancing and closing schools. During the Obama administration, there is the H1N1 scare, and the plan is considered; but they take a gamble and decide it's too intrusive into people's daily lives, and they don't use it. They dodge a bullet; I think there is a comment to the effect that it wasn't a bullet dodged, but rather that nature had chosen to spray us with buckshot. The pandemic response team is ultimately disbanded, and then we get Trump. There's also the politicization of the CDC; the CDC is not so much a villain in the story as a tragic anti-hero. They could have been so much better, done so much more. Instead, at first they minimized.. and then surrendered.

It took about half of the volume to finally get the narrative up to 2020 talking about COVID-19. Until then, I was chomping a bit at the bit - get to the good stuff already! These people are all relatively interesting but I didn't buy a book to read about a bunch of government scientists and doctors with some novel ideas. After all the backstory, things got very compelling indeed. I have long been a Michael Lewis fan and continue to be. Ugly cover, though.
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LibraryThing member AKBouterse
This was really interesting and definitely had some insights about things at the beginning of the COVID pandemic that I wasn't aware of. I've read quite a few books by Lewis at this point and I always appreciate how well he can craft a story. I think many people would expect this to be about the
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failures of the Trump administration during COVID specifically but really the critique is towards the CDC and the perverse incentives that exist generally throughout the government that lead to inefficiencies. This book also really centers the response of California and focuses on characters based there. This isn't too surprising given that Lewis lives in California but don't go in thinking you're going to get a broad critique of the federal response to this pandemic. Even though I was pretty well aware that the initial response and preparation for COVID in arriving in America was poor, I was still taken aback by some of this things that happened in this book with regards to government inaction and secrecy, as well as an unwillingness to take preemptive action. I think this book gives a really good view of the early failures in this pandemic as well as demonstrating what may be done differently in the future. I found this book very easy to read and very interesting. I would definitely recommend this, maybe especially at this point in the pandemic when vaccines are now available because it is a good look at how this all started and how we got here.
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LibraryThing member waldhaus1
I’ve felt that Covid was a test case for the really dangerous pandemic to come.
Lewis draws the reader into his investigation by focusing on lives of people he presents as key players.
Some of the details of the development of the pandemic differ a bit from my recollection. There was already a
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widespread fear of the disease by late February 2020. But it took another month to explode onto the scene. While school was closed the public wasn’t informed of the role of young children as superspreaders.
The book is well done and satisfying to read.
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LibraryThing member FormerEnglishTeacher
This book ostensibly tells the story of covid 19 through a history of viruses including the 1918 flu. In telling the story of covid 19, Lewis inevitably discusses the Trump administration’s bungling of its response to the crisis. But this isn’t another Trump bashing book. To Lewis’ credit, he
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probably saw Trump for what he was during the pandemic rollout: an insignificant buffoon. And that would be fine except that after reading the book, I’m convinced, as I’m sure just about every reader will be, Trump is singularly responsible for at least half the deaths due to covid. Lewis shows us that among the most effective weapons short of a vaccine against this or any virus is isolation and, when that isn’t possible, social distancing. All the American public and our elected officials seemed willing to discuss in fighting the pandemic was a vaccine. And that is why we now have more than half a million deaths in the U.S. and more than three million world-wide from the disease. History will not be kind to Trump. History will not be kind to those who fought science and scientists while ICU wards filled and bodies were stacked in refrigerator trucks outside hospitals. Lewis has shown us that we are our own worst enemy, and chances are pretty good that we haven’t learned a thing from the past 15 months.
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LibraryThing member kcshankd
Just as damned infuriating as you would expect. Once again confirms my bias towards making a decision, any decision, instead of fearing imaginary consequences.
LibraryThing member grandpahobo
An incredibly thorough and compelling story of how the Covid-19 pandemic could have been mitigated.
LibraryThing member BDartnall
Focusing on key "players" before the CoVid-19 virus actually swept over America, Lewis provides interesting details and renders the mycology (study of viruses) and epidemiology understandable. His analysis of the state of our country's public health systems, the federal agencies/offices meant to
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protect US citizens, the "approach" to rampant diseases/emerging health crises in the CDC and even some states' public health status - all this sounds very "wonk-y" but he centers his narrative on those he calls the true "heroes" who strained to prevent the very CoVid crisis we endured in 2020.
Such an approach makes it a riveting read. I found it instructive, and it gave me names, dates, details to research further to better understand how our country could have "done" the CoVid disaster - better.
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LibraryThing member writemoves
I am always looking for information from books, lectures or thought leaders on things I did not know. This is such a book – – no wonder our pandemic response was so poor! We have health officials talking like politicians, politicians talking like doctors and government officials just trying to
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cover their ass. So many things went wrong from an ineffective government response, confusion by the CDC and so many incompetent people involved in life and death situations.

Fortunately there were some very competent and smart people trying to save lives. Unfortunately these people had to overcome poor management and bureaucratic hurdles. Dr. Charity Dean, in particular, had to deal with stereotyping based on her age, looks and race to try to be taken seriously. Lewis also recounts the efforts of Bob Glass, Carter Mecher and others to collect needed data in order to make good decisions on how to control the spread of infection.

One of the surprises in the book was that George W. Bush was the president who took the threats of pandemics seriously and initiated studies to address them. Unsurprisingly, Donald Trump and his administration botched efforts to minimize the spread of pandemics. The Trump administration eliminated the scientific group inherited from the Obama administration who were in the midst of planning for pandemics. John Bolton was more concerned about military threats, not pandemic threats.

One of my personal takeaways from this book is how I could never trust any announcement or findings from the CDC. They are largely villains in this book.
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LibraryThing member stellarexplorer
It was with a sense of kindred familiarity that I opened Michael Lewis’ new book The Premonition, subtitled A Pandemic Story. Lewis is among the distinguished contemporary writers of narrative nonfiction, and the dust jacket suggested a story close to my own experience: a look those rogue experts
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who saw the COVID-19 pandemic coming before anyone else did, including those tasked with the job. I was anticipating The Pandemic Meets The Big Short - the latter another fascinating look at the rare observers who saw what few others did during the subprime mortgage meltdown of 2008. While I was oblivious to that coming financial crisis, I too recoiled at the inevitability of a catastrophic pandemic in January of 2020. As a veteran versed but non-expert in emerging viral threats and a physician myself, I eagerly prepared to hear about the foresight of savants.

While The Premonition does in fact invite us into the thinking of some brilliant outside-the-box thinkers, people who understood early on the threat we in the US faced - propelled by Lewis’ characteristic irresistible storytelling - it turns out that in the most meaningful sense, these accounts are the mere scaffolding for a far darker and more urgent revelation. Because if I knew by mid-January 2020 that we were facing no less than viral disaster, why was the country so ill-prepared? Where was the testing, the messaging, the preparation of the public for what would need to be done? Where was the truth-telling that would bring us together for the necessary NPIs - Non-pharmaceutical Interventions - that would buy time, slow the spread, and prevent hundreds of thousands of deaths that would otherwise occur before a vaccine could protect us?

That is real message of The Premonition. At multiple levels, the institutions and leaders who could have made a difference failed the people. The politicization and culture of the CDC - despite its continued capacity to produce world class academic research - meant suppression of the truth, no preparation for testing or necessary medical supplies, a craven obedience to an incompetent Administration primarily concerned with the next election, and not to put too fine a point on it, gross negligence. The shocking absence of a cohesive US public health system, which instead amounts to a balkanized set of sometimes dedicated but always local offices, waiting for advice from on high that either never came, or in other instances suppressed the truth that the virus was already spreading within the US. Federal and many state leaders calculated that keeping the public in the dark was a better policy than entrusting them with the information that might have enabled them to protect themselves. Those in the health system who knew found themselves silenced and shuttled to the side, or ignored. The protagonists in Lewis’ telling deserve a medal, but no doubt they would say they were just trying to do their jobs. This an eye-opening book. If we are to be better prepared for the next one, I can’t think of more powerful motivation than clarity about two things: what went wrong, and the perilous, regrettable condition of our public health institutions. Oh, and one more thing. The understanding that the next time may be even worse
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LibraryThing member PattyLee
I couldn’t put it down. Amazing. Lewis is such a clear, concise, coherent writer.
LibraryThing member nmele
Michael Lewis's latest book tells the story of the random group of experts--public health officers, doctors, researchers--who not only put together plans for responding to pandemics but moved heaven and earth to try to deliver Americans from the Covid-19 disaster we have been experiencing for
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almost two years as of this writing. The pace is thrilling and there are many lessons learned here, such as why it is a mistake to politicize positions in the government that were once reserved for career public servants; why we didn't get freely available and free Covid testing as early as we should have; how politics distorts the best efforts of dedicated people; and why the CDC did such a bad job of handling this pandemic. It's amazing what Lewis packs into the 300 or so pages of this book, and important that we read it and understand how commerce and profit have made effective preventive medicine almost impossible to achieve in the U.S.
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LibraryThing member Opinionated
There are some reviews of this book that are along the lines of "There were some brilliant, out of the box thinkers out there, who saw the devastation a pandemic could cause, what a shame they weren't listened to". But that's not the message at all. The message, as with much of Lewis' recent work
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is that regardless of the brilliance and dedication of individuals, the US government infrastucture is structured to fail. As one of the minor protaganists, brought up in Poland, puts it "its a failed stated".And that, it quite literally, is.

Lewis could have been writing about the Pandemic, he could have been writing about an environmental disaster, a nuclear accident, an emergency response, or response to any social problem. The conclusions would have been the same. People on the coalface had a good understanding of what needed to be done; inefficieint, broken bureacracy, stopped it happening. In the book the CDC comes in for a good, seemingly deserved, kicking - which came as a surprise to me having known people who have worked there and who had praised its efficiency. In another disaster it would have been a different agency.

The saddest part is that, although the heros and heroines of Lewis' tale deserve to be lauded, the epidemiology they were promoting is neither hard to gasp nor, I thought, controversial, In most of Asia the principles of cutting as many social connection as possible (a "circuit breaker" as the Singapore PM put it) were understood and implemented quickly. But this is not really Lewis' point; nothing would work, as systems are mired in inertia and inefficiency

Every reader will have their own favourite jaw dropping moment; mine came at the point where the BIohub free testing facility discover why hospitals aren't sending sample for free, fast Covid testing; the hospital accounting systems have no way to process something that is free

Lewis is, as ever, an engaging storyteller. And in 30 years time this will be considered an important document of American decline. Unless of course, the structural fragility he outlines is addressed! But we all know, it won't be
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LibraryThing member larryerick
First, this was not the book I expected it to be. Secondly, after reading this author's books, watching movies based on his books, or both, it became clear to me that the common thread I saw in all of them, was that he was drawn to those folks that listened to different drummers in dealing with a
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variety of tasks at hand. And, finally, while there is a lot to recommend this book -- the man knows how to tell a story -- this book had one of the most disappointingly tepid book endings that I can recall reading. Somewhat surprisingly to me, it seems these three points are all related. I was expecting much more reporting on what happened in the Trump administration that helped or hurt the handling of the COVID-19 pandemic. In some ways, the Trump response is almost an afterthought. What went wrong then was just a variation on what went wrong earlier in avoiding -- or not -- any pandemic -- at least according to what the author takes time to report. Michael Osterholm's book, The Deadliest Enemy, is as good, and perhaps better in that regard. This book concentrates much more on the personal intricacies of the many failings of bureaucratic health management with its political overlords. In getting down to those personal intricacies, the author's nose for "different drummer" followers takes over. Ultimately, the author ends the book with a weak flourish over just one of those people, as if the others were never quite as important. The best thing I can say about the book is that it wonderfully captures the pettiness and waste of bureaucratic machinations in various governmental bodies, a subject of which I am too well versed over may years.
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LibraryThing member JBGUSA
I just finished reading The Premonition: A Pandemic Story by Michael Lewis, which was on the N.Y. Times Bestseller list for a while last spring. I generally consider books written about currently developing events to have their problems. Barbara Tuchman, in her great into to Practicing History:
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Selected Essays by Barbara W. Tuchman illustrates why that is; the writers typically have some agenda of their own, some axe to grind. While I give Premonition "four stars", it is because it is well-written and the writing flows well enough that I could finish its 304 pages in one week. I strongly disagree with its conclusions.

Michael Lewis is implicitly saying that we should have performed NON-PHARMACEUTICAL INTERVENTIONS ("NPIs"). When I say "implicitly" he faults the CDC for not utilizing NPIs in threatened pandemics as early as swine flu (1976) on including the 2003 SARS and 2009 H1N1. NPIs are essentially lockdowns; closures of schools, businesses, places of assembly, mandating social distancing and restricting travel. The problem is obvious; society cannot function for lengthy periods or frequently in lockdown. Nowhere was the educational or social cost of the remedy discussed. The book's focus was purely on epidemiology.

Just because I think Michael Lewis is wrong does not mean The Premonition is not worth reading.
Quite the contrary. And despite my quibbles, the book appears to be a reasonably good discussion of recent events. I just don't think that Mr. Lewis's or the hero of the book, Dr. Charity Dean's nostrums would have worked much more than a rain dance.
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LibraryThing member terran
I read this book faster than I read most novels. It was so well-written with such fascinating real-life characters and improbable, seemingly unsolvable situations. For people who don't think they want to read nonfiction, think of a Michael Crichton novel with the emphasis on technology, medical
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emergencies and scientific research.
Unfortunately, it is not fiction. I can only hope that people who read it will be appalled at the way in which politics and for-profit enterprises have weakened the ability of qualified, competent government employees to handle and solve problems for which they are trained and employed. As Richard Hatchett is quoted near the end of the book, "Government--and the value government provides--isn't just the whim of whoever happens to be elected at the moment...That government provides continuity across administrations and should be the repository of accumulated institutional experience and wisdom."
Health care decisions should not be made based on one's political views and should not be funded in order to make money for corporations.
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LibraryThing member decaturmamaof2
Should be required reading!
LibraryThing member foof2you
A great look at the Covid-19 pandemic start to where we are now. Looking at all the people, organizations and governmental agencies that did little to stop and contain the virus when there were opportunities to do so. It also shows are the United States healthcare system is not ready for any mass
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pandemic episode. Many to blame and Michael Lewis points out those areas.
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LibraryThing member scottjpearson
Healthcare researchers will mine stories about the COVID pandemic for decades to come. It stretched both American and global society to their limits to a degree not seen since the flu pandemic of 1918. Many expected federal coordination of the response, but they swiftly became disappointed. Both
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the White House and the Centers for Disease Control (CDC) left the pandemic looking really bad, and I suspect history’s judgment upon each will only worsen with time. Yet a few individuals were able to foresee what havoc a pandemic could raise, and when it first started, they acted to limit its effect. Writer Michael Lewis shares and weaves their individual stories here to personalize the science behind the pandemic response in a way that relates to the common American reader.

The characters highlighted in this book vary from an evangelical-turned-public-health-official and a White House official/physician under George W. Bush to a grade-school student making a pandemic computer model for a science fair project and a CDC nurse dedicated to the public’s welfare. Their stories at first seem quite disconnected, but they come together in a beautiful way. This book puts to rest the popular myths that no one could have foreseen a pandemic and that no individuals could have mitigated its spread in America. These people did both. By putting their time, careers, and lives on the line, they courageously woke up to history’s call upon their lives while growing disillusioned with American political stagnation.

By way of criticism, Lewis’ story starts with a lot of “us versus them” sentiments, with “them” being the biomedical establishment personified especially by the CDC. In the first couple of chapters, he generally devalues academic research, even before the pandemic, as ineffectual. Yet much of the “wartime” pandemic response relied extensively upon this type of “peacetime” academic research. The problem wasn’t the research. Rather, in this crisis, there were no “generals” in power willing to leverage this knowledge towards practical aims.

Also, this story has a lot of effective buildup and can be cast as a history of science about current events, if that makes any sense. But as a weakness, it doesn’t have a particularly strong climax. The book was published in 2021, far before the end of the pandemic. That early date shows. I’m sure it gathered readers because of this timeliness, but I predict it’s not going to age particularly well. There’s a lot to the pandemic’s story that happened after publication, and the climax probably happened after the book went to market. That’s unfortunate.

Nonetheless, this book provides an interesting investigation into the events of the pandemic. It clearly shows how individuals still hold some power even when the government’s attention is absent. It also clearly reminds me how the value of my fellow Americans can be leveraged… if only leaders were willing to lead. I’m sure readers with public health interests will benefit from these personal investigations. It will inspire many about the power of the average, dutiful, but curious American.
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Awards

Audie Award (Finalist — Non-Fiction — 2022)

ISBN

0393881555 / 9780393881554
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