I will admit I was a little skeptical of how well I would like Destiny of the Republic: A Tale of Madness, Medicine, and the Murder of a President, when I downloaded it as an audiobook from my local library. I knew little about President James A. Garfield (really, who does?) and was dubious of how well his assassination could be portrayed as the convergence of important developments in American history.

To my surprise, I found the book to be a genuinely intriguing story, full of colorful characters whose central event is presented convincingly as the embodiment of a changing of eras in our nation’s past. The story admittedly starts somewhat slowly, with the author presenting vignettes of those who will become the book’s major characters: pioneering scientist Dr. Joseph Lister, inventor Alexander Graham Bell, political boss Roscoe Conkling, and of course, President James A. Garfield and his assassin Charles Guiteau. The book picks up pace with Garfield’s shooting, and it soon becomes apparent how these seemingly unconnected characters come together at a time when medicine and politics were transitioning from one stage of development to another. If anyone is ever interested in producing a film on Garfield’s assassination, here lies the script.
Garfield comes to life as an influential, honest, and consistent figure through Millard’s writing, even if the admiration Americans of all walks of life had for him is perhaps overplayed a bit. A remarkable amount of information is presented on Guiteau, who was clearly disturbed and dangerous for years before he shot the president in an insane belief the act would make him a national hero. Some of the ordeal through which Garfield suffered—he lingered for months after Guiteau’s shooting and ultimately died more from medical ignorance and malpractice than a bullet—is difficult but important reading. It is in that suffering that the very future changed trajectory according to Millard; in Bell’s hurried invention of a device to locate the bullet that would ultimately lead to wide-spread use of the x-ray, through former Conkling toadie Chester A. Arthur’s distancing himself from his mentor and the political spoils system he espoused in the wake of the murder that brought him to the presidency, and in the long-delayed acceptance of antiseptic surgery advanced by Lister which if administered to Garfield almost certainly would have saved his life.
The book is not a masterpiece, and will not necessarily cause a reevaluation of Garfield or his era. What it is, however, is an engrossing story shedding light on a little-known event that brought together, briefly, some of the leading men of the era. It is the type of book that could very well show a jaded public that history, and the fascinating stories it contains, can be at once entertaining and educational.
JMB