

A glimpse inside

Garfield’s ascent from abject poverty to the presidency is a central thread in the book, illustrating the era’s possibilities and contradictions. Millard highlights Garfield’s intellect, humility, and reluctance to seek the highest office, painting a portrait of a leader whose values were shaped by hardship and self-education. His rise underscores the volatility and unpredictability of post-Civil War American politics, where party machines and personal ambition often collided with ideals.
While Charles Guiteau’s bullet did not immediately kill Garfield, the president’s fate was sealed by the era’s rudimentary medical practices. Millard meticulously reconstructs how outdated beliefs, unsanitary procedures, and the egos of prominent physicians contributed to Garfield’s suffering and death. The book exposes the dangers of medical orthodoxy and resistance to scientific innovation, dramatizing the cost of ignorance in a time of rapid change.
- 1The Unlikely Rise of James Garfield
- 2Assassination and Medical Tragedy
- 3The Birth of Modern Medicine
- 4Political Reform and the Spoils System
- 5The Power of Obsession and Delusion
