Interesting Take On The Subject With Writing Reminiscent of Rachel Held Evans. I suspect Bauer would have admired much about the late great Evans, even if they didn’t agree on every particular. Here, Bauer approaches the history of sickness the same way Evans, particularly in the last few books before her death, did various Biblical topics – with a fair amount of creativity to give examples of a particular point followed by reasonably well reasoned analysis based on the available authoritative texts – whether those be the Bible (and Torah) in Evans’ case or what we consider to be more “objective” science and histories for Bauer.
Bauer does a truly great job here with the scenarios she creates usually at the beginning of each chapter, showing both how a “modern” (21st century ish) approach to the next topic looks – usually in a way most current readers will readily identify with or at least have heard of – and a more historical perspective would look on that same topic, with “historical perspective” here ranging from pre-history through roughly the WWII period. With these, Bauer shows herself to have almost a novelist eye for storytelling, and a fairly good novelist eye for *compelling* storytelling.
The actual histories she presents here are fairly solid and mostly reasonably known or at minimum in line with things that are reasonably known, so I don’t necessarily feel the Sagan Standard applies for this text as it exists. Which allows the 15% documentation to suffice without a star deduction, even though it *is* around the lower bound of what I expect to see from a nonfiction text.
In Bauer’s message of trying to reach those skeptical of modern medicine – which should be most anyone who actually understands its history and where it actually currently is – she actually had one particular line that stuck out to me as particularly well said:
“If you’re going to try to convince people of something that is going to deprive them of something vital (freedom, agency, control, their livelihood), anything less than an ironclad case isn’t going to do the trick.”
While this line, if I remember correctly, was specifically about trying to get docs to adopt more stringent standards in line with more current thinking, it really does apply equally well to anyone seeking any change from any other person for any reason at all. Thus, it is both quite wise and quite well spoken – and gives you a pretty solid idea of what to expect from the overall tone of the book here to boot.
Very much recommended.
This review of The Great Shadow by Susan Wise Bauer was originally written on January 18, 2026.