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And the Band Played On: Politics, People, and the AIDS Epidemic, by Randy Shilts
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By the time Rock Hudson's death in 1985 alerted all America to the danger of the AIDS epidemic, the disease had spread across the nation, killing thousands of people and emerging as the greatest health crisis of the 20th century. America faced a troubling question: What happened? How was this epidemic allowed to spread so far before it was taken seriously? In answering these questions, Shilts weaves weaves the disparate threads into a coherent story, pinning down every evasion and contradiction at the highest levels of the medical, political, and media establishments.
Shilts shows that the epidemic spread wildly because the federal government put budget ahead of the nation's welfare; health authorities placed political expediency before the public health; and scientists were often more concerned with international prestige than saving lives. Against this backdrop, Shilts tells the heroic stories of individuals in science and politics, public health and the gay community, who struggled to alert the nation to the enormity of the danger it faced. And the Band Played On is both a tribute to these heroic people and a stinging indictment of the institutions that failed the nation so badly.
- Sales Rank: #1810240 in Books
- Published on: 2000-04-09
- Original language: English
- Number of items: 1
- Dimensions: 8.21" h x 1.72" w x 5.46" l, .0 pounds
- Binding: Paperback
- 656 pages
Amazon.com Review
In the first major book on AIDS, San Francisco Chronicle reporter Randy Shilts examines the making of an epidemic. Shilts researched and reported the book exhaustively, chronicling almost day-by-day the first five years of AIDS. His work is critical of the medical and scientific communities' initial response and particularly harsh on the Reagan Administration, who he claims cut funding, ignored calls for action and deliberately misled Congress. Shilts doesn't stop there, wondering why more people in the gay community, the mass media and the country at large didn't stand up in anger more quickly. The AIDS pandemic is one of the most striking developments of the late 20th century and this is the definitive story of its beginnings.
From Publishers Weekly
An exhaustive account of the early years of the AIDS crisis, this outlines the medical, social and political forces behind the epidemic's origin and rapid spread with a clarity and narrative drive that should appeal to an audience far broader than previous books on the topic. San Francisco Chronicle reporter Shilts successfully weaves comprehensive investigative reporting and commercial page-turner pacing, political intrigue and personal tragedy into a landmark work. Its importance cannot be overstated: few topics merit more attention from the general public, or, as Shilts's account makes appallingly clear, have been as successfully and deliberately shielded from the public at such a high cost of human lives. What starts as a medical mystery and the moving chronicle of a relentless killer soon evolves into an expose of deception and ineptitude at the highest levels of government. The tragedies of AIDS are many, and they continue to multiply, and Shilts conveys the hideous suffering and the heartbreak of so many senseless deaths. But his detailed examination of the health establishment, the government and the press reveals the emergence of a more treacherous menace in the initial failure of our guardian institutions to respond to the crisis, despite the heroic efforts of a handful of individuals in hard-hit New York and San Francisco and at the Centers for Disease Control. Shilts presents one alarming story after another without letting his own passionsevident in the sheer enormity of the projectcompromise the excellent reportage. The reader rises to fury at the apathy, silence and deception that have characterized the official response. Shilts concludes with Rock Hudson's public affliction in 1985, a watershed in the nation's awareness of the crisis. And the Band Played On could prove to be an equally important milestone, freeing vital funding and generating an even greater outpouring of sympathy and outrage. The book stands as a definitive reminder of the shameful injustice inflicted on this nation by the institutions in which we put our trust. 50,000 first printing; $50,000 ad/promo; author tour.
Copyright 1987 Reed Business Information, Inc.
From School Library Journal
YA Investigative journalist Shilts em ploys a case study approach to expose the alarms, disregard, and misinforma tion about AIDS that has been promoted by the government, gay and straight or ganizations, news agencies, and medical researchers. He indicts the political agendas of government officials, ego- driven scientists, and profit-conscious blood bank executives, all of whom im peded early AIDS research. In addition, he gives a fascinating account of the detective work needed in discovering new diseases. Although focusing his re ports on San Francisco and New York's gay communities and research centers in Atlanta and the Washington, D.C. area, Shilts dramatically explores the interna tional problem of AIDS. Students will use the index for assigned papers, but it is the volume of information and the vi gnettes about real individuals that make compelling cover-to-cover reading. Alice Conlon, University of Houston
Copyright 1988 Reed Business Information, Inc.
Most helpful customer reviews
6 of 6 people found the following review helpful.
The Band Still Plays
By Greg Polansky
In Randy Shilts's 'And The Band Played On', the author successfully documents a moment in time that represents a major shift in the world. The AIDS epidemic has killed millions, but the fight against death mobilized the gay voice and can be seen as having led to the modern political rights we now have because it forced us out of the shadows and into living rooms.
Drawing upon a wealth of sources Shilts' social history of the AIDS epidemic is a moving piece that uses oral history to illuminate a world not ready for the AIDS epidemic. Whether this was because of homophobia or prudishness or other social forces is unclear and up to the reader to decide. But it was not until the death of the manly and supposedly straight Rock Hudson that there was a a true paradigm shift in treatment of the AIDS epidemic. Until then responses to the epidemic were woeful.
Beginning in the late 1970s in Africa and continuing to the late 1980s in the US, this particular history needs to be known. The cast of characters is large. And the death tool is almost as large. This is what makes this tragic history especially poignant and remarkable. As a gay man, I am always aware of AIDS and precautions against it. But this story starts in a period before AIDS was known. In this idyllic post-Stonewall period, sex was freedom for many. Having been born in 1980, I avoided the worst of the plague, but having recently seen The Normal Heart on HBO, I wanted to learn more. And this book succeeds in educating a reader about what can happen when ignorance and politics trump science.
Now that we are entering the Truvada period, I think it especially important to understand what can happen again. Will it? Who knows but antibiotic resistant gonorrhea is out there. Who knows what other plagues lurk. Waiting.
3 of 3 people found the following review helpful.
One of the Best Books I've Read
By T. S. Robert
I have a deep love of sciences and learning how things work. I especially enjoy infectious disease. Now, I was never quite impressed with HIV and never really wanted to learn about it. However, after a college class took us on a tour of the CDC and they talked about HIV in depth I became more interested.
Flash forward a few years to now. I was home and wanted to watch TV, as I looked through the free streaming movies feature of Amazon Prime (which is awesome and totally worth it) and I came across a movie called "And the Band Played On." I vaguely remember discussing my love of epidemiology and someone had recommend I watch this movie. I guess I never looked it up then and it vaguely sounded familiar, sure enough it was THAT movie. So I began the movie and you could tell it was filmed in the 90s, which didn't make me think I would really love it. However, from the first scene I was hooked! I only watched the movie, completely paying attention. I rarely watch TV or movies and pay 100% attention, just kind of have it in the background and be doing other things around the house or making things. This movie was SO good that I was almost late for an appointment because I completely lost track of time.
After, I saw that movie I was completely enthralled with learning more about HIV and how we discovered it. I came and got this book and it has yet to disappoint. It is a thick book with small print, but the writing style is easy to read and interesting; unlike some books that bore you to death for the whole 500 pages.
I would recommend this book to anyone in the medical field, science field, or just likes this kind of stuff. It is great.
3 of 3 people found the following review helpful.
A 'Hear the Bullet Fly Past Your Ear' Sense of Immediacy
By LibraryThingReviewer
This is nothing less than a compulsively readable tour-de-force in modern medical journalism. It's the history of a disease, a people, and an era all in one.
I always knew I'd read this book eventually, but as with any long non-fiction tome there comes a risk that at some point your attention span might have to bow out. Not here: this book holds your interest on nearly every page (I skipped one or two of the more dense courtroom testimony pages, but often later went back to read them anyway). Randy Shilts does not ask for your time lightly - every chapter here is earned.
It seems almost an omniscient narrative voice in involved, and with over 900 interviews and his own previous years of investigative work on AIDS, there's a reason for that.
Before reading, I had foolishly assumed the word politics had been added to the title to sex it up a bit. Nope. The story of the various responses people, communities, and entire governments had to AIDS was all about politics. So often reading this book did I get the impression you could actually hear the bullet whiz past your ear. If you were born around or before 1980 in a first world country and ever had a blood transplant, this could have been your story too. While Mr. Shilts avoids sensationalism, the story is sensational enough in its barest facts for that point to be clear.
I immediately looked up the author to learn more about what he had written only to discover he too died from AIDS in the 1990's. His book, already a tribute to a lost generation, is now an example of all the substantive contributions those men and women could've made if politics could have been shoved aside sooner.
This book is a rare thing: it is both a great, historic work and a damn good read. Would that Randy Shilts had lived long enough to give us many more of its calibre.
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