The Emergency, by George Packer

(Farrar, Straus & Giroux, 401 pages)

During the Covid-19 pandemic, George Packer often traveled between rural New York and New York City. They seemed like two different worlds, he told the Pittsburgh Review of Books. The dichotomy underpins Packer’s dystopian novel The Emergency.

It centers on 48-year-old surgeon Dr. Hugo Rustin, struggling to adapt to his new life after the collapse of the government, defined only as “the empire.” There was a standoff in the capital that lasted for weeks and devolved into fighting between mobs, and before long the leadership and police fled and looting began. A new form of governance emerged, more egalitarian than the old system, marked by the motto “Together.”

Rustin was happy to do what he could to keep the hospital running. But as Together took hold, he began to resent some of the changes — how people under his command called him by his first name, how titles like “nurse” or “housekeeper” were replaced with “healing associate” and patients were called “healing recipients.”

He finally snaps when a junior associate points out a mistake at the end of a grueling day. That results in Rustin being called into a meeting — a “Restoration Ring” — where his colleagues recite principles of Together like “I am no better and neither are you” and “Listen to the young.” Rustin tries to apologize without compromising his values, and it doesn’t go well. He is advised to spend a month wandering around the city and then come back and share the lessons he has learned.

Meanwhile, Rustin’s wife, Annabelle, is caught up in the spirit of Together and starts a ministry of sorts helping to care for the homeless “Strangers” constructing tent encampments near their home. His son Pan and his daughter Selva, too, have taken up the cause.

It is the father-daughter relationship that is at the heart of this book, as Dr. Rustin and Selva attempt a dangerous journey in a dystopian world even while bickering about the ordinary things families bicker about. Rustin understands that Selva’s beliefs, as much as he thinks they are wrong, come from a good place — at one point, she tells him, she has been angry with him “because you never believed the world could be better or worse than the one you gave me. And that breaks my heart.”

And Packer makes it clear that there were things wrong in the pre-Emergency world; for one thing, the disdainful way Rustin and those of his standing referred to the bottom 10 percent, the ones barely getting by and often succumbing to addiction, as “Excess Burghers.”

But there are uncomfortable things in the new world, too, such as the “Suicide Spot” — a gallows where young people go and put a noose around their neck, and are then talked out of the act by young people serving as “Guardians.” It is a ghastly sort of therapy, but the Guardians take pride that they have not lost a child. And there are ghastly things that father and daughter encounter as they venture beyond the city’s borders in hope of reuniting a “Stranger” father in the city with his missing son.

From the opening pages of the novel it is clear we are being asked to consider what happens when a society of disparate means and morality throws out the old ways of being for a new order. But it is not clear whether Dr. Rustin is the hero or the antihero in this world. That is one of the mysteries that propels the reader through the story; it is as compelling as whether Hugo, Annabelle and their children can stay together in a Together world. Give Packer credit for not revealing his hand; this is a deeply nuanced book. Most astonishingly, it’s also occasionally funny. B+

Featured Photo: The Emergency, by George Packer

Off the Scales, by Aimee Donnellan

(St. Martin’s Press, 287 pages)

From Hollywood stars who microdose the drug to people who were once hundreds of pounds overweight, many people have found Ozempic and its imitators to be game-changers. Ozempic has also been a game-changer for Novo Nordisk, the Denmark-based company that brought the drug to market at a time when its fortunes were failing.

In the 1990s the company had what was internally described as “an innovation problem,” Aimee Donnellan explains in this deep dive into the history of Ozempic and similar drugs. But Novo Nordisk had a promising project, a drug to help people with diabetes. It was a synthetic version of a gut hormone called GLP-1 (glucagon-like peptide 1), discovered through research on anglerfish caught in Boston Harbor, and it proved a powerful means of lowering blood sugar in people with diabetes — and, fortuitously, of helping these same people lose weight.

The weight loss industry has long been profitable in America, and it was clear there was money to be made. Ozempic was used for weight loss off-label; word spread and so did its use.

Several researchers did the work that would lead to this breakthrough, among them Danish chemist Svetlana Mojsov, whose work preceded the approval of Ozempic by more than a decade. But science is as competitive as politics, especially when its result is lucrative, and Donnellan takes up the banner of Mojsov here, presenting her as a woman done wrong by men who attempted to take credit for her work (and might have succeeded had she not kept detailed notes).

The story of the behind-the-scenes infighting seems incongruent with other parts of Off the Scales, which can’t seem to decide what sort of book it wants to be.

Donnellan, a Reuters columnist who covers the pharmaceutical industry, begins with the story of a marketing specialist in Michigan who lost more than 100 pounds on Ozempic and saw her world change. At work Sarah started getting promotions, even though her performance was the same. “At her parents’ house, her father, previously loving but somewhat absent, seemed to take a newfound interest in her. She could visibly see how proud he was of her. Now 34, she had never before seen this look on his face.”

Through Sarah’s story and others, Donnellan offers a picture of lives changed. Formerly invisible people gain social status as their bodies shrink and gain peace as the “food noise” that had dominated their lives quiets.

She also shares disturbing stories, like that of a Los Angeles hairstylist who lost weight on Mounjaro, albeit while also taking an anti-nausea medication because she constantly felt sick. After four months a friend told her she looked gaunt; she started getting facial injections to restore volume to her face. (Donnellan notes that not everyone can afford dermal fillers.) Moreover, Donnellan writes, “for a small minority of GLP-1 users, the side effects are so severe that they may wish they never even heard of the medication.”

Donnellan presents these and other stories without judgment. Toward the end she touches on what may be the most underreported part of the story: how these drugs will affect the culture as people who use them change their eating habits (several writers have tried to tackle this, as Kari Jenson Gold did in a First Things essay titled “The Night Ozempic Came to Dinner”). Donnellan suggests that changed eating patterns may spell doom for fast food restaurants and the makers of ultra-processed food, and says weight-loss drugs may also affect alcohol consumption.

But we are new to the GLP-1 world and we don’t know the drugs’ effect decades out. Donnellan’s examination, while sometimes disjointed and uneven in its readability, raises interesting questions. B-

Featured Photo: Off the Scales, by Aimee Donnellan

Into the Midnight Wood by Alexandra McCollum

Alexandra McCollum has conjured some incredibly endearing characters in Into the Midnight Wood, their debut novel about two comically disparate roommates, each trying to figure out who they are and what they want amidst family drama, dark magic and a tenuous friendship.

I’m relatively new to the fantasy/romantasy genre but in the past year have devoured many books that feature magic, witches, fae, vampires, gods and god complexes, dark academia and other common tropes, but most especially strong female main characters — which is wonderful and commendable, but also made Into the Midnight Wood a refreshing change. Its main character is David, a cisgender gay man, whose roommate and love/hate interest is Meredith, referred to as he/him in the story but who outwardly rejects labels, often dresses femme and is romantically attracted to all genders.

McCollum calls the novel a “queer contemporary fantasy romance that is intended for adult readers” on their website, the latter part alluding to the fact that there are several very explicit “open door” scenes.

Along with the spice, this book is laugh-out-loud funny, thanks mainly to the dialogue between David and Meredith, and to Meredith being a vibrant, charismatic human. But David has lived with him for five years and has grown tired of Meredith’s quirky behaviors. As he tries to remind himself of why he’s looking for a new place to live and a chance to be rid of Meredith for good, David starts a tally, a la “10 Things I Hate About You” — David, though, is mentally cataloging not 10, but 100 things that are “wrong” with Meredith.

David’s list is full of annoyances, some of which are incredibly inane and some of which would absolutely get aggravating over time.

A small sample:

“#11: His accent.” Because “David had never before heard someone manage to sound both American and British at the same time, yet Meredith somehow accomplished it.”

“#13: He persists in outfitting his dog in this humiliating fashion,” referring to Bianca’s rhinestone collar.

“#23: He never puts anything back in its proper place.”

“#48: He insists on holding an impromptu funeral for a rodent.”

“#94: He acts as if an absence of hours or days has been years,” David mentally tallies after Meredith runs up to hug his friend (before noting with a semblance of surprise that he’s kind of missed Meredith greeting him that way.)

But behind Meredith’s persona is a more subdued, almost defeated, side that starts to seep out as his family, full of disapproval and a brother who crosses the line of typical sibling squabbling into full-on emotional abuse, re-enters his life. There’s a wedding at the center of this reunion, because all good family drama happens when there’s a wedding involved.

So where’s the magic? Most of it happens in the Midnight Wood, while the rest of the book is set in a relatively normal, human-occupied place — with a few exceptions that are sprinkled in here and there with little explanation and zero world-building. But it’s an enchanting space, and I didn’t feel any real need for an explanation as to why David and Meredith are fully human while their neighbor, Mrs. Jupiter, is a straight-up witch with a cauldron and a penchant for casting spells. There are hints of otherworldly creatures mentioned throughout as well, like a real estate agent who is presented as human — or, at least, not presented as not human — who turns out to have tentacles.

But the Midnight Wood is where most of the magic happens. It’s where Meredith seems to have a connection with a lot of the creatures he meets in the Midnight Wood, like magic mice (hence the rodent funeral noted in #48). He seems to feel at home in these woods, engaging with misfit beings who, like Meredith, are hard to define.

There’s some dark magic looming among the trees too though, in the form of Erlking of the Midnight Wood, who feeds on others’ misery and is especially interested in getting to Meredith’s deep, dark feelings that he tries so hard to shove down. It’s an interesting way to bring life to Meredith’s self-loathing, essentially taking on the form of a monster that threatens to destroy him if he gives in to his despair.

Could this story have been told without the moderate dose of magic? Probably. But the magic tempers the serious themes, adding a dose of whimsy without taking away from the real, heartfelt messages.

If you’re looking for a typical romantasy, this isn’t it, but it’s well worth the journey if you’re looking for something enchantingly eccentric. B+Meghan Siegler

Featured Photo: The Midnight Wood by Alexandra McCollum

A Wooded Shore, by Thomas McGuane

(Knopf, 177 pages)

Thomas McGuane’s 18th book, A Wooded Shore, fits nicely on a shelf in a man cave. Comprising eight stories and a novella, the collection is mostly about ordinary men: men striving but failing to rise to the myriad occasions that life presents. The fact that most take place in Montana shouldn’t be a deterrent to anyone in New England.

Take “Slant Six,” my favorite of the bunch. It is a deceptively simple slice-of-life story about a couple, Drew and Lucy, going through common problems of life, like dealing with an aging mother/mother-in-law. The story opens with Drew, a lawyer, stopping by a hardware store. There he runs into a former client trying to figure out what shade of white his wife would want off a color wheel featuring 27 different shades. As the story unfolds, we learn that the couple, despite Drew’s profession, live in a rental with a “tall, lean and Lincolnesque” landlord named Jocko who lives with a parrot named Pontius Pilate and likes to mow the lawn in a thong. “The fact that Jocko was their landlord seemed to stand for everything they hadn’t gotten in life,” McGuane writes.

The fact that Drew and Lucy work hard at being good people, even volunteering to pick up trash along two miles of a highway, seems to offer no karmic benefit. In the seminal scene of the story, the couple go to a party at a client’s house, where they interact with the various people who cross paths in their life. The story concludes with a smart callback to the paint color-wheel scene and an observation by Drew that is haunting and likely universal.

Memorable also is “Balloons,” which has just a little more than eight pages but delivers a surprise punch in the final paragraph. It’s narrated by a doctor who had an affair with a woman, Joan, who “stirred up our town with her air of dangerous glamour and the sense that her marriage to Roger couldn’t last.” That was true: Joan eventually left Roger, leaving her former husband and her former paramour to awkwardly interact with one another, around town and in the examination room. Even after the divorce, the narrator was unsure whether Roger had known about the affair. When he comes to the doctor’s office with news and a surprising request, he doesn’t question the motive. Theirs had seemed an idyllic marriage at the start: The narrator reflects, when looking at the church where they were married, “I had never seen two such good-looking people as Joan and Roger at their peak.”

Some writers of short fiction end their stories so abruptly that it seems they got tired and decided to stop and let the reader figure out where they were going. That’s not the case in this collection; the endings appear well-thought out, even if the story itself drifts a little bit. That’s the case in “Retail,” which introduces us to Roy, an insurance salesman who achieved modest success selling policies to people who owed him something in some way: old classmates, distant relatives, an abusive foster mom. When Roy achieves local stardom by rushing into a burning house to save a child’s cat, his fortunes improve, but he still finds himself managing an unimpressive group of salesmen and trying unsuccessfully to court a widow in an adjacent office.

And so it goes: despair and hope, hope and despair, one foot in front of the other, and occasionally a flash of revelation. Each story can be seen as mildly to enormously depressing, but for the schadenfreude.

There is pain and loss at the heart of these stories, which gives them their depth. McGuane’s extraordinary voice, honed over 85 years of living, gives them their meaning. AJennifer Graham

Featured Photo: A Wooded Shore, by Thomas McGuane

Favorite books of ’25

Our reviewers read a lot of books this year; these are the ones they gave A grades to.

Fiction

The Magnificent Ruins, by Nayantara Roy, is “a beautiful, messy journey as Lila searches for her identity among two very different cultures and within a family defined by each other in the best and worst of ways.” A- —Meghan Siegler

Run for the Hills, by Kevin Wilson, is “a genuinely fun novel that strikes the right balance between poignancy and comedy…. If Hollywood options this … I’ll be at the theater on opening day.” A- —Jennifer Graham

The Road to Tender Hearts, by Annie Hartnett: “…at the core of this novel, there is a warmth and genuineness that breaks through its comically dark outer layer.” A- —M.S.

Culpability, by Bruce Holsinger, has “a deeply intelligent storyline that blends technology, philosophy and ethics…. Culpability moves slowly at times … [but] Holsinger, as it turns out, knows exactly what he’s doing, and his ending is nothing short of genius. A —J.G.

We Do Not Part, by Han Kang, translated by E. Yaewon and Paige Aniyah Morris, is “an achingly beautiful story that will send readers to Kang’s previous novels, which include 2017’s Human Acts and The Vegetarian, published in the U.S. in 2016. Bring on the K-lit.” A —J.G.

Heartwood, by Amity Gaige: “In simple and sparse narration that blooms with lyrical descriptions of New England landscapes, Heartwood manages to be part mystery, part thriller, part how-to-hike-the-Appalachian-Trail guidebook — or it might convince you to never set foot in the woods again. Either way, start Heartwood and you’ll likely be a thru-reader, all the way to the end.” A —J.G.

Tilt, by Emma Pattee, “is a novel about the end of the world as we know it, a species of the so-called ‘apocalypse genre,’ [but] it’s also about coming to grips with your life when your life has not turned out as you planned, when you are so dissatisfied with your lot that even an earthquake doesn’t mess up your plans.” The book “thrums with tension and is gorgeously written, with scenes and phrases that will long remain with the reader. … Tilt is a remarkable literary debut.” A —J.G.

Nonfiction

cover for The Ghost Lab, which has a green cover with illustrated scientific beakers
The Ghost Lab, by Matthew Hongoltz-Hetling

The Ghost Lab, by Matthew Hongoltz-Hetling, resulted from “a years-long investigation into paranormal enthusiasts and their work” and is “a fascinating book …. Regardless of how you feel about the paranormal, Hongoltz-Hetling is a first-rate reporter and storyteller, and The Ghost Lab is easy to love — as long as you’re not one of its subjects.” A+ —J.G.

Waste Wars, by Alexander Clapp, is “a sobering story that’s being compared to Rachel Carson’s Silent Spring, which in 1962 launched the environmental movement with its examination of the devastating effects of pesticides. But Waste Wars is not so much about how America’s garbage is destroying us, but about how it’s trashing other countries. A —J.G.

Everything is Tuberculosis, by John Green: “We remember things not by memorizing facts but by hearing stories, and Green has amassed a medicine chest full of stories about tuberculosis, and about the evolution of medicine in general.” A —J.G.

All the Way to the River, by Elizabeth Gilbert, “is … a strange and often unsettling book that upends the myth of Elizabeth Gilbert given to us by Eat, Pray, Love.” A —J.G.

Aflame, by Pico Iyer: “In Aflame … Iyer writes lyrically and movingly about the gifts of solitude and quiet and why they matter, especially in a culture that seems determined to deprive us of them. And yes, he also writes about wildfires, inevitable because the setting is California, and death and suffering. But the title is a metaphor for burning in the heart, as well.” A —J.G.

Featured Photo: The Magnificent Ruins, by Nayantara Roy

Best Offer Wins, by Marisa Kashino

(Celadon, 269 pages)

As possibly the only person on the planet who hasn’t read Gone Girl, I am unqualified to compare Gillian Flynn’s 2014 novel to any other book, but I know enough about it to know what it means when other people do this. The comparison promises multiple twists that will knock you out of your chair, your perception of the events and characters totally skewed.

Best Offer Wins is the latest novel to pulsate with the Gone Girl vibe, earning Marisa Kashino the kind of buzz that rarely accompanies a first-time author. It has an entirely relatable premise: a young woman is shut out of the housing market because of too many buyers (and hedge funds) flush with cash and becomes caught up in her quest to be the winning bidder on a suburban D.C. house she wants to raise a family in.

Margo Miyake and her husband, Ian, don’t have children yet, but they’re trying. They’re living in an apartment “so small you can vacuum almost all of it from a single outlet,” having sold their modest starter home planning to upgrade with the profits. But then they find out that the housing market has changed in terrible ways since they’d bought their first house.

Every house they want is getting dozens of offers, many well over the asking price and all cash. Margo and Ian are well off compared to most Americans — she’s in PR, he’s a government lawyer — and they are prepared to spend more than a million on their forever home. But even that’s not enough, and so when Margo gets an insider tip that a four-bedroom home in a desirable neighborhood in Bethesda will soon come on the market, she decides to pull out all the stops, sneakily befriending one of the homeowners and snagging an invitation to dinner at the house.

Friends, the cringe doesn’t come in on little cat feet; it bursts in like a golden retriever left too long outside in the cold.

But the cringe turns into something darker as Margo, the narrator throughout, becomes more and more obsessed with the house. She’s mentally moving in, imagining her new, perfect life within its walls so vividly that she even orders new house numbers to replace the current ones that she doesn’t like. When the homeowners, a gay couple with an adorable adopted daughter, grow suspicious and Margo realizes that her Plan A isn’t going to work, she recalculates and embarks on another scheme, and then another, even as her obsession begins to negatively impact her work and her marriage. It’s not at all clear whether, if she somehow places a winning bid when the house formally comes on the market, she and her husband will still have the income to qualify for a mortgage, or even if they will still be together at all.

As Margo plunges deeper into her quest, we learn, in bits and drabs, why this particular house matters so much to her, and what the life she imagines living there represents. We learn that she had a deeply insecure childhood, that her parents once lost a house to foreclosure, that she once lost a dog to which she was deeply attached. She may or may not be mentally unstable; she may or may not be justified in the increasingly bizarre ways in which she tries to obtain the house.

We’re also not so sure about her husband, Ian, who at first seems devoted to Margo and undeserving of the derision she casts on him. Later events call his devotion into question, but that’s par for the course; it’s unclear if anyone in this story is who they initially seem to be, except for a neighbor’s dog, Fritter, with whom Margo is infatuated.

Margo moves in and out of our sympathy, as she botches important work assignments, comes to the brink of losing her job and takes advantage of good-hearted friends who help when she asks. Yet she is also surrounded by people who have what she wants — to include great homes and children. At times she is even envious of her husband, who had a stable upbringing: “He grew up with a dad who coached his little league teams and a mom who sent him to school with homemade cupcakes on his birthdays. Two loving parents who call us at least once a week to check in,” Margo tells us. “But my childhood, erratic as it was, gave me something even more valuable, something I have come to accept that Ian will never have: hunger.”

There is a dark humor that underpins the narrative, and the story moves swiftly; except for the backstory, the events happen within a couple of weeks. The answers to the two questions that power the book — will Margo get the house, and if so, at what cost? — are impossible to to guess, right up to the final pages of the book, making Best Offer Wins the proverbial page-turner.

But making it to the end of a book doesn’t necessarily mean the reader will like it once they get there, and the ending raises other questions. Is a book enjoyable just because it is engrossing, because it distracts us so effectively from the real world? Sometimes that seems to be the case. But what if we rush to the end of a book, caught in its current like a fast-moving river, and once there, the ending turns out to be deeply unsettling? Is the book still enjoyable then? Those are the unexpected questions that Best Offer Wins presents, ones that I’m still mulling. B+Jennifer Graham

Featured Photo: Best Offer Wins, by Marisa Kashino

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