The odds are decent that you have never heard of Elizabeth & Emily Blackwell. Good news! This is the book for you.
Author Janice Nimura gives us a compelling and approachable biography of the Blackwell sisters--or rather, two of the Blackwell sisters, Elizabeth and Emily.
When events take a tragic turn, the Blackwell siblings realize they must take charge of their financial security. They start their own school, educate their younger siblings, disperse to find employment, and eventually find a way to pursue viable careers.
Elizabeth Blackwell, the third eldest, opted for medicine. One problem: no woman had ever earned a medical degree in the United States before. Seven years later, her younger sister Emily (the sixth child) follows suit.
Nimura conducted wonderful research for this book. She includes large amounts of the Blackwells' correspondence as well as other primary sources from their contemporaries. Letters, diaries, newspapers... There even are accounts of the Blackwells' time at medical school through their classmates' letters & memoirs, as well as school administrative records, and it's a joy to see how the details differ from one perspective to another. These are the kinds of materials that give us direct insight into the minds of nineteenth century America, both pre- and post-Civil War.
More importantly, Nimura does not put these admittedly incredible women onto pedestals, nor does she dismiss their achievements where they fall short of our expectations. And they often do in understandable but still baffling, frustrating ways. The Blackwell family was abolitionist and believed in education for women, but Elizabeth and Emily did not support women's suffrage or birth control (despite making great strides in gynecological medical treatment). They did not always support other women, whom they deemed frivolous or not as deserving of success as they were in a male-dominated environment. Moreover, they learned from certain unsavory medical professors (who practiced on the poor and the enslaved, often without anesthesia) and, where it benefited the sisters, they socialized with slave owners (some of whom supported abolitionism... which is confusing but definitely a thing since at least the eighteenth century).
As uncomfortable as this all seems, I really appreciated Nimura's dedication to tracing the lives of the Blackwell sisters and their very different approaches to building careers as women in medicine. They did not face the same struggles, nor did they set the same goals for their lives. By the time Emily applied to medical school, Elizabeth's prior success had created several women-only schools, which reportedly provided less rigorous training and none of the all-important status afforded by prestigious men's medical schools. This may seem like a victory in some ways, but it also afforded the men's schools an official reason to reject female applicants (whereas before Elizabeth's groundbreaking degree, the schools had never bothered to officially ban women, presumably because it had not occurred to them that one might apply). Two steps forward, one step back.
Nimura gives us the whole picture, complete with historical context, the interwoven lives of the other Blackwell siblings (not to mention their in-laws), and other women's career paths in the medical world before and after the Blackwells.
Recommended wholeheartedly to anyone interested in 19th century American history, an honest portrait of complex female historical figures, and 19th century medicine in America, England, and France.
Thank you to the publisher and Netgalley for granting me a free eARC of this book in exchange for an honest review.