The Colony: The Harrowing True Story of the Exiles of Molokai

The Colony: The Harrowing True Story of the Exiles of Molokai

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In the bestselling tradition of In the Heart of the Sea, The Colony reveals the untold history of the infamous American leprosy colony on Molokai and of the extraordinary people who struggled to survive under the most horrific circumstances.

In 1866, twelve men and women and one small child were forced aboard a leaky schooner and cast away to a natural prison on the Hawaiian island of Molokai. Two weeks later, a dozen others were exiled, and then forty more, and then a hundred more. Tracked by bounty hunters and torn screaming from their families, the luckless were loaded into shipboard cattle stalls and abandoned in a lawless place where brutality held sway. Many did not have leprosy, and most of those who did were not contagious, yet all were caught in a shared nightmare. The colony had little food, little medicine, and very little hope. Exile continued for more than a century, the longest and deadliest instance of medical segregation in American history. Nearly nine thousand people were banished to the colony, trapped by pounding surf and armed guards and the highest sea cliffs in the world. Twenty-eight live there still.

John Tayman tells the fantastic saga of this horrible and hopeful place-at one time the most famous community in the world-and of the individuals involved. The narrative is peopled by presidents and kings, cruel lawmen and pioneering doctors, and brave souls who literally gave their lives to help. A stunning cast includes the martyred Father Damien, Robert Louis Stevenson, Jack London, Mark Twain, Teddy Roosevelt, John Wayne, and more. The result is a searing tale of survival and bravery, and a testament to the power of faith, compassion, and heroism.

"Tayman's narrative pulls the reader beyond the superficial, medical horrors of leprosy to the more devastating human horrors that lie beneath. In doing so, he has brought to light the profound dignity of his subjects."-New York Times

"Tayman's crisp, flowing writing and inclusion of personal stories and details make this an utterly engrossing look at a heartbreaking chapter in Hawaiian history."-Booklist

"Drawing on contemporary sources and eyewitness accounts of the still surviving members of the colony, Tayman has created a fitting monument to the strength and character of the castoffs in particular, and human beings as a whole."-Publishers Weekly

Product Details

ISBN-13: 9781400132270
Publisher: Tantor Media, Inc.
Publication date: 03/28/2006
Edition description: Library - Unabridged CD
Product dimensions: 6.90(w) x 6.90(h) x 1.80(d)

About the Author

John Tayman is the former deputy editor of Outside magazine. He has been editor-at-large for Men's Journal, executive editor of New England Monthly and contributing editor to Life, GQ, People, Men's Health, and Business 2.0.

Patrick Lawlor has recorded over three hundred audiobooks in just about every genre. He has been an Audie Award finalist multiple times and has garnered several AudioFile Earphones Awards, a Publishers Weekly Listen-Up Award, and many Library Journal and Kirkus starred audio reviews.

Read an Excerpt

The Colony

The Harrowing True Story of the Exiles of Molokai
By John Tayman


Copyright © 2006 John Tayman
All right reserved.

ISBN: 0-7432-3300-X


At 8 A.M. on Friday, September 26, 1947, a thirty-nine-year-old Honolulu physician named Edwin Chung-Hoon began to examine his second patient of the day. Chung-Hoon was a graduate of the Washington University School of Medicine, and his specialty was dermatology. He was currently on active duty with the U.S. Army Medical Corps and had been since the first days following the attack on Pearl Harbor, almost six years earlier. Much of the doctor's time, however, was spent on behalf of the Territory of Hawaii's board of health.

His patient that morning was a sweet-natured twelve-year-old boy. Chung-Hoon noted a slight inflammation of the child's right cheek, and minor thickening of the flesh at several sites on his face and body. Laying his hand on the boy's cool cheek, Chung-Hoon traced his fingertips upward from the jaw, gently searching for the area where the highway of facial nerves flowed together and then branched away. After a moment the doctor took hold of the child's right ear, then his left, and with the corner of a fresh razor blade cut a small incision a few millimeters in length at their base. The boy was silent during the first slice; when the doctor nicked the second lobe, his patient let out a wounded gasp. Chung-Hoon then made a bacteriological examination of the material he had excised. The process took about an hour. He entered the waiting room and told the boy's father the results: leprosy. One week later, the twelve-year-old was exiled.

For 103 years, beginning in 1866, the Hawaiian and then American governments forcibly removed more than eight thousand people to a remote and inaccessible peninsula on the Hawaiian island of Molokai, and into one of the largest leprosy colonies in the world. The governments did so in the earnest belief that leprosy was rampantly contagious, that isolation was the only effective means of controlling the disease, and that every person it banished actually suffered from leprosy and was thus a hopeless case. On all three counts, they were wrong.

With the establishment of the colony on Molokai, officials initiated what would prove to be the longest and deadliest instance of medical segregation in American history, and perhaps the most misguided. In 1865, acting on the counsel of his American and European advisers, Lot Kamehameha, the Hawaiian king, signed into law "An Act to Prevent the Spread of Leprosy," which criminalized the disease. In the first year, 142 men, women, and children were captured. The law in various forms remained in effect through the annexation of Hawaii by America in 1898, the adoption of Hawaii as the fiftieth American state in 1959, and until mid-1969, when it was finally repealed. Under the law, persons suspected of having the disease were chased down, arrested, subjected to a cursory exam, and exiled. Armed guards forced them into the cattle stalls of interisland ships and sailed them fifty-eight nautical miles east of Honolulu, to the brutal northern coast of Molokai. There they were dumped on an inhospitable shelf of land of the approximate size and shape of lower Manhattan, which jutted into the Pacific from the base of the tallest sea cliffs in the world. It was, as Robert Louis Stevenson would write, "a prison fortified by nature." Three sides of the peninsula were ringed by jagged lava rock, making landings impossible, and the fourth rose as a two-thousand-foot wall so sheer that wild goats tumbled from its face. In the early days of the colony, the government provided virtually no medical care, a bare subsistence of food, and only crude shelter. The patients were judged to be civilly dead, their spouses granted summary divorces, and their wills executed as if they were already in the grave. Soon thousands were in exile, and life within this lawless penitentiary came to resemble that aboard a crowded raft in the aftermath of a shipwreck, with epic battles erupting over food, water, blankets, and women. As news of the abject misery spread, others with the disease hid in terror from the government's bounty hunters, or violently resisted exile, murdering doctors, sheriffs, and soldiers who conspired to send them away. Some already banished tried to escape, only to fall from the cliff or get swept out to sea. "The pit of hell," Jack London wrote, as he undertook a tour of the colony, "the most cursed place on earth." The mortality rate for patients in the first five years of exile was a staggering 46 percent.

Leprosy is not a fatal disease. Neither is it highly infectious. It is a chronic illness caused by a bacterium, and communicable only to persons with a genetic susceptibility, less than 5 percent of the population. Transmission takes place much as it does with tuberculosis, through airborne particles expelled by someone with leprosy in an active state. Among untreated patients, only a minority have the disease in its active state; the majority are not contagious. For cases that are active, a multidrug therapy has been developed that quickly renders their leprosy noncommunicable, after which they pose no risk of infection and are, in essence, cured. Every city in America has such cases; in the New York metropolitan area, for instance, more than a thousand people have or have had the disease. There are currently eleven federally funded outpatient clinics in the United States treating approximately seven thousand patients, although health officials believe many sufferers go untreated because of the powerful stigma attached to the disease. Though modern medicine has stripped the illness of its horrors, on a social level leprosy remains among the most feared of all diseases, since untreated leprosy can result in deformity, its precise mode of transmission was until recently unknown, and a cure remained undiscovered for thousands of years. The greatest factor in the stigmatization, however, was the historical intertwining of leprosy with religious notions of divine punishment, which gave rise to the corrosive idea that victims of the disease were sinful, shameful, and unclean. The preferred method of dealing with such people was obvious: banishment.

At its height in 1890, the population in the Molokai colony reached 1,174, and it was arguably the most famous small community in the world. The colony commanded intense scrutiny in the American press, and became the subject of presidential inquiries, heated congressional debate, and irrational public fear. Segregation laws gave the local government the right to arrest and imprison any person suspected of having the disease, regardless of nationality, and the rolls soon included not only Hawaiians and Americans, but also individuals from Britain, France, Germany, Japan, Russia, Spain, Sweden, Portugal, and China. Correspondents came from all over the globe, seeking scenes of thrilling grotesquerie. Physicians and scientists entered, some to offer help, others to indulge their own ambitions, an ethically suspect pursuit that led to one of the nineteenth century's most notorious episodes of human experimentation. Famous authors also secured a visiting pass: Stevenson spent seven days in the colony; London stayed six. "He returns and sits by his lamp and the crowding experiences besiege his memory," Robert Louis Stevenson wrote of the typical visitor, "sights of pain in a land of disease and disfigurement, bright examples of fortitude and kindness, moral beauty, physical horror, intimately knit." As the place grew infamous, celebrity sightseers flocked to it, among them Edward G. Robinson, John Wayne, and Shirley Temple, although she lasted only several hours. Other visitors stayed years, and the stories of their self-sacrifice transformed them into worldwide figures. One was a bullheaded young Belgian priest who fell victim to the disease and in so doing secured sainthood. Another was a fallen Civil War hero, seeking atonement for his dissolute past. Yet another was a modest, well-meaning nun from New York, who arrived to lend aid and quickly found herself the unwilling object of a most unlikely romantic obsession.

The most affecting stories, however, belong to the exiles themselves. Many had been mistakenly diagnosed and spent decades locked away before the error came to light. Thousands were needlessly isolated, their leprosy of a form that did not pose a danger to others. Some exiles were sent away as young children and suffered sixty and even seventy years in isolation before becoming free. Banishment continued well into the modern age. Even as man ventured into space and prepared to walk on the moon, the government kept watch over the colony of exiles, still imprisoned by ancient fears. Their struggle to maintain faith, form a loving community, and help one another stay alive is one of the most extraordinary acts of enduring heroism in American history.

Twenty-eight people remain in the community, passing quiet days in cottages at the base of the cliff. A few hundred yards from their simple homes is the spot where the first twelve exiles straggled to shore, cast away on the morning of January 6, 1866. Within three years all but two were dead. Their swift demise was expected - it was a key component of the segregation plan. But in time the exiles began to defy the policy and accomplished something profoundly stirring and remarkable. They survived.

One final note: This is a work of nonfiction. It is based on more than eight thousand pages of documents, including news accounts, medical records, congressional transcripts, government publications, personal letters, memoirs, interviews, and observations. Anything between quotation marks is taken directly from these sources, and the thoughts and feelings of characters as described in the narrative arise from the same material. No names have been changed.

Today the terms leper and even leprosy are considered objectionable. As the chronology of the book progresses, all terminology is kept appropriate to its time, and thus when the word leper appears I have used it in historical context, or as part of a direct quote. An alternative modern term for the condition is Hansen's disease, named after the Norwegian bacteriologist who first identified the germ that causes leprosy. The medical community is split on the adoption of the term, however, and some physicians and patients prefer the older name. For the sake of clarity, I refer to the disease as leprosy throughout the book.


Excerpted from The Colony by John Tayman Copyright © 2006 by John Tayman. Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

Table of Contents

Preface     1
Part 1
Run (Population 1,143     7
Scattered Seeds (Population 0)     20
Almost-Island (Population 0)     29
"A Kind of Colony" (Population 13)     40
Order (Population 106)     54
Ready to Believe (Population 214)     69
A Far Different Position (Population 385)     81
Part II
Rush Slowly (Population 749)     89
"Be Ambitious and Bold" (Population 742)     100
Escape (Population 673)     108
The Likes of Us (Population 824)     115
Strange Objects (Population 632)     126
Human Soil (Population 680)     133
"A Strange Place to Be In" (Population 1,144)     158
Part III
Kindred Dust (Population 1,123)     177
Civic Duty (Population 857)     186
Good Breeze (Population 810)     197
A Terrible Mistake (Population 791)     205
All a Man Holds Dear (Population 510)     220
Olivia (Population 459)     228
Part IV
Attack (Population 349)     243
Like a Pebble Thrown (Population 312)     251
Makia (Population 290)     257
When You Start to Make a Fist (Population 243)     266
StandUp Straight (Population 174)     274
Orientation (Population 146)     285
Softer Notes (Population 116)     293
A Long Road (Population 74)     299
Stay (Population 28)     311
Notes     319
Selected Bibliography     387
Photo Credits     397
Acknowledgments     399
Index     401

What People are Saying About This

From the Publisher

"Tayman's crisp, flowing writing and inclusion of personal stories and details make this an utterly engrossing look at a heartbreaking chapter in Hawaiian history." —-BooklistStarred Review

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Colony: The Harrowing True Story of the Exiles of Molokai 3.7 out of 5 based on 0 ratings. 25 reviews.
Anonymous More than 1 year ago
This book was filled full of horrors of the extremely terrifying disease called Leprosy also know as Hansen’s disease. This book tells gruesome stories about the lives of those affected by the monstrous affliction. The stories told will be a permanent scar on the minds of the people who know those people’s sadness. This is the true toll of human ignorance and we all must know of the ghastly tales of the thousands of lives that went through hell-like conditions in the means of survival. Though all has been done to those pitiful souls, forgiveness is still possible to me in the wake of new society. The main point in this book is that the devastation caused by the misunderstanding of the disease is caused by the intolerance and impatience of the early peoples in other countries and our own country. The story of the first exiles is heartbreaking and the fact that their exodus was so poorly planned the castaways had to merely walk up a cliff to a new “home” which was just a grass hut with little supplies. One more horror of the mass exit of the scared people is that they all knew that they were going to die in the colony and with barely enough supplies to live off of it seemed to them that the government was actually trying to kill them. If this was me, I could not even stand to bear the thought and burdens of leaving my family and friends for a new life that would not be even one hundredth of the life I was used to have. This book was overall a sad book and was deeply depressing but once I realized the determination of the ones trapped it made me feel better. I gave this book five stars because it means something to the people whose lives were lost in the generations of conflict between the infected and the ones who fought in fear of a epidemic. My conclusion is that the heart-felt stories of those whose lives were drastically ripped and torn apart by the illness are and can be a universal message of how past mistakes can be forgiven through ways of understanding the mistakes and failures of generations before. My final review is that this book deserves five stars from everyone for the valiant people who chose to rise against and fight for the right way to cure the disease. In conclusion the way of our ancestors must be heeded for the mistakes of the past may be forgotten.
Guest More than 1 year ago
Based on true history, and real events, Brennert skillfully weaves a tale of poignancy and heartbreak through the main character of spirited Rachel who contracts leprosy and is sent to the quarantined island of Moloka'i. Most people are sent to Moloka'i to die, but it is here that Rachel lives. She thrives in spite of the pain and suffering that she is dealt. It is in Moloka'i that her life gains true meaning. A beautiful and engrossing story.
Guest More than 1 year ago
my aunt sister mary teresa was a nurse and teacher at the colony for 35 years. i met her twice when i was very young. all she ever told me was how wonderful the people were that lived there. i had no idea of the cicumstanses that was the background for the colony. i have even a better understanding of my aunt and the people that lived there. thank you john. everyone should read this book.
cmbohn on LibraryThing More than 1 year ago
Themes: illness, superstition, compassion, love, scienceSetting: Molokai, Hawaii 1866-1970sLeprosy. It's a horrible disease. It makes your extremities fall off. It's horribly contagious. It causes nasty oozing sores that spread germs to everyone you pass by. It's always fatal. And there's still no cure.Except that none of this is true. Except that is a pretty horrible disease, if not treated. But there is a very effective treatment available. It's not very contagious at all. Only a small portion of the population is susceptible to it in the first place. Even then, only some of them get the worst form. It's more a matter of nerve damage and swelling. And diagnosis is a matter of minutes, so getting started with the right treatment now takes just days.What a change from the past. This book is all about the bad old days of leprosy, and in the United States, it didn't get worse than in Hawaii. Hawaiians were some of those that for some reason were particularly prone to catching leprosy. And back then, there was no treatment available. They could diagnose it, all right. Then they would pack you up and ship you off, without another word, off to Molokai, the leper colony. Good luck to you.Incredible story, and it's all true. At least, the author says it's all true. Apparently there's some controversy. But it made for great reading. It was shocking stuff. I couldn't believe how they treated lepers like criminals. It's not a crime to be sick. (Although in this country, I often wonder.) But they were treated like they had done something wrong by getting a disease. I couldn't put it down. 4 stars.
posthumose on LibraryThing More than 1 year ago
I visited the exiled patients on the island of Moloka'i (Hawaii) some years ago after reading Damien the Leper by John Farrow (1937). The history and treatment of Hansen's disease has interested me since childhood. O.A. Bushnell's Molokai (1963) although fiction, was also interesting on the subject at the time. John Tayman's recent The Colony: The Harrowing True Story of The Exiles Of Moloka'i (2006)seems excellent and is entirely documented from the beginnings of this place set up to hide these "outcasts". It reads as easily as Alan Brennart's Moloka'i (2003) which is fiction with some historical detail and Hawaiian culture to add to the interest. Books like these were not available years ago and the leper colony town of Kalaupapa was not mentioned in the tourist brochures. Controversaries aside, we need information on this subject. I have also recently read The Island by Victoria Hislop, an excellent novel set in Crete. The historical details of the local island leper colony,Spinalonga,are accurate regarding its fifty year history. These stories and histories need to be told and I am happy to have them. I can refer to medical literature for clinical details and not be fooled by the falsehoods and scare-mongering horrors written of in less demanding times. I enjoyed, and learned something, from each of the books mentioned here. Too many think this crippling disease has been eradicated. While it is treatable, most of the people who have it can't afford the 6-12 month course of inexpensive medication required. Then it cripples and disfigures and the damage is permanent.The Leprosy Society of London reports that there were 400,000 new cases diagnosed in 2004, 70% of those in India. It's still present in many parts of the world. I think people should know that. Reading John Tayman's The Colony is as good a place as any to start on the subject.
eejjennings on LibraryThing More than 1 year ago
Excellent companion book to Molokai which gives the backstory to the novel as well as detailed history about the leper colony and the medical history of leprosy and its ultimate cure.
tobiejonzarelli on LibraryThing More than 1 year ago
John Tayman, has marvelously succeeded in this sweeping history of the exiles of Molokai. It bears tragic witness to the banishment of the victims of Hansen's disease to a hostile isolated island beginning in 1866 with twelve men and women and one stowaway child and continuing for over a century. Along the way we are confronted with legislative debates such as, "Is it a crime to be afflicted with leprosy?" and although the necessary answer is no, it is a disease, in actual fact these people were treated as criminals. They were rounded up and forcibly exiled. The pages are littered with historical figures and events revealed in both their humanity and their inhumanity. We find Robert Louis Stephenson, Jack London, Mark Twain, and even more recently a skittish John Wayne . We witness Pearl Harbor, and the establishment of Hawaii as the the fiftieth state.While we do find the posthumous saints such as Father Damien Joseph De Veuster who by one account dug over 1300 graves, and we also find much cruelty. The account of the Dying Den, bears witness to a man being dumped from a wheelbarrow to the threshold of this hell in order to, "spare the sensibilities of the other hospital inmates."Probably the most succinct description of the history of this disease, "leprosy itself [is] a rich source of ironies, populated ... "with rogues and vagabonds, saints, and martyrs.""Although this is not a casual read it is worth the time, this lesson must be re-learned and not repeated.
picardyrose on LibraryThing More than 1 year ago
The lives those poor people led were terrible. And everyone who got anywhere near them became corrupted with greed.
bhowell on LibraryThing More than 1 year ago
A very interesting read.
mmadamslibrarian on LibraryThing More than 1 year ago
I had read Molokai by Alan Brennert, and was interested in a nonfiction work on the island, but not too dry. I really enjoyed the way Talman worked in personal histories with the scientific info- especially since I don't have a scientific bent. I learned quite a bit- for example, I didn't know there was a leper hospital in Louisiana also. After reading this, I was more impressed with Molokai and it's historical research and background.
nittnut on LibraryThing More than 1 year ago
On the surface, this book is about some people, who happened to contract Hansen's disease (leprosy) and how they were taken forcibly from their families and exiled. The deeper story is our human response to physical illness. Leprosy, prior to the 1950's was a terrible, disfiguring and painful disease. Although it is not highly contagious in most forms, the fear surrounding it is both literally and figuratively Biblical. It is both fascinating and disturbing to read about the level of fear and disgust that continues regarding this disease even today when the disease is curable. The chapter that deals with WWII and Japanese internment was interesting. The compassion that the exiles had for the Japanese was very clear in quotes and histories of the time.I was inspired by the good and brave men and women who gave their lives, including risking contracting Hansen's disease, to serving and helping the exiles of Molokai. I was inspired by the exiles themselves, by their ability to create a new life and by their courage in truly terrible circumstances. I cheered for the few who were brave enough to stand up for what was right, even to the point of losing their jobs. The book is well researched with exhaustive notes and the narrative never lags."The more we suffer, the more strength we have. The more suffering, the closer we are to one another. Life is that way. If you haven't suffered, then you don't know what joy is. The others may know something about joy, but those who have gone through hell and high water, I think they feel the joy deeper." resident of Kalaupapa, Molokai
CarlaR on LibraryThing More than 1 year ago
I loved this book. It is a real eye opener for those who do not know that autrocities like this occur. John Tayman strove to make us understand the differing view points of those involved, and how truly horrible the conditions were. It was a pretty quick read, full of wonderful and accurate information.
cathyskye on LibraryThing More than 1 year ago
From 1866 through 1969, the Hawaiian and American governments banishednearly 9,000 leprosy sufferers into exile on a peninsula on the Hawaiianisland of Molokai. After a smallpox epidemic wiped out a fifth of theHawaiian population in the 1850s, leprosy was seen as the next huge threat,and drastic measures were taken. For more than 100 years, anyone diagnosedwith the disease was taken to the remote colony. Initially conditions werehorrible, with few services or proper medical treatment. (The businessmen onthe Board of Health thought these people were going to die anyway, so whyspend money?) Pushed to their limit and fueled with some potent moonshine,the internees frequently rioted, forcing overseers to enforce cruel laws.Later, as science and social thinking evolved, conditions improved and manyin the settlement lived lives of near normalcy.Tayman has done his research. The book is bulging with contemporary sourcesand eyewitness accounts. He also shows that we haven't evolved nearly asmuch as we'd like to think. Remember when we first learned about AIDS? Howso many people thought AIDS sufferers should be quarantined and kept awayfrom the rest of us? What place do you think came up as the best place tokeep "them"? Yup. Molokai.The only real gripe I have with this book is that it is a bit too fact-ladenand dry. Tayman did not bring history to life. I don't know if that was hisintention to begin with. As a record of what happened there, it's excellent;however, I was never fully engaged in the account.
Brandie on LibraryThing More than 1 year ago
The book was hard for me to follow ... I felt like the writer skipped around a lot. Like he would start to write about person A who knew person B, then talk about person B for a while, then jump back to person A and not becuase he was saying things chronologically. It was also hard to keep up with all the people he mentioned ... nonfiction isn't always the easiest to follow, especially when I am used to reading fiction, but this book just seemed harder to follow than normal.I admit I though it was an eye-opening book as I had NO idea this happened. So it was served the purpose of being informative and giving me a history lesson.However it was a hard read ... it took me a while to get through it too!
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Guest More than 1 year ago
The Colony by John Tayman 'rings true' to many who do not know the Hansen's disease survivors mentioned. Much of the disrespect and damage that this book does is to the living who have had their wishes ignored and lives misrepresented. It is sad to read the innuendo created to portray Mother Marianne, Mr. Gibson, the Hawaiian monarchy and other historical figures in such a fictitous manner.
Guest More than 1 year ago
This book takes pieces of history and intertwines them with fictional narrative by the author. The author has used his own words to perpetuate stigma and disrespect for the people of Hawaii, in particular those who survived Hansen's disease. Purchasing this book adds insult to injury for many.
Guest More than 1 year ago
This is a well-written, captivating story of a very tragic chapter in Hawaiian, US and medical history. I can't agree that it is insulting to the people of Hawaii, who were, for the most part, the victims of this disease and the ignorance that surrounded it at the time. It was poor public health policy at the hands of Euro-settlers that made these people's lives so unnecessarily miserable. I also disagree that the people of the colony were treated (in the book) with anything but respect. It's hard to believe the first reviewer read the same book. It's an important story that must be told. It is fortunate an author with the story-telling ability of Tayman took on this tragic subject.
Guest More than 1 year ago
First of all, the cover of the book is not even a photo of the cliffs at Kalaupapa, it is a photo of the Amalfi Coast in Italy. Tayman alleges that the Hawaiian monarchy didn't care about its people at Kalaupapa and ignores documented visits by the kings and queens who visited Kalaupapa and regularly sent the people gifts. Tayman shows a lack of respect for the patients, both past and present. I am saddened that this book will be taken as gospel by many.