TITLE: In The Hands of Women
AUTHOR: Jane Loeb Rubin
340 pages, Level Best Books, ISBN 9781685123468 (softcover, also e-book)
MY RATING: 5 stars out of 5
Jane Loeb Rubin’s In the Hands of Women is an engrossing historical fiction novel (a genre I readily admit I am not well-read in). Taking place in the early 1900s and set against the backdrop of the pre-WW1 immigration surge and the Women’s Suffrage movement, the book tracks the life and career of Hannah Isaacson as she attends Johns Hopkins Medical School to become one of the first accredited female doctors working in the relatively new field of obstetrics, and then returns to her family in New York City to practice.
Hannah is a multi-faceted narrator. She is a survivor of poverty and trauma (the death of her mother when she was just a toddler from breast cancer, the remarriage of her father, the death of her best childhood friend from consumption) who has been motivated by that trauma, and by the love of the older sister who raised her and the support of a local physician who believed in her, to pursue a career in medicine at a time when women weren’t encouraged to be doctors (leaving many to “settle,” as it were, for nursing or midwifery). Stalwart friends and family surround her both at medical school and when she’s practicing in New York. I enjoyed the depth of character Rubin gives to not just the supporting cast but even the tertiary characters. In addition to Hannah, the book has a lot of strong and complex women characters, from Hannah’s older sister Tillie to her medical school best friend Elspeth to her secretary Ina and including some real-life women at the time: Johns Hopkins trustees Mrs. Garrett and Mrs. Thomson, and controversial Suffragist movement / sex education advocate Margaret Sanger at the beginning of her career. Not every strong woman in the book is on Hannah’s side though. There’s a particularly nasty prison warden who plays a significant role in the second half of the book.
The book’s male characters are equally split between supportive (Dr. Boro, her mentor; Tillie’s husband Abe; Hannah’s stepmother’s second husband) and horrible (several other medical students at Johns Hopkins, among others). The attitude that even accomplished professional women were “second class” in relation to men, that they should be thankful for men’s attention and also clean up men’s mistakes without complaint, permeates the book as it permeated the time, as does the limited options for women in terms of understanding and thoughtful healthcare, including birth control and abortion rights, of the time. I would like to say these issues made the book feel purely historical, but unfortunately, we know very well how much and yet how little has changed in the past 120 years. The novel informs without preaching, the issues of the time a natural part of the narrative and reflective of our current environment.
In addition to women’s rights, the book also puts a laser-focus on immigration, the waves of Irish, Italians, and Eastern European Jews that filled the southern half of Manhattan in the years between the end of the Civil War and the advent of Prohibition. The majority of the main characters are recently immigrated or first-generation Russian Jews but their story is reflective of what immigrants of other nationalities and faiths were experiencing at the time. The squalor so many of them lived in, having fled even worse in Europe, impacted the city’s crime rate and public health. The overlapping issues of poverty, crime, and public health (and even more so, women’s health) become the focus of Hannah’s career.
Hannah also has a personal growth arc that takes her from a naïve medical school student to a woman who can stand up to bullies (both the political and romantic/sexual type). I enjoy novels where characters come into their own, and Rubin accomplishes that subtly and completely.
Highly recommended to fans of historical fiction that centers complex female characters!