In a world already awash in hermetic ironies and labyrinthine power plays, Anthony Fauci’s memoir, On Call, emerges less as a document of retrospective clarity and more as a piece of self-congratulatory agitprop, a deftly spun web of half-truths and selective amnesia masquerading as enlightened public health wisdom. Here is a book whose primary purpose appears to be the further ossification of Fauci’s sainthood within the Church of Bureaucratic Scientism, a volume that operates less as memoir and more as a Molotov cocktail lobbed at those who dared to question his authority during the crucible of COVID-19.
On Call is less a memoir than a confession—not of guilt, but of the authoritarian impulse that has come to define so much of modern public health.
From its opening pages, Fauci’s prose reeks of defensive sanctimony, the kind of tone only achieved by those steeped in the unassailable certitude of their own narrative. The book’s preface, a self-congratulatory nod to Fauci’s alleged steadfastness in the face of an unprecedented global crisis, sets the stage for what is essentially a 400-page exercise in historical revisionism. And yet, as one wades through the thick sediment of technical jargon and dubious recollections, a more insidious modus operandi becomes painfully clear: Fauci’s enduring strategy of marginalizing his critics, dismissing dissent as unscientific quackery, and conveniently ignoring data that didn’t fit the prevailing orthodoxy—an orthodoxy he himself shaped.
Fauci’s memoir, much like his public persona, presents a veneer of intellectual rigor, a cultivated air of the avuncular sage guiding the populace through murky waters. But beneath this surface lies a ruthless operator, a man whose first instinct when confronted with opposing viewpoints is to paint his critics with the broad brush of conspiracy—an Orwellian maneuver that cloaks the suppression of debate in the language of protecting public trust. Time and again, Fauci’s critics—from epidemiologists advocating for focused protection to scientists raising alarms about the origins of the virus—are framed as unserious, politically motivated, or, worst of all, anti-science. This dismissal is not only intellectually dishonest but also deeply corrosive to the very principles of open inquiry and skepticism that underpin genuine scientific progress.
Take, for instance, Fauci’s treatment of the Great Barrington Declaration, an open letter signed by leading epidemiologists advocating for a more targeted approach to protecting vulnerable populations while allowing the rest of society to function. Fauci’s response, as documented in emails unearthed through Freedom of Information Act requests, was not to engage with the substance of the argument but to coordinate a media campaign to discredit its authors. The declaration, in Fauci’s hands, became a straw man, an emblem of irresponsible libertarianism, when in reality it was grounded in a robust understanding of infectious disease dynamics. That subsequent studies have borne out many of the declaration’s predictions—including the devastating consequences of prolonged lockdowns—is a detail conspicuously absent from On Call.
Similarly, Fauci’s handling of the lab-leak hypothesis stands as a testament to his propensity for obfuscation and narrative control. Early in the pandemic, Fauci and his allies went to extraordinary lengths to dismiss the idea that SARS-CoV-2 might have originated in a laboratory, labeling it a conspiracy theory unworthy of serious consideration. Yet internal communications reveal that Fauci was acutely aware of the plausibility of this hypothesis, with scientists raising concerns about the virus’s unusual features. Instead of fostering an open discussion, Fauci presided over a campaign to marginalize dissenting voices, a campaign that not only stifled legitimate inquiry but also sowed mistrust in public health institutions. That the lab-leak theory is now widely regarded as a credible—if not likely—explanation for the virus’s origins exposes the profound mendacity at the heart of Fauci’s public posturing.
The central irony of On Call is that it purports to champion science while betraying the very principles that make science a reliable guide to truth. Fauci’s memoir reads like a monument to the cult of expertise, a defense of technocracy that brooks no dissent and tolerates no ambiguity. In Fauci’s world, disagreement is synonymous with ignorance, and questioning the consensus is tantamount to heresy. But the pandemic—as Fauci should well know—was a profoundly complex and rapidly evolving crisis, one that required humility, flexibility, and a willingness to admit error. Instead, Fauci’s memoir reveals a man more interested in protecting his legacy than in grappling with the messy realities of his own decision-making.
What makes On Call truly galling, however, is its utter disregard for the collateral damage of Fauci’s policies and rhetoric. The economic devastation wrought by prolonged lockdowns, the mental health crisis among children and adolescents, the erosion of trust in public health institutions—all are treated as inconvenient footnotes to the grand narrative of Fauci’s heroism. This is not just a failure of storytelling; it is a moral failing, a refusal to reckon with the human cost of technocratic hubris.
In the end, On Call is less a memoir than a confession—not of guilt, but of the authoritarian impulse that has come to define so much of modern public health. Fauci’s legacy, as etched in these pages, is not one of unerring scientific leadership but of a man who weaponized his authority to silence dissent, even when that dissent was later vindicated by the very data he claimed to champion. The book, like its author, will no doubt be celebrated by those who value narrative control over inconvenient truths. But for those who lived through the pandemic’s chaos and contradictions, On Call will stand as a grim reminder of what happens when power and certainty eclipse humility and dialogue.