It's hard to imagine the devastation that took place over 2 generations in Hawaii. The population was decimated by diseases for which there were no known causes and no cures. With the emergence of yet a new disease, one with very visible effects there should be no surprise about the panic it caused.
The story of the first exiles is heartbreaking. Their exodus was so poorly planned that the first patients (all quite ill) once disembarked, had to walk up a cliff and then further to a new "home" on which they were expected to forage and farm and build their homes. The captain of the boat that brings these and subsequent exiles to Molokai escapes incarceration for obvious and continuing acts of theft and abuse of the exiles, a true metaphor for the neglect of the Board of Health. From forboding beginnings, a thriving community emerges and later wanes due to advances in medicine.
I think this book was rushed to publication. While the author did 18 months of research, I don't think he digested it all. The result is a book that doesn't hang together very well. It seems that after finding a lot of interesting information Tayman wanted to use it all whether or not he could provide context for it. Where he was able to produce full stories, I'm not sure he had a handle of their significance. I'm not critical of this because I understand their significance, but I expected the book to be more than collection of anecdotes and facts. This book has a lot of very good information, a lot of which I believe is newly presented, but I think the author needed more time to reflect on the topic for a more coherent presentation of it.
Some things are not followed up on, like the personality of Ferdinand Hutchinson, who seems to be focused on doing things cheaply. Even before his exiled son is introduced, he is dropped from the narrative (How responsible was he for the boat captain? What was his attitude/political posture towards his son's exile and did his views change upon it?) Walsh's administration is portrayed as a failure, but later a rather large hospital built in his tenure is casually mentioned. There are some places which I think would be important turning points, but little information is given. It would seem that the introduction of water and electricity would be a major sociological changes for the residents, as well as logistical achievement of the Board of Health, but it gets only a passing mention. Taymen cites things that improve after the death of King Kalakua, and in 1907 Jack London praises the settlement. How these changes occurred and who was responsible for them is not clear from the text.
There are some strange adjectives, for instance "The Little Grass Shack" is labled a "nonsensical" song. There are vignettes that cause pause, for instance during WWII, a civil defense officer has boys march with sticks "hoping enemy submarines will mistake them as soldiers." This one sentence is planted in the middle of a narrative on how the area was being protected. Could this be literal?
This book has caused controversy in Hawaii. The cover photo is allegedly a cliff in Italy. There is criticism of the title. More important, the survivors, who are profiled in the last chapters, perhaps 20% of the book, have objected to their portrayal. Tayman writes sympathetically of them, but some of his phrasings could be construed as condescending to them. One portrait even begins with his minimization of the endearing, "Grass Shack" song.