Defending Jacob by William Landay, 2012, * * * *

There are two types of suspense that run through Defending Jacob, a courtroom drama that hinges on the murder of a high school boy.  The first comes from trying to guess who killed him and the second comes from wondering whether the book's author, a former district attorney with two well-received novels behind him, has developed the ability to catapult himself into the Scott Turow tier of legal-eagle blockbuster writers.  The jury stays out until the books very last words.  The book opens amid a grand jury hearing, with Andy Barber, a former assistant district attorney, being grilled by Neal Logiudice who happens to have been Andy's protege.  The questions involve whether or not Andy should have been investigating the killing of a boy named Ben Rifkin.  The case fell into Andy's professional bailiwick, but the victim was a classmate of Jacob Barber, Andy's 14-year old son. Mr. Landay creates a clever blend of legal thriller and issue-oriented family implosion.  It helps that Andy is as ignorant about Jacob as he is savvy about courtroom theatrics.  Before the murder, Andy and his wife Laurie, just didn't know much about their son. Andy and Laurie are comfortable suburban parents who think they have done all the right things in raising their son and never questioned themselves.  However, the way that Jacob found Ben's body in the woods casts suspicion on Jacob as does the fact that Ben was a bully with Jacob as the frequent target.  Jacob's classmates, his parents learn, have also found Jacob a little strange. Landay delves simultaneously into Jacob's character and Andy's professionalism.  Andy was quick to assume that a sex offender living in the neighborhood was the prime suspect but on the witness stand has to defend that illogical leap. Meanwhile Andy discovers Facebook, "still largely a kids' paradise" in 2007, when the crime was committed and finds out what other students say about Jacob.  Mr. Landay writes: "suspicion, once it started to corkscrew into my thoughts, made me experience everything twice: as a questing prosecutor and anxious father, one after the truth, the other terrified of it." Jacob, who is largely inscrutable, is developed through the eyes of other characters, and at a slight remove, which adds to the suspense.  Is he a cipher? A typical teenager? A Sociopath?  The trial may settle nothing - either Jacob is a killer that the jury will set free or an innocent boy about to be sent to prison for life.  The book is difficult to put down. 

Island Practice: Cobblestone Rash, Underground Tom, and Other Adventures of a Nantucket Doctor by Pam Belluck, 2012, * * * * *

Dr. Timothy J. Lepore (pronounced to rhyme with peppery) has earned a reputation as an idiosyncratic, contrarian family practice physician in his decades on Nantucket Island but as Pam Belluck writes in this highly readable book he is really a survivor from a not-too-distant past when family doctors were not as money-driven and impersonal as they have been forced to become in today's medical-industrial complex.  The American health care system works - when it works - by shuttling patients around a network of specialists. The highest obstacle to access is usually a lack of money.  The 10,000 permanent residents of Nantucket must also cope with the elements: routine fog or storms can put a stop of all transportation between the island and the doctors on the mainland, 30 miles away.   Pam Belluck, a reporter to the New York Times, has devoted her first book to a study of Timothy Lepore and his anachronistic approach to medicine.  Island Practice is a tale of quirkiness and peculiarities as well as nuanced reporting on moral and political issues like abortion, substance abuse, suicide and, in particular,  medical care as it has been practiced but may not be practiced in the future.  Belluck's description of Nantucket's only surgeon's behavior gives insights about his pragmatic dealings with real people in tough situations as well as showing this unique doctor plying his trade while holding onto his values and persona. The lesson is that medicine is a micro and macro issue and where you sit defines what you see.  Dr. Lepore and his special patients need a kind of care that is uniquely available because of his personality and the unusual characteristics of Nantucket. Anyone who is a patient wants a doctor to go above and beyond the crazy quilt of the insurance, hospital and malpractice "rules" to get us the care we need. Island Practice entertains with stories, yet leaves you wondering how well that care will be provided in the future -  not just on Nantucket but in other isolated communities.  If you loved John Berendt's Midnight in the Garden of Good and Evil, or Susan Orlean's The Orchid Thief you will find great pleasure in Island Practice.