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Draft Doctors

By Dick Anderson

Journalist Kate Rope 鈥95 documents a little-known program during the Vietnam War that produced cutting-edge medical research, nine Nobel laureates, and the nation's best-known immunologist

鈥淪ervice is a huge component of my family,鈥 says journalist and author Kate Rope 鈥95. 鈥淢y grandfather was a foreign service officer. His wife鈥攎y grandmother鈥攚as a librarian in the New York Public Library. My dad was also a foreign service officer, and then my parents became elementary school teachers in midcareer. There is an ethos in my family of service to others, and I make that my mission as a writer. I try to mostly write things that are helpful to other people.鈥

Early in her career, after discarding the idea of being a lawyer, Rope worked in research for a host of magazines, 鈥渨aiting for inspiration, and watching the careers of my peers take off,鈥 as she recounted in 2018. 鈥淎nd I turned my attention to becoming the only thing I had always wanted to be when I grew up: a mom.鈥 That milestone helped her find her voice as a writer, and Rope (whose daughters are now 13 and 9) frequently writes on matters of health and family for The New York Times, The Washington Post, and Time, among many other publications. She also produced an episode of the Freakonomics podcast titled in 2011.

The latter experience would come in handy with her latest project, , a four-part podcast released last December by Audible. Co-written by Rope and actor Alan Alda, the audio documentary (narrated by Alda) tells the all-but-forgotten story of an elite group of young doctors who were drafted into service during the Vietnam War. Nearly 9,000 miles removed from the front lines of the Far East, they served their tours of duty battling disease and infection at the National Institutes of Health in Bethesda, Md.

The group includes nine future Nobel laureates (among them Harold Varmus, for his discovery of the first cancer-causing gene, and Robert Lefkowitz, for his studies of G-protein-coupled cell receptors)as well as a certain director of the National Institute of Allergy and Infectious Diseases鈥擜nthony Fauci鈥攚ho became a household name during the early days of the COVID-19 pandemic.

Soldiers of Science became a passion project for all involved. 鈥淲e really believed in it and we thought it was an important story, but then once the pandemic hit, it changed,鈥 Rope says. 鈥淲e were telling Anthony Fauci鈥檚 origin story as he was becoming ubiquitous on our television screens and Brad Pitt's doing an impression of him on Saturday Night Live. When I started this program, the only people I could brag to that I was working with Anthony Fauci were my fellow science writers and doctors, but now everybody knows him.鈥

COVID-19 brought an unexpected urgency to the narrative Rope and her collaborators set out to tell鈥攐ne of the alliance of science and medicine for the national good. 鈥淚t ended up being incredibly prescient,鈥 she says. 鈥淲e started with just a good story and then ended with a really important story.鈥

Midway through her time at SA国际传媒, Rope switched majors, from diplomacy and world affairs to the College鈥檚 new public policy major. Economist Richard Rothstein, an adjunct professor of public policy, became a mentor to her. 鈥淗e taught me how to build an argument,鈥 she recalls. 鈥淲riting was a huge part of all of my classes at SA国际传媒, and so I left school feeling pretty strong about my writing skills.鈥

SA国际传媒 also instilled in her a newfound confidence in her math and science prowess. 鈥淚 took Bio 101 class to fulfill distribution requirements, and it was so great, it really opened me up to science,鈥 Rope says. 鈥淚 would say that SA国际传媒 was pretty instrumental in where I ended up.鈥

Kate Rope '95, photographed by Heidi Geldhauser.
After graduation, Rope took a job as a paralegal at Ernst & Young law firm in Los Angeles as part of a team that would investigate and then determine consequences for sexual harassment. She found herself feeling empathy for the perpetrators and their families. 鈥淭he men in these cases all did bad things and made bad choices, yet I saw in them their insecurities or their humanity and realized what had led them to do these things,鈥 Rope explains. 鈥淎nd I realized that I'm not comfortable meting out punishment. That was the first crack in the idea of me being a lawyer.鈥

Looking back, she recalls, 鈥淢y grandfather wanted me to be a broadcast journalist. I don't know where he got that idea but I never cottoned to it, but he wanted to keep me informed, so he sent me a subscription to The New Yorker all through college. I was reading too many things for my classes and I just didn't have the bandwidth, so I would just put them in the bathroom and read the cartoons.

鈥淢y grandfather would always write me letters: 鈥榃hat did you think of X, Y, and Z article?鈥 And then I would wait to write him back so that he would forget that he had asked me about a particular article, because I had not read it.鈥 After her grandfather had a stroke, she talked to him on the phone in the hospital soon after. 鈥淚 said, 鈥業 owe you a letter.鈥 And he said, 鈥榊es, you do鈥欌攁nd his words were slurring.鈥 Frederick Rope died two days later. Kate delivered a eulogy back in New England in the form of a thank-you letter to him.

Returning to California after the funeral, Rope began reading those New Yorkers cover to cover, which led to a career-changing revelation. 鈥淚 was living in Orange County and I was commuting to downtown L.A. to Ernst & Young,鈥 she remembers. 鈥淚 was on the train, reading a New Yorker feature on mad cow disease [ by John Lanchester]. I was learning about agriculture policy, and livestock raising, and neuroscience. I was learning about meat rendering and import law. I learned so much in this one article. And I literally remember the moment I looked up. I looked out the window of the train and I thought, 鈥業 want to write an article like this. This is what I want to do.鈥欌

Nearly 25 years later, working on Soldiers of Science, Rope would interview NIH alumnus and Nobel laureate Stanley Prusiner, who discovered the prion that causes mad cow disease. That moment prompted her to revisit the New Yorkerstory. 鈥淥ne of the main people in my podcast was in that article,鈥 she says. 鈥淚t felt like things had come full circle.鈥

Rope was brought on to the project by her old boss at Life magazine, Maggie Murphy, who is now vice president of original content for Audible. A neighbor of Murphy mentioned that his dad was a 鈥淵ellow Beret,鈥 fulfilling his Vietnam War service by doing research at the NIH (鈥淭hey had called themselves 鈥榊ellow Berets鈥 as sort of a joke because they didn't have to go risk their lives in Vietnam鈥). A common acquaintance at Audible, Freakonomics creator Colin Campbell, reconnected Murphy and Rope, and Rope set about doing research in fall 2018.

From left,
She began by getting a list of men who had served in the NIH Associates Training Program during the war鈥攑eople like Fauci and Varmus鈥攁nd started talking to them and hearing their stories. 鈥淚t was clear that this was an amazing story about Vietnam that had never been told.鈥 Starting at the end of the Korean War in 1953, a 鈥渄octor draft鈥 had moved young physicians into a two-year stint with the Army, Navy, Air Force, and Public Health Service. 鈥淭hey needed people who had finished residencies and could specialize and handle serious trauma,鈥 Rope says.

When the draft was reinstated in 1964 during the Vietnam War, doctors again were drafted, 鈥渂ut they had a couple of ways they could serve,鈥 she continues. 鈥淲ithin the public health service, there was this extremely small, competitive program to do research and treat patients at the NIH. It was a plum position, whether or not you were facing the draft, but it became even more competitive because of the draft.鈥 As the body count went up in Vietnam, so did the number of applicants to the NIH program. The people who got in were the cream of the crop, in the top 1 percent to 2 percent of their med school classes.

鈥淵ou had all these super-smart men coming in and learning research from Nobel laureates and other prominent leaders in different fields鈥攎icrobiology was just getting going,鈥 Rope says. 鈥淭hey were taught the NIH research methods, which were very rigorous. They were seeing patients who were very sick and they themselves were an intellectually elite group of people.鈥 In the lifetime of the NIH (which, like Occidental, was founded in 1887), 25 NIH-associated researchers have won the Nobel Prize. Nine of those served during the Vietnam War through the NIH program, which continues today.

Subsequent to their time with the NIH, Rope notes, these 鈥渟oldiers of science鈥 have been responsible for countless medical breakthroughs: statin drugs, which lower cholesterol and reduce heart attacks; the co-discovery of human immunodeficiency virus (HIV); the HPV vaccine, which has dramatically reduced rates of cervical cancer in the United States; blood-clot busting techniques; and the first immunotherapies for cancer.

Rope was immediately drawn to the question: What's the 鈥渋mpossible math鈥 of how many lives were saved because of the draft and the NIH? 鈥淚t's this incredible silver lining to Vietnam,鈥 she says. It鈥檚 a story that no one had told, she speculates, 鈥渂ecause Vietnam is such a dark time in our nation's history, and so many people lost their lives.鈥

Early on in developing the project, Rope and her colleagues at Audible quickly decided that Alan Alda would be the ideal storyteller. Best known for his Emmy Award-winning performance as medic Hawkeye Pierce in M*A*S*H, he interviewed hundreds of scientists during his 11 years as host of the PBS series Scientific American Frontiers. He hosts the weekly Clear+Vivid podcast and is a visiting professor at Stony Brook University鈥檚 Alan Alda Center for Communicating Science.

Rope with Alda in 2019. All of the interviews for the podcast (except for a followup interview with Fauci) were conducted in person prior to the pandemic.
When this project was brought to him, Alda did not hesitate to get involved. 鈥淚 was glad I was able to bring the experience I have interviewing scientists to it,鈥 he says. 鈥淲e have hours and hours of interviews with about a dozen of the scientists who lived through it.鈥 The project reunited him with Fauci, whom he has interviewed multiple times over the course of the pandemic. (鈥淲e鈥檙e a double act now,鈥 Alda says of himself and 鈥淭ony.鈥)

The podcast took on new significance in the face of what Rope calls the government鈥檚 鈥渂otched response to the pandemic and the fact that we were not investing in and relying on science in the way that we should have been. We're telling the story of what鈥檚 possible when the government does make science and medicine a priority.鈥

While the pandemic didn鈥檛 significantly alter the timetable for the podcast鈥檚 completion, it did affect the process. Rope and Alda collaborated remotely on the scripts, and 鈥淎lan had to build a sound studio in his closet, in his house on Long Island,鈥 Rope recalls.

鈥淲e worked well together right from the start,鈥 Alda says. 鈥淲e each contributed what was comfortable for us to and we both accepted the other's ideas very easily. Kate's a terrific writer.鈥

Prior to her work on Soldiers of Science, Rope published a book titled , which is about taking care of one鈥檚 mental health during pregnancy and early parenthood. She鈥檚 back at work on a follow-up book tentatively titled Strong as a Girl, which addresses how to raise strong daughters. 鈥淚 see it as my quest to support and strengthen women,鈥 Rope says. 鈥淔irst, you start with the moms because if the moms aren't strong, nobody in the family can be strong. And once you get your strong moms, then what are the elements that make for strong girls in our society?

鈥淚t鈥檚 not the biology of girls that makes that a crucial question,鈥 she notes, 鈥渂ut it鈥檚 the expectations and experiences our culture imposes on them that make it necessary for them to have the tools to overcome them.鈥 Rope notes girls experience sexual harassment and assault in numbers exponentially higher than boys, and they also have higher rates of anxiety and depression 鈥渂ecause of the pressures they face in our society.鈥

鈥淭wo of the greatest tools we can help them develop is the ability to experience and move through difficult emotions and the confidence to stand up for themselves.鈥 In fact, Rope recently wrote a widely read for The Washington Post on the powerful example Simone Biles set for girls when she protected her mental and physical health by stepping down from Olympic competition.

With her books, Rope is filling a void in the dialogue on pregnancy and parenting. While carrying her oldest daughter, 鈥淚 had a medically complicated pregnancy and I just felt like a freak anytime I read any of the normal books about what to expect,鈥 she says. 鈥淭hey don't talk to you about what happens if you have to take really serious medication to take care of your own health and balance that against the theoretical risk to a baby. I definitely wanted to open up the conversation around mental health and motherhood and validate whatever someone's challenges are.鈥

Perinatal mood and anxiety disorders (PMADs) are the No. 1 complication of pregnancy and delivery, she adds. 鈥淭hey're more common than gestational diabetes, a condition for which we have a protocol for screening and treatment. PMADs are just as treatable, and we don't have a protocol for screening for and treating them.鈥

She challenges the notion that motherhood should be 鈥渁n easy, blissful transition. Becoming a mom is a seismic shift in your life鈥攐ne of the most significant you'll ever experience. How on earth could we expect it to be easy? Let鈥檚 talk about all the ways in which it's challenging and fortify you to meet those challenges and then support you when you find yourself unable to.鈥

In the broadest sense, Rope says, 鈥淢y mission is to normalize struggle. The Buddha said, 鈥淟ife is suffering.鈥 That is true. We just need to cultivate some peace and compassion around that, and then figure out what we need to weather the slings and arrows.鈥

SA国际传媒 military veterans Why We Served

Half a century after their time in Vietnam, a dozen alumni share their war stories鈥攖he camaraderie, the challenges, and how their SA国际传媒 education readied them for combat

The response to Soldiers of Science has been gratifying since its release late last year. 鈥淚t was a huge honor to be in a recording studio not only with Alan Alda but also with Nobel laureates,鈥 she says. 鈥淭here's just a purity of purpose that they all share鈥攖heir sincerity and their sense of service in what they do. I felt that again and again when I went in the studio with them. They have careers that are entirely focused on improving our lives and they care about patients and they care about the people who end up taking the medicines that they develop. They're just coming at it from this sense of service and compassion.鈥

If Rope could share anything that she鈥檚 written with her grandfather, 鈥淚 guess it would be Soldiers of Science,鈥 she says. 鈥淚n a time when there is so much skepticism about science, the people behind those discoveries are there for the greater good and care deeply about how well they do their work and who their work affects. That was the chance of a lifetime to me鈥攖o be around people who have made that their career.鈥