Women have been writing mystery fiction almost from its very beginning in the middle of the nineteenth century, but until the 1970s, hard-boiled American detective fiction was the province of men. But authors such as Marcia Muller, Sara Paretsky, Sue Grafton and Janet Evanovich changed all that. These writers invented tough private investigators who were different from their male counterparts in more than just gender. The stereotypical male private eye is a loner and lonely, a wise-cracking street-talker with a questionable background. The female detectives of Paretsky, Grafton, and others tend to be more connected with friends and family, better educated—for example Paretsky’s detective has a law degree—but also able to take care of themselves.
Sara Paretsky’s detective, V. I. Warshawski, takes on corrupt institutions and corporations in her books, which often involve a murder committed to cover up a white-collar crime. It’s a variation of the stance of the traditional hard-boiled American detective, who set himself—when it was a male-only club—against a corrupt society. In Bitter Medicine, Warshawski goes after a crooked medical establishment.
Warshawski takes sixteen-year-old Consuelo Alvarado Hernandez and her no-good husband Fabiano to a job interview as a favor to Warshawski’s old friend Mrs. Alvarado. Consuelo goes into labor, and at the private Friendship 5 hospital in the Chicago suburb of Schaumberg where Warshawski takes her, first the baby and then Consuelo die, despite the efforts of the Friendship doctor and the perinatal specialist Malcolm Tregiere, an associate of Warshawski’s friend Dr. Charlotte (Lotty) Herschel. Then Tregiere is murdered, and Lotty asks Warshawski to look into the case.
Seemingly unrelated incidents in the book signal a widespread misogyny: Warshawski’s face is slashed by a gangster who is a former client; Lotty’s abortion clinic is attacked and vandalized; Consuelo’s death, a result of negligence, is covered up by doctors and entrepreneurs in the private medical establishment.
Sara Paretsky has lived in Chicago for many years. She began writing the Warshawski books with Indemnity Only, published in 1982. Bitter Medicine is the fourth in the series. She is especially good in recreating Chicago neighborhoods, with their interesting ethnic mixes. The only movie that has been made from Paretsky’s stories is V. I. Warshawski, a 1991 film starring Kathleen Turner as Warshawski. The movie was based on the second book in the series, Deadlock, and was not a commercial success, probably because the filmmakers made a decision to play the story for laughs.