
What the Eyes Don't See
A Story of Crisis, Resistance, and Hope in an American City
Categories
Nonfiction, Health, Science, History, Memoir, Politics, Audiobook, Medicine, Social Justice, Book Club
Content Type
Book
Binding
Paperback
Year
2019
Publisher
One World
Language
English
ASIN
0399590854
ISBN
0399590854
ISBN13
9780399590856
File Download
PDF | EPUB
What the Eyes Don't See Plot Summary
Introduction
In April 2014, officials in Flint, Michigan gathered for what seemed like a routine municipal ceremony. With cameras flashing, they raised glasses of water in celebration as they switched the city's water supply from Detroit's system to the Flint River—a cost-cutting measure that promised to save the financially struggling city millions. What no one acknowledged that day was that this simple bureaucratic decision would soon become one of America's most devastating environmental disasters, exposing thousands of children to dangerous levels of lead and revealing deep patterns of environmental racism, governmental negligence, and institutional betrayal. The Flint water crisis represents far more than a public health emergency—it offers a profound case study in how race, poverty, and power intersect in modern America. Through the unfolding tragedy, we witness how scientific evidence was dismissed, how residents' complaints were ignored, and how officials at multiple levels of government prioritized financial considerations over human lives. Yet we also see extraordinary examples of resistance: mothers turned activists, doctors turned whistleblowers, and a community that refused to be silenced. This exploration of environmental injustice illuminates critical questions about democracy, accountability, and the value placed on certain American lives, making it essential reading for anyone concerned with public health, environmental justice, or the functioning of our democratic institutions in times of crisis.
Chapter 1: Origins of Environmental Vulnerability in Flint (1950s-2013)
Flint, Michigan was once a thriving industrial city, home to General Motors and a symbol of American manufacturing prowess. From the 1950s through the 1960s, Flint experienced tremendous growth as the automobile industry expanded. Workers flocked to the city seeking employment in the booming factories, with the population reaching its peak of nearly 200,000 in the 1960s. During this period, Flint earned the nickname "Vehicle City" and represented the American dream for many working-class families. However, beneath this prosperity lay the seeds of environmental injustice. As early as the 1950s, Flint's development followed patterns of racial segregation common across America. African American residents were systematically restricted to specific neighborhoods through discriminatory housing practices, redlining, and restrictive covenants. These neighborhoods often received less investment in infrastructure, including water systems. The automotive industry, while providing jobs, also contributed to environmental degradation through industrial waste and pollution that disproportionately affected poor and minority communities. The 1970s and 1980s marked the beginning of Flint's economic decline as General Motors began closing plants and moving operations elsewhere. Between 1978 and 2010, GM eliminated nearly 80,000 jobs in the area. This massive employment loss triggered a cascade of problems: population decline, a shrinking tax base, abandoned properties, and increasing poverty. By 2013, Flint's population had fallen to less than half its peak, with over 40% of residents living below the poverty line and nearly 60% of the population African American. The economic collapse led to a fiscal crisis for the city government. In 2011, Michigan Governor Rick Snyder appointed an Emergency Manager to take control of Flint's finances, effectively removing power from the elected officials. This controversial law allowed the state to suspend local democracy in financially distressed cities, which disproportionately affected majority-Black communities. The Emergency Manager's mandate was clear: cut costs and balance the budget by any means necessary, with little regard for the long-term consequences to residents. By 2013, Flint's water infrastructure was aging and in disrepair, like much of the city's neglected systems. For decades, Flint had purchased its water from Detroit, which drew from Lake Huron, one of the cleanest Great Lakes. However, as part of cost-cutting measures, state-appointed emergency managers began exploring cheaper alternatives to the Detroit water system. The stage was set for a catastrophic decision that would expose the deep-rooted environmental racism that had long plagued the city and reveal how economic considerations consistently trumped the health and safety of vulnerable communities.
Chapter 2: The Fatal Decision: Switching Water Sources (2014)
On April 25, 2014, Flint officials held a ceremonial event where they shut off the valve to Detroit's water system and began drawing water from the Flint River. Mayor Dayne Walling pressed the button that would change the city's water source, declaring it "a historic moment for the city of Flint." Officials raised glasses in a toast to the new water source, smiling for cameras as they drank from them. This decision, portrayed as a money-saving measure during a financial crisis, was initially expected to be temporary until a new regional water authority pipeline from Lake Huron could be completed. The switch was made with minimal preparation and insufficient understanding of the challenges involved. The Flint River had a history of industrial pollution from the city's manufacturing past. More critically, the river water had different chemical properties than Lake Huron water, being more corrosive due to higher chloride levels. Despite these known differences, the Michigan Department of Environmental Quality (MDEQ) did not require Flint to implement corrosion control treatment—a crucial step that would have cost approximately $80 per day and could have prevented the ensuing disaster. Within weeks of the switch, residents began complaining about the water's appearance, smell, and taste. The water coming from their taps was often brown, yellow, or reddish in color. It smelled foul and caused rashes, hair loss, and other health problems when used for bathing. LeeAnne Walters, a Flint resident and mother of four, became one of the first to raise serious concerns when her family began experiencing health issues. Her children developed rashes after bathing, and her son was diagnosed with lead poisoning. When she had her water tested, it showed lead levels of 104 parts per billion (ppb)—nearly seven times the federal action level of 15 ppb. Despite mounting complaints, city and state officials repeatedly dismissed residents' concerns. Brad Wurfel, spokesperson for the MDEQ, insisted the water was safe, stating, "Anyone who is concerned about lead in the drinking water in Flint can relax." When bacteria were detected in the water, the city increased chlorine levels, which made the water even more corrosive. After E. coli was found, the city issued boil water advisories but continued to claim the water was safe for general use. When residents attended city council meetings with bottles of discolored water, they were treated dismissively. The situation reached a critical point in October 2014 when General Motors announced it would stop using Flint River water at its engine plant because it was corroding metal parts. This revelation should have triggered immediate action—if water was corroding engine parts, what was it doing to the city's aging lead pipes and to residents' bodies? Yet officials continued to downplay concerns. Meanwhile, state employees working in Flint were quietly provided with bottled water for their offices, even as public statements insisted the tap water was safe for residents. The decision to switch water sources without proper treatment revealed a profound disregard for public health and safety, particularly for a vulnerable population already struggling with poverty and disinvestment. It demonstrated how economic considerations consistently trumped human welfare when decisions affected marginalized communities. As Dr. Mona Hanna-Attisha later observed, "If you were going to put something in a population to keep people down for generations to come, it would be lead."
Chapter 3: Silent Poisoning: Lead Contamination and Cover-ups (2014-2015)
The true horror of Flint's water crisis lay in what couldn't be seen. While residents could observe discolored water, the colorless, odorless lead leaching from pipes presented an invisible threat. The Flint River's more corrosive water, left untreated with anti-corrosion chemicals, was eating away at the protective scale inside the city's aging lead service lines. This process released lead particles directly into the drinking water flowing into homes, schools, and businesses throughout the city. Lead is a potent neurotoxin that affects nearly every system in the body. Children are particularly vulnerable because their developing brains and bodies absorb more lead than adults do. Even low levels of exposure can cause permanent IQ loss, behavioral problems, hearing impairment, and reduced growth. There is no safe level of lead in the human body. For infants consuming formula mixed with contaminated tap water, the exposure was especially severe, as water comprised the majority of their diet during crucial developmental stages. By early 2015, evidence of the lead contamination was mounting, yet a coordinated effort to conceal the problem was underway. In February, EPA water expert Miguel Del Toral identified potential lead contamination issues after reviewing Flint's water test results. When LeeAnne Walters' home water tested at hazardous waste levels of lead (13,000 ppb), Del Toral wrote an internal memo warning of widespread lead contamination. However, when this memo was leaked, MDEQ officials dismissed Del Toral as a "rogue employee," and the EPA Region 5 administrator Susan Hedman downplayed his findings. More disturbing was the manipulation of water testing procedures to hide the problem. MDEQ officials instructed Flint utilities to pre-flush pipes before collecting samples, use small-necked bottles that couldn't capture larger lead particles, and remove high lead samples from their reports. When high lead levels were detected in Flint schools in 2015, the results were not immediately disclosed to the public. Internal emails later revealed that state health department officials had identified an increase in blood lead levels in Flint children as early as July 2015 but chose to dismiss it as a "seasonal anomaly." Meanwhile, a deadly outbreak of Legionnaires' disease—a severe form of pneumonia caused by bacteria that can grow in water systems—was sweeping through Flint. Between 2014 and 2015, at least 87 people contracted the disease and 12 died. County health officials suspected a connection to the water switch, but this information was not shared with the public until January 2016. Later investigations revealed that high-ranking officials in the governor's office knew about the outbreak nearly a year before it was publicly disclosed. The cover-up extended to the highest levels of state government. When confronted with evidence of lead contamination, state officials repeatedly denied problems existed. They attacked the credibility of outside experts and concerned citizens alike. In one particularly callous email exchange, an MDHHS manager dismissed the growing crisis as "being driven by a little science and a lot of politics." This systematic denial of evidence allowed the poisoning to continue for months longer than it should have, exposing thousands more children to toxic water.
Chapter 4: Scientific Resistance: Data, Proof, and Public Advocacy
By summer 2015, the crisis had reached a critical juncture. While residents continued to report health problems and officials maintained their denials, two key figures emerged whose scientific expertise and moral courage would finally expose the truth: Virginia Tech professor Marc Edwards and Hurley Medical Center pediatrician Dr. Mona Hanna-Attisha. Their parallel investigations would provide irrefutable evidence of lead contamination and its impact on Flint's children. Edwards, an environmental engineer who had previously exposed lead contamination in Washington, D.C.'s water system, was contacted by LeeAnne Walters after her concerns were repeatedly dismissed by officials. In April 2015, Edwards tested water samples from Walters' home and found lead levels nearly 900 times the EPA limit for drinking water. Shocked by these results and the official response, Edwards assembled a team of researchers and launched an independent investigation. By August 2015, they had distributed 300 testing kits to Flint residents and analyzed the results, finding dangerous levels of lead throughout the city's water system. On September 15, 2015, Edwards publicly released his findings, showing that Flint's water was 19 times more corrosive than Detroit's water. He declared the water unsafe for drinking or cooking. State officials immediately attacked Edwards' credibility, with MDEQ spokesperson Brad Wurfel claiming he was "fanning political flames irresponsibly" and that his team was an "unscientific, incompetent entity." Despite this pushback, Edwards' methodical research provided crucial scientific validation of residents' concerns. Meanwhile, Dr. Hanna-Attisha, director of Hurley Medical Center's pediatric residency program, learned about the potential lead issue from a friend who had formerly worked at the EPA. Alarmed by the implications for children's health, she began investigating whether blood lead levels in Flint children had increased since the water switch. Working with epidemiologist Jenny LaChance, she analyzed blood test results from nearly 1,750 Flint children before and after the water source change. The results were devastating: the percentage of children with elevated blood lead levels had nearly doubled citywide after the water switch. In the hardest-hit neighborhoods, the rate had nearly tripled. On September 24, 2015, Dr. Hanna-Attisha held a press conference to announce her findings, dramatically holding up a baby bottle filled with Flint water to illustrate what infants were consuming. "This is what our babies are drinking," she said, "lead-tainted water during the period of most critical brain development." State officials immediately launched a campaign to discredit Dr. Hanna-Attisha's research. They claimed her data had been "spliced and diced" and called her conclusions "unfortunate." The MDHHS insisted their own data showed no significant change in blood lead levels. However, when independent journalists analyzed the state's own data, they found it actually confirmed Dr. Hanna-Attisha's findings rather than contradicting them. The scientific evidence provided by Edwards and Dr. Hanna-Attisha, combined with relentless advocacy from Flint residents, finally forced officials to acknowledge the crisis. On October 1, 2015, Genesee County declared a public health emergency. The following day, Governor Snyder's administration admitted that Flint's water contained dangerous levels of lead. On October 16, Flint reconnected to Detroit's water system—a move that officials had previously claimed was impossible.
Chapter 5: Community Mobilization Against Institutional Betrayal
Long before scientific evidence confirmed lead contamination, Flint residents were organizing to challenge official narratives about their water. Their grassroots resistance exemplified a community refusing to be silenced despite facing powerful institutional opposition. This mobilization would become a model for environmental justice movements nationwide. The community's concerns began immediately after the April 2014 water switch. Residents reported brown, foul-smelling water that caused rashes and hair loss. When official channels failed to address their complaints, they began organizing. Mothers like LeeAnne Walters and Melissa Mays transformed from concerned parents into full-time activists. Walters meticulously documented her family's symptoms, collected water samples, and eventually connected with EPA expert Miguel Del Toral and Virginia Tech professor Marc Edwards. Mays founded Water You Fighting For, a grassroots organization that coordinated protests and information sharing. Faith leaders played a crucial role in the community response. Pastor Allen Overton and other members of the Concerned Pastors for Social Action used their pulpits and community standing to amplify residents' voices. They organized water distribution efforts, hosted community meetings, and eventually became plaintiffs in lawsuits against the city and state. Churches became centers for water distribution and community organizing, providing both practical assistance and moral authority to the growing movement. The ACLU of Michigan and investigative journalist Curt Guyette provided critical support by documenting the crisis when mainstream media attention was minimal. Guyette's reporting on the leaked EPA memo in July 2015 was one of the first major breaks in the case. The NAACP became involved, framing the crisis as a civil rights issue and filing a class-action lawsuit on behalf of residents. These organizations helped connect Flint's struggle to broader patterns of environmental racism and civil rights violations. What made Flint's community mobilization particularly powerful was its embrace of "citizen science." Residents didn't just protest—they gathered evidence. They collected water samples, documented health symptoms, and partnered with scientists like Edwards to generate data that officials couldn't ignore. This approach challenged the traditional power dynamic where government agencies control access to environmental information. As Edwards noted, "Flint residents were the real heroes... they refused to accept what they were being told when every instinct told them something was wrong." The community's persistence created the foundation that made Dr. Hanna-Attisha's scientific advocacy possible. When she went public with her research in September 2015, she was joining an existing movement rather than starting one. The combination of community activism, scientific evidence, and strategic media engagement finally forced officials to acknowledge the crisis. Within days of Dr. Hanna-Attisha's press conference, Genesee County declared a public health emergency, and within weeks, Flint reconnected to Detroit water. Even after the water source was switched back, community mobilization continued. Residents demanded accountability, resources for health interventions, and infrastructure replacement. They testified before Congress, spoke at the United Nations, and kept national attention focused on Flint long after the news cycle had moved on. As one activist put it, "We didn't choose this fight, but we're not backing down from it either." Their sustained advocacy secured hundreds of millions of dollars in state and federal aid and pushed for criminal investigations of officials responsible for the crisis.
Chapter 6: Accountability and Justice: Legal and Political Battles
The acknowledgment of the water crisis in October 2015 marked the beginning, not the end, of Flint's struggle for justice. Residents who had been poisoned now faced the daunting challenge of holding officials accountable while securing the resources needed for recovery. Their fight would unfold across multiple fronts: in courtrooms, legislative chambers, media outlets, and the streets of Flint itself. In January 2016, Michigan Attorney General Bill Schuette appointed special prosecutor Todd Flood to investigate whether any laws had been broken during the crisis. Over the next two years, 15 state and local officials would face criminal charges related to the crisis. These included involuntary manslaughter charges against Michigan Health Director Nick Lyon and other high-ranking officials for their role in the Legionnaires' disease outbreak that killed at least 12 people. Former emergency managers Darnell Earley and Gerald Ambrose were charged with multiple felonies for their roles in the water switch decision. Simultaneously, residents filed dozens of civil lawsuits seeking compensation for health damages, property value losses, and constitutional violations. These included class-action suits against engineering firms that advised the city, against the EPA for its delayed response, and against state officials including Governor Snyder. In March 2017, a federal judge approved a $97 million settlement requiring the state to replace all of Flint's lead service lines. In August 2020, the state of Michigan announced a preliminary $600 million settlement for Flint residents, with the majority of funds directed to children who suffered lead poisoning. Congressional hearings brought national attention to the crisis. In March 2016, Governor Snyder and EPA Administrator Gina McCarthy testified before the House Oversight Committee. Representatives from both parties expressed outrage, with Republican Chairman Jason Chaffetz telling Snyder, "This is not something you can run from." The hearings revealed the extent of institutional failure at all levels of government and highlighted the need for systemic reform of environmental regulations. A task force appointed by Governor Snyder released a scathing report in March 2016, placing primary blame on the MDEQ but also criticizing the governor's office, the emergency managers, and the health department. The report explicitly acknowledged the role of environmental racism, stating: "Flint residents, who are majority Black or African American and among the most impoverished of any metropolitan area in the United States, did not enjoy the same degree of protection from environmental and health hazards as that provided to other communities." The crisis prompted some meaningful policy changes. The Michigan Legislature appropriated over $300 million for Flint recovery efforts. In 2016, Congress passed the Water Infrastructure Improvements for the Nation Act, which included provisions requiring the EPA to notify the public when lead contamination is discovered. Michigan adopted the strictest lead and copper rule in the nation, lowering the action level for lead in water and mandating the replacement of all lead service lines within 20 years. However, the pursuit of justice faced significant obstacles. In 2018, a new attorney general, Dana Nessel, took office and dismissed all pending criminal charges, citing concerns about the investigation's handling. While she appointed a new team that eventually brought charges against nine officials, including Governor Snyder, many residents viewed this restart as a setback in their quest for accountability. The COVID-19 pandemic further delayed court proceedings, and many civil cases remained unresolved years after the crisis began. Throughout this period, Flint residents continued to demand justice beyond legal remedies. They called for structural reforms addressing the root causes of the crisis: environmental racism, democratic disenfranchisement, and regulatory failure. As activist Melissa Mays stated, "We don't just want money. We want change. We want to make sure this never happens to another community."
Chapter 7: Lasting Legacy: Health Impacts and Environmental Justice Movement
The water in Flint may eventually be restored to safety, but the impact of the crisis will reverberate through generations. The most profound and enduring consequences are those affecting the estimated 8,000-9,000 children under age six who were exposed to lead during the 18-month period when the city used untreated Flint River water. These children face potential lifelong health and developmental challenges that no settlement or policy change can fully remedy. Lead exposure is particularly devastating because its effects are permanent and wide-ranging. Even low levels can reduce IQ, impair cognitive function, increase behavioral problems, and affect nearly every system in the body. Research has linked childhood lead exposure to reduced academic achievement, increased likelihood of ADHD, higher rates of juvenile delinquency, and even increased adult criminality. As Dr. Hanna-Attisha explained, "If you were going to put something in a population to keep people down for generations to come, it would be lead." Beyond lead, Flint residents face other health consequences from the contaminated water. Many developed skin rashes, hair loss, and respiratory problems. The Legionnaires' disease outbreak claimed at least 12 lives. Perhaps most devastating is the psychological trauma inflicted on the community. Residents must live with the knowledge that their government not only failed to protect them but actively deceived them about the safety of their water. Parents carry the guilt of having unknowingly given their children poisoned water, while children grow up understanding that their futures were compromised before they had a chance to determine their own paths. In response to these challenges, a coalition of medical professionals, academics, government agencies, and community organizations developed a comprehensive recovery framework focused on mitigating the impact of lead exposure. The Flint Child Health and Development Fund was established to provide long-term support for affected children. Programs include expanded access to early childhood education, healthcare services, nutrition assistance, and developmental assessments. The Pediatric Public Health Initiative, founded by Dr. Hanna-Attisha, coordinates efforts to monitor health outcomes and deliver interventions. These programs represent a science-based approach to building resilience in children exposed to lead and other toxic stresses. Research on brain development suggests that while lead exposure cannot be reversed, its impacts can be mitigated through nutrition, education, healthcare, and supportive environments. As Dr. Hanna-Attisha noted, "The treatment for lead is not a pill or chelation therapy. The treatment is prevention, and the treatment is education, nutrition, and health services." The Flint water crisis also sparked a national awakening about infrastructure and environmental justice. Communities across America began testing their water and discovering their own lead problems. Newark, Pittsburgh, Chicago, and dozens of other cities found concerning levels of lead in their drinking water. The crisis exposed the dangerous consequences of America's aging water infrastructure and the inadequacy of existing regulations like the Lead and Copper Rule, which had failed to protect Flint residents. Perhaps the most powerful legacy of the crisis is the transformation of Flint residents from victims to advocates. The "water warriors" who fought for recognition of the problem have become leaders in a broader movement for environmental justice. Young people from Flint have testified before Congress, spoken at the United Nations, and inspired activism around the world. As one teenage activist from Flint said, "We didn't choose this fight, but we're not backing down from it either." The story of Flint is not simply one of governmental failure and environmental injustice—though it is certainly that. It is also a testament to the power of scientific truth, community resilience, and collective action in the face of systemic oppression. The crisis revealed the worst aspects of American governance: racism, corruption, and callous disregard for human life. But it also revealed the best of American society: the courage of whistleblowers, the dedication of scientists and doctors, and the unbreakable spirit of a community fighting for its children's future.
Summary
The Flint water crisis represents a perfect storm of environmental racism, governmental failure, and democratic disenfranchisement. At its core, this tragedy reveals how structural racism and economic austerity combined to create conditions where the health of a predominantly Black, low-income community was sacrificed for financial expediency. The crisis unfolded through a series of deliberate decisions: the implementation of emergency management that removed local democratic control, the choice to switch water sources without proper treatment, and the systematic denial and cover-up when problems emerged. Each step exposed how institutions designed to protect public health instead protected themselves and their political masters at the expense of vulnerable citizens. The lessons from Flint extend far beyond Michigan's borders. First, environmental justice must be central to infrastructure decisions, not an afterthought. Communities must have meaningful participation in decisions affecting their health and environment. Second, scientific expertise must be respected, especially when it challenges political narratives. The crisis might have been contained months earlier if officials had heeded warnings from experts like Miguel Del Toral and Marc Edwards instead of attacking them. Third, true accountability requires structural change, not just individual consequences. While criminal charges against officials were important, addressing the underlying systems that enabled the crisis—from environmental racism to democratic disenfranchisement—remains the more difficult but essential task. Finally, the Flint crisis demonstrates that resilience emerges from truth-telling and community solidarity. When government failed them, Flint residents, scientists, and doctors united to expose the truth and fight for justice, creating a model of citizen-led resistance that continues to inspire environmental justice movements worldwide.
Best Quote
“Challenging injustice means standing up for the weak, the vulnerable, the abused, and the forgotten—be it in health, employment, education, or the environment. It means being vigilant on behalf of people who are treated as pariahs and scapegoats, populations that are dehumanized, displaced, and treated as disposable. It means fighting oppression at every opportunity—no matter the place or country.” ― Mona Hanna-Attisha, What the Eyes Don't See: A Story of Crisis, Resistance, and Hope in an American City
Review Summary
Strengths: The book is praised for its brilliant handling of the water crisis narrative, with Dr. Hanna-Attisha effectively sharing credit and providing clear explanations of the investigative process. The author’s insights into the racial injustices in Flint are also highlighted as a strong point.\nWeaknesses: The review criticizes the book for its uneven pacing, with significant portions dedicated to the author’s family history, which are deemed irrelevant to the main story. It also notes that the narrative occasionally becomes preachy and repetitive, detracting from the central focus on the water crisis.\nOverall Sentiment: Mixed\nKey Takeaway: While the book offers a compelling account of the Flint water crisis and effectively addresses racial injustices, its impact is diminished by digressions and pacing issues, though it remains a recommended read for those interested in public health and related fields.
Trending Books
Download PDF & EPUB
To save this Black List summary for later, download the free PDF and EPUB. You can print it out, or read offline at your convenience.

What the Eyes Don't See
By Mona Hanna-Attisha