The Covid-19 Catastrophe: What’s Gone Wrong and How to Stop It Happening Again is a short polemical book, building on a series of excoriating columns Horton has written in the Lancet over the past few months. He lambasts the management of the virus as “the greatest science policy failure for a generation”, attacks the Scientific Advisory Group for Emergencies (Sage) for becoming “the public relations wing of a government that had failed its people”, calls out the medical Royal Colleges, the Academy of Medical Sciences, the British Medical Association (BMA) and Public Health England (PHE) for not reinforcing the World Health Organization’s public health emergency warning back in February, and damns the UK’s response as “slow, complacent and flat-footed”, revealing a “glaringly unprepared” government and a “broken system of obsequious politico-scientific complicity”.