Black Jack practices a different kind of medicine than the earnest physicians on Grey’s Anatomy or ER, taking cases that push the boundary between science and science fiction. In the first two volumes of Black Jack alone, the good doctor tests his surgical mettle by:
- Performing a brain transplant
- Separating conjoined twins
- Operating on a killer whale
- Operating blind
- Operating on a man who’s been hit by a bullet train
- Operating on twelve patients at once… without being sued for medical malpractice.
Osamu Tezuka’s own medical training is evident in the detailed drawings of muscle tissue, livers, hearts, and brains. Yet these images are beautifully integrated into his broad, cartoonish vocabulary, making the surgical scenes pulse with life. These procedures get an additional jolt of energy from the way Tezuka stages them; he brings the same theatricality to the operating room that John Woo does to shoot-outs and hostage crises, with crazy camera angles and unexpected complications that demand split-second decision-making from the hero.
At the same time, however, a more adult sensibility tempers the bravado displays of surgical acumen. Black Jack’s medical interventions cure his patients but seldom yield happy endings. In “The Face Sore,” for example, a man seeks treatment for a condition that contorts his face into a grotesque mask of boils. Jack eventually restores the man’s appearance, only to realize that the organism causing the deformation had a symbiotic relationship with its host; once removed, the host proves even more hideous than his initial appearance suggested. “The Painting Is Dead!” offers a similarly bitter twist, as Jack prolongs a dying artist’s life by transplanting his brain into a healthy man’s body. The artist longs to paint one final work — hence the request for a transplant — but finds himself incapable of realizing his vision until radiation sickness begins corrupting his new body just as it did his old one. Jack may profess to be indifferent to both patients’ suffering, insisting he’s only in it for the money, but that bluster conceals a painful truth: Jack knows all too well that he can’t heal the heart or mind.
The only thing that dampened my enthusiasm for Black Jack was the outdated sexual politics. In “Confluence,” for example, a beautiful young medical student is diagnosed with uterine cancer. Tezuka diagrams her reproductive tract, explaining each organ’s function and describing what will happen to this luckless gal if they’re removed:
As you know, the uterus and ovaries secrete crucial hormones that define a woman’s sex. To have them removed is to quit being a woman. You won’t be able to bear children, of course, and you’ll become unfeminine.
Too bad Tezuka never practiced gynecology; he might have gotten an earful (and a black eye or two) from some of his “unfeminine” patients.
I also found the dynamic between Jack and his sidekick Pinoko, a short, slightly deformed child-woman, similarly troubling. Though Pinoko has the will and libido of an adult, she behaves like a toddler, pouting, wetting herself, running away, and lisping in a babyish voice. She’s mean-spirited and possessive, behaving like a jealous lover whenever Jack mentions other women, even those who are clearly seeking his medical services. These scenes are played for laughs, but have a creepy undercurrent; it’s hard to know if Pinoko is supposed to be a caricature of a housewife or just a vaguely incestuous flourish in an already over-the-top story. Thankfully, these Pygmalion-and-Galatea moments are few and far between, making it easy to bypass them altogether. Don’t skip the story in which Jack first creates Pinoko from a teratoid cystoma, however; it’s actually quite moving, and at odds with the grotesque domestic comedy that follows.
If you’ve never read anything by Tezuka, Black Jack is a great place to begin exploring his work. Tezuka is at his most efficient in this series, distilling novel-length dramas into gripping twenty-page stories. Though Tezuka is often criticized for being too “cartoonish,” his flare for caricature is essential to Black Jack; Tezuka conveys volumes about a character’s past or temperament in a few broad strokes: a low-slung jaw, a furrowed brow, a big belly. That visual economy helps him achieve the right balance between medical shop-talk and kitchen-sink drama without getting bogged down in expository dialogue. The result is a taut, entertaining collection of stories that offer the same mixture of pathos and medical mystery as a typical episode of House, minus the snark and commercials. Highly recommended.
This is a synthesis of two reviews that originally appeared at PopCultureShock on 10/26/2008 and 11/4/08. I’ve also reviewed volumes five and eleven here at The Manga Critic.
BLACK JACK, VOLS. 1-2 • BY OSAMU TEZUKA • VERTICAL, INC.


























When I was fifteen and in the throes of my mope-rock obsession, I fantasized a lot about England, home to my favorite bands. I imagined London, in particular, to be a place where everyone appreciated the sartorial genius of Mary Quant, fashionable ladies accessorized every outfit with a pair of shit kickers, regular moviegoers recognized Eat the Rich as brilliant satire, and — most important of all — teenage boys appreciated girls with dry, sarcastic wits and gloomy taste in music. You can guess my disappointment when I finally visited England for the first time; not only was London dirty, expensive, and filled with tweedy-looking people who found my taste in clothing odd, many of the teenagers I met were fascinated by American pop culture, pumping me and my companions for information about — quelle horror! — LL Cool J. I could have died. Though I’ve gone through similar phases since then — Russophilia, Woody Allenomania — I’ve never been able to abandon myself to those passions in quite the same way, knowing somewhere in the back of my mind that all Muscovites weren’t soulful admirers of Shostakovich and that most book editors didn’t live in pre-war sixes on the Upper East Side.
Come for the cat, stay for the cartooning — that’s how I’d summarize the appeal of Chi’s Sweet Home, a deceptively simple story about a family that adopts a wayward kitten. Chi certainly works as an all-ages comic, as the clean, simple layouts do a good job of telling the story, even without the addition of dialogue or voice-overs. But Chi is more than just cute kitty antics; it’s a thoughtful reflection on the joys and difficulties of pet ownership, one that invites readers of all ages to see the world through their cat or dog’s eyes and imagine how an animal adapts to life among humans.
Ah, Keiko Takemiya, how I love your sci-fi extravaganzas! The psychic twins. The giant spiderbots. The evil, omniscient computers. The sand dragons. The fantastic hairdos. Just think how much more entertaining The Matrix might have been if you’d been at the helm instead of the dour, self-indulgent Wachowski Brothers! But wait… you did create your very own version of The Matrix: Andromeda Stories. Your version may not be as slickly presented as the Wachowski Brothers’, but you and collaborator Ryu Mitsuse engage the mind and heart with your tragic tale of doomed love, lost siblings, and machines so insidious that they’ll remake anything in their image—including the fish.
To Terra unfolds in a distant future characterized by environmental devastation. To salvage their dying planet, humans have evacuated Terra (Earth) and, with the aid of a supercomputer named Mother, formed a new government to restore Terra and its people to health. The most striking feature of this era of Superior Domination (S.D.) is the segregation of children from adults. Born in laboratories, raised by foster parents on Ataraxia, a planet far from Terra, children are groomed from infancy to become model citizens. At the age of 14, Mother subjects each child to a grueling battery of psychological tests euphemistically called Maturity Checks. Those who pass are sorted by intelligence, then dispatched to various corners of the galaxy for further training; those who fail are removed from society.
In the mid-1960s, pioneering female artist Yoshiko Nishitani began writing stories aimed at a slightly older audience. Nishitani’s Mary Lou, which made its debut in Weekly Margaret in 1965, was one of the very first shojo manga to document the romantic longings of a teenage girl. (As Thorn notes in 
Asumi Kamogawa is a small girl with a big dream: to be an astronaut on Japan’s first manned space flight. Though she passes the entrance exam for Tokyo Space School, she faces several additional hurdles to realizing her goal, from her child-like stature — she’s thirteen going on eight — to her family’s precarious financial position. Then, too, Asumi is haunted by memories of a terrible fire that consumed her hometown and killed her mother, a fire caused by a failed rocket launch. Yet for all the pain in her young life, Asumi proves resilient, a gentle girl who perseveres in difficult situations, offers friendship in lieu of judgment, and demonstrates a preternatural awareness of life’s fragility.
“When he heard his cry for help, it wasn’t human” — so went the tagline for Ken Russell’s Altered States (1980), a bizarre fever-dream of Nietzchean philosophy, horror, and mystical hoo-ha in which a scientist’s experiments result in his spontaneous devolution. That same tagline would work equally well for Osamu Tezuka’s Ode to Kirihito (1970-71), a globe-trotting medical mystery about a doctor who takes a similar step down the evolutionary ladder from man to beast. In less capable hands, Kirihito would be pure, B-movie camp with delusions of grandeur — as Altered States is — but Tezuka synthesizes these disparate elements into a gripping story that explores meaty themes: the porous boundaries between man and animal, sanity and insanity, godliness and godlessness; the arrogance of scientists; and the corruption of the Japanese medical establishment.
Invoke Tezuka’s name, and most readers immediately think of Astro Boy, Buddha, and Princess Knight. But there’s a darker side to Tezuka’s oeuvre that dates back to 1953, the year in which he brought Dostoevsky’s tormented Raskolnikov to life in a manga-fied version of Crime and Punishment. It’s this side of Tezuka — the side that acknowledges the human capacity for violence, greed, and deception — that’s on display in MW, a twisty thriller about a sociopath and the priest who loves him.