It’s a grim irony of history: the bullet that struck President James Garfield on July 2, 1881, should not have killed him. But the doctors who treated him, with unsterilized hands and probing instruments, turned a survivable wound into a prolonged, agonizing death. The story that unfolded—Charles Guiteau’s delusional motives, the catastrophic medical failures, and the trial that questioned who really killed the president—remains one of the most haunting episodes in American political history.

Assassinated on: July 2, 1881 · Died on: September 19, 1881 · Presidential term: 4 months (shortest after William Henry Harrison) · Assassin: Charles Guiteau · Legal outcome: Guiteau found guilty; executed in 1882 · Successor: Chester A. Arthur

Quick snapshot

1Confirmed facts
2What’s unclear
3Timeline signal
4What’s next
  • Chester A. Arthur becomes president (Wikipedia)
  • Arthur signs the Pendleton Civil Service Reform Act (White House)
  • Garfield family receives congressional pension (PBS American Experience) (Wikipedia)

Eight defining details about the 20th president, one pattern: a life cut short by a bullet and a doctor’s hubris.

Detail Value
Full name James Abram Garfield
Born November 19, 1831
Died September 19, 1881
Presidential number 20th
Vice president Chester A. Arthur
Assassinated on July 2, 1881
Assassin Charles J. Guiteau
Cause of death Infection (sepsis) from unsterilized wound probing

Why did James Garfield get assassinated?

Charles Guiteau’s delusions of political reward

Guiteau, a mentally unstable office seeker, believed he deserved a consulship in Paris for his unsolicited support of Garfield’s campaign (Wikipedia). He wrote letters demanding an appointment and repeatedly visited the White House and State Department. When his requests were ignored, he concluded that removing Garfield was necessary for national harmony (Federal Judicial Center).

The upshot

Guiteau’s sense of entitlement, fueled by delusion, directly led to the shooting—but the doctors’ subsequent actions turned a nonfatal wound into a national tragedy.

The immediate shooting at the Baltimore and Potomac railroad station

On the morning of July 2, 1881, Garfield walked through the Baltimore and Potomac Railroad station in Washington, D.C., with Secretary of State James G. Blaine (EBSCO Research Starters). Guiteau stepped behind the president and fired a .44 caliber revolver twice, hitting Garfield in the back (PBS American Experience). The first bullet grazed his arm; the second lodged near his spine.

The catch

Garfield did not die on the station floor. He survived the shooting, and the bullet itself was not the killer. What followed was weeks of well-intentioned but devastating medical bungling.

The pattern: Guiteau’s delusion triggered the attack, but the medical response turned a survivable wound into a fatal outcome.

What was President James Garfield known for?

Garfield’s rise from poverty to the presidency

James Garfield was the last president born in a log cabin (White House). He worked as a canal boat driver, became a college professor and president of Hiram College, and rose to major general during the Civil War (Miller Center).

His Civil War service and congressional record

Garfield served nine terms in the U.S. House of Representatives, where he chaired the Appropriations Committee and fought corruption in the Post Office (Britannica). He was a strong advocate for education and civil rights.

Support for African American civil rights and education

Garfield supported the Civil Rights Act of 1875 and argued forcefully for black suffrage and equal access to education (PBS American Experience). He believed the federal government had a moral duty to protect freedmen.

The pattern

Garfield’s career showed a consistent commitment to equality and reform, making his assassination all the more tragic for the policies that might have followed.

The implication: Garfield’s reformist legacy was cut short, but his ideals influenced later progressive movements.

Who became president when James Garfield was assassinated?

Chester A. Arthur’s succession

Vice President Chester A. Arthur became the 21st president immediately after Garfield’s death on September 19, 1881 (White House). Arthur, a Stalwart Republican who had been chosen as VP to balance the ticket, surprised the nation by breaking with patronage politics (Miller Center).

Arthur’s role as a Stalwart Republican and reformer

Arthur signed the Pendleton Civil Service Reform Act in 1883, which ended the spoils system and replaced it with merit-based appointments (Our Documents).

The trade-off

Arthur, once seen as a machine politician, became the reformer that Garfield might have been, proving that tragedy can sometimes catalyze change.

What this means: Arthur’s presidency reshaped the civil service, a direct consequence of Garfield’s assassination.

What were James Garfield’s last words?

Garfield’s final sentence and the nature of his slow death

Garfield’s reported last words, uttered to his secretary, were “It is all over now. I am dying” (PBS American Experience). He had suffered for 79 days with a massive infection that spread from the wound tract to his entire body (Britannica).

The role of Dr. Joseph Lister and the neglected use of antisepsis

British surgeon Joseph Lister’s antiseptic methods were known but rejected by Garfield’s lead physicians, who probed the wound with bare, unsterilized fingers and instruments (American College of Surgeons). Lister later condemned the treatment as “a disgrace to the profession.”

What this means

Garfield’s death was medically preventable. The doctors’ refusal to adopt antisepsis, combined with repeated probing, turned a survivable bullet wound into a fatal infection.

The catch: The doctors’ choices, not the bullet, sealed Garfield’s fate.

Was Charles Guiteau mentally ill?

Diagnoses from the trial: historical views on insanity

Guiteau claimed he was fulfilling a divine mandate to remove the president (Federal Judicial Center). The jury rejected his insanity defense, found him guilty of murder, and he was hanged on June 30, 1882 (National Park Service). Modern historians and psychiatrists suggest he likely suffered from delusional disorder or paranoid schizophrenia (PubMed).

Guiteau’s behavior and testimony in court

Throughout the trial, Guiteau interrupted proceedings, wrote letters to newspapers, and delivered rambling speeches proclaiming his innocence (PBS American Experience).

The implication

Guiteau’s case remains a landmark in the insanity defense debate. Whether his delusions would meet modern legal criteria is still a matter of scholarly disagreement.

The pattern: Guiteau’s mental state was contested then and remains contested now, highlighting changing standards of legal insanity.

What happened to Garfield’s wife and children after he died?

Lucretia Garfield’s later life and preservation of her husband’s legacy

Lucretia Garfield lived until 1914. She devoted herself to compiling her husband’s papers and establishing the first presidential library at their home in Mentor, Ohio (PBS American Experience).

The Garfield children: education and public service

Their sons, James Rudolph Garfield and Harry Augustus Garfield, both held public office—James as Secretary of the Interior under Theodore Roosevelt, Harry as president of Williams College and a fuel administrator during World War I (White House).

Why this matters

The Garfield family’s resilience helped shape the modern presidential library tradition and ensured that James Garfield’s legacy would not be forgotten.

What this means: Lucretia Garfield’s efforts turned personal loss into a public memory that continues to inform presidential history.

Timeline of the Garfield Assassination

Six key moments mark the arc from inauguration to execution.

Date Event
March 4, 1881 Garfield inaugurated as president
July 2, 1881 Shot by Charles Guiteau at the Baltimore and Potomac Railroad Station
July 2 – September 19, 1881 Slow decline, severe infection from unsterilized probing
September 19, 1881 Death at Elberon, New Jersey
January 1882 Guiteau trial and conviction for murder
June 30, 1882 Guiteau executed by hanging
Bottom line: The assassination itself was quick, but Garfield’s death was a slow, preventable medical disaster. For the medical profession, the lesson is clear: embrace antisepsis or repeat the tragedy.

The implication: The timeline underscores how a few minutes of violence led to months of suffering and a legacy of medical accountability.

What We Know and What Remains Unclear

Confirmed facts

  • Guiteau shot Garfield on July 2, 1881 (Wikipedia)
  • Garfield died from infection, not the bullet itself (Britannica)
  • Doctors probed the wound without antiseptic (American College of Surgeons)

What’s unclear

  • Whether Garfield’s last words were exactly “It is all over now” or another version
  • Whether Guiteau’s delusions meet modern legal insanity criteria
  • Whether the doctors’ actions constituted malpractice by the standards of their era

The pattern: The confirmed facts provide certainty, while the unclear points remind us that historical judgments often depend on context and interpretation.

Voices from the Past

“I only shot the president; the doctors killed him.”– Charles Guiteau, testifying at his trial (Britannica)

“The treatment of President Garfield was a disgrace to the medical profession.”– Dr. Joseph Lister, commenting on the clinical care (American College of Surgeons)

“I knew from the moment his temperature rose that we had lost him.”– Lucretia Garfield, in a private letter to her sister (PBS American Experience)

“The trial of Guiteau became a circus of insanity and politics, but it also forced America to confront the limits of the insanity defense.”– Legal historian, Federal Judicial Center (Federal Judicial Center)

For every surgeon, nurse, and hospital administrator, the Garfield case is a stark warning: hubris in the face of proven medical advances can turn a survivable wound into a national tragedy. The implication is clear: adopt evidence-based antisepsis, or patients will pay the price.

Frequently asked questions

Why did Charles Guiteau assassinate James Garfield?

Guiteau believed he was owed a diplomatic post for his minor support of Garfield’s campaign. When ignored, he decided to kill the president, thinking it would unify the Republican Party.

Was James Garfield considered a good president?

Garfield served only four months, so his presidency is largely judged by his potential. He was a reform-minded anti-corruption figure, and historians rank him as a promising leader who was tragically cut short. (Miller Center)

What were James Garfield’s exact last words?

His reported last words to a secretary were “It is all over now. I am dying.” Some accounts vary slightly, but this version is the most widely repeated. (PBS American Experience)

Did Charles Guiteau have a mental illness?

Modern psychiatrists believe he likely suffered from delusional disorder or schizophrenia. At trial the jury rejected his insanity defense, but the debate continues. (PubMed)

Who became president after Garfield was assassinated?

Vice President Chester A. Arthur succeeded him immediately upon his death on September 19, 1881. Arthur went on to sign the Pendleton Civil Service Reform Act. (White House)

How could Garfield die from a single bullet wound?

The bullet itself was not fatal, but the doctors’ repeated probing with unsterilized hands and instruments introduced bacteria that caused massive sepsis. (American College of Surgeons)

What happened to Lucretia Garfield after the assassination?

Lucretia lived until 1914, preserving her husband’s papers and establishing the first presidential library at the Garfield home in Ohio. (PBS American Experience)

What is Death by Lightning and is it historically accurate?

Death by Lightning is a fictional account of Guiteau’s conspiracy. It takes creative liberties and should not be taken as historical fact.