Robin Cook has a political message, but is not content to let the message come across with anything less than the force of a sledgehammer. He has rammed the same message about managed care down the readers throat one time too often. I found this book was extremely annoying to read, despite the fact that I agree with the message! Dr. Cook does not seem to even try to develop his characters, and the writing is what one would expect from an eighth grader, not a mature author. Don't waste your time reading this one!