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However, I suggest that one reads this in conjunction with H.R. McMaster's splendid "Dereliction of Duty" to gain a more balanced perspective on exactly where the Johnson and Kennedy administrations went wrong. One gains the impression that MacNamara still doesn't really understand why his noble intentions met such a sordid end - read McMaster's incisive analysis of the cynical machinations of Johnson, MacNamara, Taylor, et al and it will become clearer.
MacNamara is also disingenuous about the role of the Joint Chiefs of Staff, as his manipulation to remove the JCS from any major forum on the strategy of the war, despite their clear misgivings, makes him clearly culpable. McMaster's judgement on the JCS is also damning, but his analysis and conclusions are more sound, I think.
One of the few retrospective acounts by a major participant which isn't entirely self-serving and worth reading for that alone.
The book is useful in understanding the limited period of Kennedy/Johnson, but McNamara does not provide any deeper analysis of Nixon policies, or explore the historical issues that led up to the 1960s in any depth at all. In that sense, the book is almost as limited as the policy McNamara helped shape. Whether the war was "just" or not, whether the communist threat was real or not, it is mainly incompetence that seems to have shaped our policy -- there was not even a group within the policymaking establishment dedicated to the war full time. These are basic management and leadership issues that suggest mainly that the guys running the show were not so bright after all. I am hoping his second book on this subject, Argument without End, provides a more detailed analysis of the real issues that shaped that period of our history -- it includes discussions between US policymakers and the North Vietnamese.