This is a fictionalized accounting of the current crisis in health care. Years of lobbying have not produced any results, and I applaud Adrian Phiips, MD for turning to an artistic media to get the message through. This is a real page turner as well as an incisive and well informed commentary on the problems of third party payers and particularly HMOs. The characters are real and sympathetic and the chase through the islands dramatic. I would recommend this to anyone who would wish to gain a deeper understanding of our current crisis.