As a social commentary on the modern healthcare system and cost-cutting measures, this is an excellent book. Komesaroff is a practicing physician. He clearly knows the medicine, the culture of the hospital, and the social issues facing healthcare. Dr. Nevski is a well-developed and believable character, and the hospital world is immersive. Where the book falls flat is as a novel. I found the book's ending to be completely ridiculous. This was such an uneven book. The beginning was excellent, but as the plot becomes more bizarre and more mysterious, it devolves. I utterly disliked where the relationship between Abe and Rebecca wound up (lawsuit!), and, as mentioned, the resolution to the mystery is unsatisfying. I think I would enjoy reading some of Komesaroff's non-fiction, as he clearly wants to address the inhumane elements of modern healthcare.
Paul A. Komesaroff, Riding a Crocodile (River Grove Books, 2014).