Review by SMPlaya

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What I most enjoyed about the book was the investigation into the questionable practices that exist within the privatized medical system. Otherson’s professional problems stem from his promotion of a surgery targeted toward the obese that has specific indications for patient candidates and limited positive results. As Otherson begins to ignore the indications, and as more patients begin to experience complications rather than an enhanced life, his practices are called into question by his peers. I was fascinated by the exploration of the culture and hierarchy within the medical board and doctor groups who operate with the goal of upholding patient well-being, while at the same time either protecting or destroying careers. I also thought the downward psychological spiral of Otherson was fascinating and believable, tracking his behavior and emotional state leading to and through the crumbling of his career and marriage.
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