Having worked in the pharmaceutical contract research industry, I have observed that for the most part the author's fundamental complaints about the pharmaceutical industry are correct. The public desperately needs to know about how the industry has gotten out of control. Its greed is now a major drain on the health and wealth of the world, but most particularly that of the United States. This book is an excoriating expose of the industry.
For at least my taste, this book would have been much better if it were not so much a one-sided rant. The invention, development, and marketing of pharmaceuticals is complex and requires trade-offs. The author tends towards going over the top about about the sins of the drug companies and sees only what's bad. There's lots of sin to write about. But there's not a hint of balance to the author's work. A more reasonable presentation, with a little more perspective on why the drug companies see things as they do and act as they do, would have made the author's arguments more compelling and her book more interesting.
The author's tone is exacerbated by the reader's tone, which is chronically scolding. It's not pleasant to listen to hours of scolding. Further marring the performance is that reader mispronounces several key names that are important to the story and are repeated many times, such as the name of Senator Birch Bayh.
The author's fundamental points are critically important and should be widely known. For just that fact this book is worth reading. But the message will probably not become more widely known until it is delivered by a better author.
This book desperately needs editing down. Far too many words for too little content.
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