I read this book at the same time I was reading another medical book, and the plots were very similar, though this book was set decades before the other. Dr. Jud Taylor returns to his hometown to accept a job at a hospital, as he is unlikely to find a job elsewhere after being critically injured while serving as a surgeon in the military. He finds that things have changed in the years he has been away, with a new hospital open nearby, leaving St Luke's to serve only the poor population, many of whom have no insurance and work in the nearby factories, and doing so mainly with FMGs, foreign medical graduates, doctors trained overseas at programs of a lesser quality than provided by American medical schools. Taylor befriended a military chaplain during his time in the service, bonding over their shared hometown, and the chaplain has high hopes that St Luke's can be revitalized and turned into a top-rate medical center for its community, the first step to that being the hiring of Taylor, despite his injury and inability to operate at the moment.
The book has many subplots, all quite intriguing. Young, handsome Taylor finds himself attracted to two women quite early on in the book, one a no-nonsense nurse who runs the St. Luke's ER with an iron fist, the other being the local cotton mill owner's daughter whose broken arm Taylor cared for before he went overseas and shows up again with another broken arm on his first day back. In addition to fixing pretty girls' broken arms, Jud also treats children sickened by their living conditions and factory workers suffering job-related ills. In order to go after the source of these problems though, Taylor risks angering the "old boys' network" that includes ghetto slumlords, the aforementioned cotton mill owner, and even the head of St. Luke's.
The age of the book definitely shows, as I believe it is set during the Vietnam War era, but possibly as far back as the Korean War. Civil rights, occupational safety, and triage are all concepts in their infancy, so I would see this book turning out very differently if it happened today. I didn't particularly care for the ending either, it seemed like Slaughter just wanted to tie everything up, so as to leave open the possibility of a continuation of Dr. Taylor's story but not leave readers hanging if there was no sequel.