I will start this review by saying that I really wanted to enjoy this book. Robin Cook was one of my favorite authors when I was a teen, and I found the idea behind this book intriguing.
The idea had so much promise.
Unfortunately, the execution is awful. I've considered the fact that my standards are a good deal higher now. However, I suspect that one of three things has happened here 1) Cook is resting on his laurels and seriously phoning it in, 2) The publishers have hired the cheapest ghostwriter they could find to get this published, or 3) The books I read back in the 90s were not nearly as good as I recalled.
First, the third person omniscient narrator makes the book unbearable to read. Who's the main character? Everyone. It is clearly everyone because we are made privy to everyone's internal thoughts. Even if we weren't, every single character in this book takes the opportunity to provide clear, spoken exposition of every thought s/he has--repeatedly. The dialogue is stilted, terribly written, and unrealistic. Details are told rather than shown in a way that would have gotten every chapter cut to ribbons in any reasonably literate undergraduate writing workshop. Also, I hate every single character. The only likeable person dies at the beginning of the first chapter. Everyone else in the book serves as a flat, wooden vehicle to nudge the protagonist along what I suppose passes for a plot.
The protagonist is so self-involved that he starts to think he's a harbinger of death for everyone he cares about. You know, instead of maybe questioning why a patient dies for no apparent reason right in the hospital itself.
There's no emotion I can identify with from any character. And every time iDoc comes up, it's accompanied by the same exhaustive monologue about how wonderful and revolutionary it is. The characters' voices all blend together into a robotic monotone of being surprised over plot twists the reader knows about before they even happen. Why does the reader know this? Because the book constantly pulls you off onto the sidelines where things are explained in exhausting detail. Oh, and let us not forget the liberal inclusion of cliches around every corner. I'd say you could play a fun drinking game where you take a shot each time you spot a cliche... but alcohol poisoning probably isn't all that fun.
Then we throw in a little bit of "hacking" (and why for the love of god didn't the author bother to consult someone who actually knows something about it?) to find "evidence" of wrongdoing. Add in a nebulous government body interested in how the computer has 'learned' to kill problematic patients because they want to cut healthcare costs. Round it out with a private corporation that apparently employs ex black-ops for its routine security...
Oh, there's also a main character everyone describes as brilliant and observant, who can pick out subtle shadows on MRIs but can't see an obvious conclusion sitting on the end of his nose. The author goes to great lengths to reinforce how smart and observant the protagonist is, detailing the reasoning behind every decision he makes in the book. I could go on, but the point of this review was to hopefully save others time they would have spent reading this book.
So there you go. What could have been a great idea, murdered by horrible writing.