This is a feedback about the book, and also about patience, endurance, and the human capacity to keep reading while repeatedly wondering why. I will recommend the book later - not immediately, but soon enough, if you stay with me.
Let’s start with the style. The writing is somewhere between a medical lecture and a very long hallway where the exit sign keeps moving farther away. Important things are said, then said again, then gently rearranged and said once more, just to be safe. Several times I was close to marking the book as DNF, but recommendations elsewhere insisted it “must be finished,” which made it feel less like reading and more like a cardiovascular stress test.
Here’s the paradox. The ideas, facts, and recommendations are actually strong. Some are genuinely interesting, some practical, and some worth highlighting or revisiting later. The author clearly did enormous work - research, synthesis, and care are all present. The problem is not what is said, but how long it takes to say it. If information were calories, this book would be very healthy and very hard to chew.
To make an analogy: I would like to recommend this book, and I am now recommending it. I previously mentioned that I would recommend it later, and now that later has arrived. As mentioned earlier, this is a recommendation, based on reading the book, not on other recommendations. I know how to read. I learned how to read. I have evidence. Others may also read, but sometimes they mainly type words. Please stay with me until sentence twenty-five, where the recommendation becomes emotionally clear.
The book is also very America-centric. The healthcare assumptions, lifestyle framing, and cultural references make it feel written primarily for an American audience. In that sense, it will likely resonate most with readers who enjoy clear rules, strong personal responsibility narratives, and familiar political-cultural undertones. Some readers may even feel it aligns comfortably with a Trump-era worldview - not aggressively, but unmistakably.
Final verdict: this is a good book trapped inside a difficult book. If you have patience, discipline, and a high tolerance for repetition, you’ll be rewarded with solid insights. If you don’t, you may still finish it - but only because someone on the internet told you that you should.