The tension was intense at times, and the one character, the father, who I felt was the most drawn out, the one that kept me on edge, technically was not the main one, although he did play a pivotal role. While not the nicest man, and his views in general are black and white, I felt I connected to him as he connected to nearly every character.
As a whole, I enjoy Palmers's novels, but this time, I felt he relied too much on flashbacks of the family, mainly of the two children as they grew up. Some of those flashbacks felt disconnected as they didn't fit into the storyline very well, especially since one event where one brother sabotaged the other in a skiing race. Brought up repeatedly, as the brother who was sabotaged clearly, a couple decades later, was unaware of the action his brother had taken to ensure he lost. It did show how far one brother would go to succeed, but the reader, not the main character was privy to that information.
The 'evil' character, if you well was two dimensional, where as the main character felt more one-dimensional. He was flat, I think that's the problem that I had.
Technically the novel is about an experimental anesthesia that is not supported in anyway by the industry, the hospital, or the FDA. And that fact, is made clear to the reader, hence the title.
One of my issues is that the reader is told there are 500 test patients (without their knowledge) but we are shown two.
The implication is there that far more patients must have endured horrific side effects but no research or followup is done. As the reader, we have to take the author's word; I wanted to see more.
I also wanted to see more of the present moments with the characters in play. At the same time, other characters just 'seemed there' as they weren't flushed out. One example is the administrator's family. They played little, if any, part to the novel. To me, they just took up space. That space could have been used to back up suspicions that the drug being used was harming others - especially as it's made clear that the hospital is located in a town, not a city. That, going by numbers, would make many of those who received the drugs locals. Why not add another case or two? Instead of showing a family that takes up space, doesn't play a pivotal role, and appears to add nothing to the plot, I think far more tension and believability could have been added with the addition of more patients succumbing to side effects. In my opinion, that would strengthen the novel and add more believability for the reader.
It is a decent tree, but it's not one I would put high on the list of must read books