ARC review—Edge of Extinction by Kim Borg

EdgeOfExtinction_CVR_SMLI read Kim Borg’s debut novel as an ARC, and published public reviews on Big A and Goodreads, and I stand by that review. This one is going to be a bit different, however, and there are gonna be a few spoilers, so if that bothers you, go read the Goodreads version.

Science fiction is a modern art form, which probably begins with Mary Shelley’s Frankenstein, although there is some debate on that. Actually, there is also debate as to the exact definition of science fiction, along with what works should be classified as science fiction. For instance, many works of horror and some that are largely fantasy end up in the SF basket. As I don’t especially like either of those genres, that bothers me, but the lines are often blurred. Anyway, science fiction generally takes what is known (science fact) and extrapolates that is some manner (the fiction part.) I like to say it this way, science fiction asks “What if______?” In this case, we have a novel which poses several questions.

Borg’s novel is set in 2086, when Teslas drive themselves, which isn’t much of a stretch, and population control is a world-wide mandate, which extrapolates a bit more. Oh, and the Earth is a polluted mess, and rather than clean it up, at least one rich and famous guy  is looking to find a new spot to colonize. Apart from the one child per couple population control, which China tried a while back, none of this is much of a mental stretch.

However, after a few more scenes, the point of view characters, Dr. Amber Lytton and Dr. Joel Carter, become members of a space going team who board a ship called the Hermes, launch into space, and rely on a Phoenix drive to take them to the pristine Earth type planet, Arcadia. During their training, the couple learns that they are actually the second team to venture to the planet to assess it as a possible location for colonization. Once there, the travelers must dodge aliens of various sizes and levels of ferocity, while looking for clues as to the fate of their predecessors. Problems, both external and within the group, complicate the mission. Borg’s debut novel has quite a bit of suspense, a good character development, and lots of world building. The gadgets, although present, don’t over-power the story, either, which I like.

As in many worthy stories, the bad guys (or critters) aren’t all bad, and the good guys aren’t all good. There are a lot of questions to answer, such as will the villain who is only along to steal a valuable hunk of mineral get away? Will our point of view characters both live through the conflict between species which rule Arcadia? Is Arcadia a parallel planet to Earth, wherein the dinosaurs were never killed off? And, perhaps most important, are humans too wicked to trust to colonize any planet? This novel reminds me of some excellent science fiction writers, especially Jules Verne and Pierre Boulle (Planet of the Apes.) The ending isn’t quite a cliff hanger, but it opens the door for sequels, and I hope the author continues the story line in other novels.

Edge of Extinction is skillfully written and worth the reader’s time. Kim Borg states in her acknowledgements at the end of the novel that her goal is to both educate and entertain the reader, and while she certainly tries to educate, she does entertains. Borg is a new author for fans of classic science fiction to watch.

 

Retro Review: Moondust and Madness by Janelle Taylor

MoondustA friend (a generation older than I am) recommended books by Janelle Taylor, saying she is a prolific series romance writer from Georgia.  That’s true. Goodreads lists lots and lots of titles by Taylor, and apparently she sold quite a few books in her heyday. The series my friend recommended was “western” but as I am a science fiction fan, I chose to read book one in the Moondust series, Moondust and Madness.

Reviews for the ebook, which I read, are not plentiful, but are mostly positive. However, a deeper dive into those reveal that the positive reviews are mostly by readers who remembered this yarn from way back, whereas younger, first time readers are not impressed. I understand both points of view.

Moondust and Madness is a traditional 80s bodice ripper novel, which just happens to be set in space. Heroine Jana Greyson is a scientist who is abducted by an alien gathering up human mates for a large system of planets in another galaxy. These alien abductions are sanctioned by the alien powers that be due to the devastation of an engineered virus which caused a lack of fertility amongst the alien females. BTW, these aliens look just like humans, and can breed with them, so the only thing Jana (and her five hundred companions) need is an inner ear translation device and some brainwashing to help her get ready for her new life. Much of the science fiction trappings seem to have been lifted from Star Trek, from “Star Fleet” to transporters. That could be viewed as “ripping off” Trek, but I think it was more to give readers some familiar science fiction props. This is a romance novel, so there are very few explanations of how gadgets or space ships work.

Lots of political intrigue and the on-again off-again romance between Jana and her captor, Varian Saar, make up the more than five hundred pages of this novel, which begins a series featuring other characters set in the same universe. While I liked the book at times, it is just too retro for most readers. I won’t continue the series, but I did finish it.

For readers who like alien abduction and then fall in love plots, Myra Nour used this same basic plot for her much better novel, Love’s Captive. And, if you want a dose of reality wherein the heroine doesn’t fall in love with her captor, try my novel, Trinity on Tylos.

 

The Functional. Fragment. Celebrated. Or reviled.

ARC5Claimed (which may or may not also have the title of Rescued) came to me as an advanced review copy (ARC) which I read recently for a review site. Actually, I am glad to have the opportunity to review again, as it has been quite a while since I’ve done this. Most such sites really want a positive review, and I have written one. My comments for the site are true but censored a bit. What you’ll read here is more genuine.

First of all, sometimes minor mistakes are in an ARC, and I certainly understand that. The author used “fussed” for “fussy” for instance. That’s the kind of minor mistake that should be corrected before the final book is published. This book is a science fiction romance, with the emphasis on romance. For me, science fiction should have a bit science, but in Claimed/Rescued there aren’t many science fiction elements, apart from characters (lots of aliens) setting (a spaceship and a space station) and plot (alien abduction.) Apart from vivid descriptions of aliens, the other elements are not especially detailed.

Romance comes in several flavors these days, from very hot (nearly pornographic) to sweet (think Amish stories that talk about feelings rather than body parts.) Claimed/Rescued is skewed well on the sexy side of the continuum. For those who read romance for vicarious sex, this novel is a winner. From a science fiction standpoint, this yarn disappoints a bit. Okay, I don’t have to know how the ship goes or how the remote control on her wicked slave collar works, but a little more detail concerning the gadgets would be welcome. The most sci fi part of the book is the afore mentioned vast array of aliens, and those are described in varying levels of detail.

For me, the most annoying aspect of the book was the author’s reliance upon the “functional fragment.” Of course, lots of dialogue depends on the functional fragment. Think about one side of a phone conversation:

“Hey!”

“Oh yeah.”

“Really?”

“No kiddin’!”

I have no problem with the construction in that context. But. This author. Tends to write. Like. This. The words shared in this manner tend to be feelings or observations, such as “Handsome.” “Kindness.” “To Bond.” “To become as one.” “Tenderness.” “Aroused.” “Stay strong.” “Traumatized.” “Wary.” “Forever.” Y’all, I just listed a few of the functional fragments. Every once in a while, this could be an effective technique, but Claimed/Rescued is far too reliant upon these pseudo sentences.

No doubt Claimed/Rescued will be published, and there will be enough positive reviews that some science fiction romance fans will read it. And, those who want to experience sex vicariously may well enjoy it. But. All I seem to remember. Are. Those. Fragments.

For All Mankind—on Apple TV

MankindWith the purchase of a new device from Apple comes a free subscription to their relatively new paid streaming platform. As hubby and I are often seeking a new television series to binge watch, we just finished For All Mankind on the Apple platform, and overall, we liked it quite a lot. However, I read several reviews, with criticisms being at least as numerous as the accolades, and often both are well deserved. The series was developed in part by Ronald D. Moore, who has a stellar (pun intended) reputation for writing and producing excellent science fiction, from Star Trek the Next Generation to Outlander, and with the simply superb reboot of Battlestar Galactica in between.

The scenario is quite promising: In an alternate history, the Soviet Union beats the United States to be the first nation to put a man on the moon, and the growing rivalry between nations causes the space program of the United States to flourish, rather than founder. Neither our citizens nor our politicians like being second best, so the need to catch up and surpass drives the plot. As an alternate history, many of the characters are based upon real people, but quite a few characters are inventions. Even those who are based upon real people have different adventures (or mis-adventures) due to the fictional nature of the series. The acting is good, as is the writing. The effects are very good, also. The sets, props, and costumes are really amazing—it’s truly a back to the 60s look. So far, so good.

But, as many negative reviewers have noted, the series is typical of our “social justice” modern agenda. Immigration, same sex relationships, race relations, and feminism are more than just sub-plots in this re-imagining of the space race. Each of these social justice themes has a story arc devoted to it, and these themes are every bit as strong as the “what if America had continued to send people to the moon?” theme that is the advertised plot line.

Alas, any subtle use of themes is no more. This alternate history is very good, but the social justice warriors are using a sledge hammer to right perceived wrongs. For All Mankind is just like many modern day productions in that regard. What could have been A+ for Apple’s streaming service is instead closer to a B-.

If you have Apple TV, check it out. If you don’t, I wouldn’t buy it for this series alone.

Star Trek Picard—review and commentary

 

Ryan in Trek

Then and now— Seven of Nine


Star Trek
is an integral part of American culture
and a controversial view of the future of humanity. It began with Gene Roddenberry’s concept for a serious science fiction television series, a novel idea in the early 60s, and it has continued to evolve for fifty years. As America has changed, as science fiction has changed, as television has changed, Star Trek has changed, too.

Picard is set two decades after the feature film, Nemesis, and is based upon the series Star Trek The Next Generation, which ran for seven years on television. Later, four of the feature films were based upon the characters from TNG series. Picard has ten episodes in season one, but the second and third seasons are planned for CBS All Access, which is how hubby and I watched the first season.

This made for the web series has very high production values—the sets and effects rival feature films. Sir Patrick Stewart is still an amazing actor, although the pace of the series (slow!) seems to be partially dictated by the age of its principal character. Viewers who prefer space battles and fisticuffs will probably be a bit disappointed. Casual viewers may also find the editing, with its rapid cuts from scene to scene, confusing. Honestly, I don’t like that aspect at all, but this is apparently in line with Picard‘s sister show, Star Trek Discovery.

Spoiler alert—

We both thought the first few episodes were confusing and lacking in characters, apart from Jean Luc Picard himself, with whom we could empathize. The writers made a good decision in embracing the age of the main character. Anything else would insult the viewer, as Patrick Stewart looks and sounds old. For us, as fans of Star Trek Voyager, the show got better when Jeri Ryan pops in, as an older and less “Borg” version of Seven of Nine. Ryan is still riveting to watch, even without the cat suit that made her fodder for lots of magazine pictures in the late 1990s. In the seventeen years since her character graced the small screen, Seven has become much more human—in her speech pattern, in her attire, and in part due to suffering losses associated with years of living in a deteriorating society.

A key word here is suffering. One of the better aspects of Trek in its first few decades was  its optimistic view of the future of humanity. Although Roddenberry sought to put serious science fiction onto television, and therefore into lots of living rooms, his vision was seldom dark. However, much of serious science fiction—in print, in film, in gaming, and even in graphic forms—has embraced the dystopian view of the future of humanity. A utopia is an idealized society in which social and technical advances serve to make all things better for humanity. Yes, I did say it was idealistic! A dystopia is the polar opposite, in which “advances” in society and technology make things worse. For some examples of dystopian literature/film, think of Orwell’s 1984 or the film Blade Runner, based upon the work of Phillip K. Dick.

Alas, Picard‘s greatest weakness isn’t its slow pace or its rather confusing editing. Nor is it the “flashbacks” in which the characters look just as old as they do in the current timeline, no doubt due to the unforgiving nature of high def photography. Nope, the core problem for many fans of Star Trek will undoubtedly be the dark vision of the future embraced by the writers. Picard is a dystopia. Beloved characters from the previous Trek series will suffer, and some will die. New characters suffer and some of them die, too. And, by and large, those deaths may very well be without purpose, meaning, and certainly without honor.

Star Trek Picard has some strengths, including dazzling cinematography, a rich background of material from which the writers can draw inspiration, and an aging but talented main character. Guest stars include characters from TNG and Voyager, and the development of Seven of Nine, the former Borg, works well. Enjoy the series, but temper your expectations. This is post-modern Star Trek.

 

Resources for Readers

DaVinciWhat to read? When I was young (a very long time ago) my mother took my sisters and me to visit the public library every week. This was “free” entertainment, and as we were fairly poor, it was a great deal. However, there was that day when I’d read everything of interest to me in the children’s and young readers category. Again, this was a long time ago, when “young adult” publications were not a big category. I remember her guiding me over to the adult fiction section (meaning not for kids, but nothing racy—it was a public library) and she suggested some titles. My first reads from that section were what mom would term “mysteries” although romantic suspense would be closer to the genre of that time. The authors were Phyllis A. Whitney and Mary Stewart, although I can’t remember the titles. So began my transition into reading for pleasure, an activity that is still a big part of my life.

Mom has been gone for a long time, as she had cancer and died before she should have, but there are plenty of other places to find recommendations for reading. I do belong to way too many Facebook Groups, and most of those have advertising that I largely ignore. For a time, Amazon was my favorite place to find books, and while it is a source for content, the weirdo reviews have made it less and less reliable for recommendations. Also, big A encourages authors to buy ads, making it even less relevant. If you are lonely and want to be inundated by promotional emails, there are lots of sites that promote books via that route, but by and large that content comes from paid ads, so it’s not reliable either. I read a lot of eBooks these days, and my public library has a few thousand titles, but I’ve noticed that far too many of them are “reprints” wherein established authors are giving their backlist titles new life, and I have either read those books are wasn’t interested the first time. So, what to do?

There are some solutions. First, check out Goodreads. It’s now owned by Amazon, but it seems to work quasi-independently from big A, so the reviews are more often by serious readers. Authors can have a “page” on Goodreads, too, which can be helpful. If you like a certain genre, typically there are blogs that feature books of interest. As a lover of science fiction romance, I like this blog: SFR Brigade. Some authors maintain a blog or a Facebook group, so check on a favorite writer’s web presence. Often writers will mention fellow writers or their own favorite reads. I’ve really enjoyed Susan Grant’s books and her blog, Come Fly with Me (now found via her website).

In addition to big A, readers sometimes leave reviews on traditional bookstore sites such as Barnes and Noble and Books a Million. As these sites primarily serve readers, the reviews tend to be written more literate customers. There may be fewer reviews, but I believe they are more reliable.

Also, if you know others who like to read, try forming a book club. My sister belongs to such a club, and members propose which books to read. She’s given me some suggestions of books that were well-received by her group, such as my current read: DaVinci, by Walter Issacs. It’s fascinating, and I would never have chosen it without the recommendation of that group over in Richmond, Virginia.

 

 

Guest Author Interview

catching-raven-volume-1-by-cb-tuckerFor a change from my usual topics, I am posting an interview with CB Tucker, an author who lives in northeastern Georgia. Tucker has been to approximately 132 countries and lived in 10. He believes that his worldly experiences beg to be placed into a book. Tucker is a Vietnam veteran, who was also in Iraq where he backpacked for 10 months from the Saudi border all the way to Kirkuk. During his career he has seen the horrors of war and the strains of peace and both heroism and cowardice. Tucker worked in the computer industry for several years. Prior to retirement, he spent six years working in diplomatic security with the State Department of the United States. 

Tucker is the author of Catching Raven: Volume I, Catching Raven Volume II, and Catching Raven: Elizabeth Raven Coming Into Her Own.


When did you first realize you wanted to be a writer?

While I was living in Virginia Beach with my first wife and three daughters, I realized that (including the female cat and dog), I was the only man swimming in a house of estrogen. I began writing stories about my daughters, figuring this was cheaper than therapy. The final push came when I was stationed in Dakar, Senegal, and my wife was sent home for medical reasons. Senegal has some of the most beautiful black people I have ever seen: Picture walking around Dakar and everywhere you look are Halle Barry clones. I decided that it would be wiser to stay in my apartment and write rather than go out. So I began writing. I had no idea what I was going to write, or where it was going. My ideas warped several times into the story that I have today.

What books have most influenced your life most?

The Bible. I was a computer tech for 30 years and had little time to read for pleasure. When I was stationed in Islamabad, Pakistan, I wasn’t able to go out, so I decided to down load books to my Kindle app on my tablet. I had no idea what book to start with, no idea of authors to read, so I decided to check the best sellers list, which was an obvious plan of action. The same book was on top of three different lists: 50 Shades of Grey. (I did say I was in Pakistan by myself.) There were parts I couldn’t bring myself to read, but I did enjoy the book for the interplay between the two main characters. Soon, I was reading one book a week. As time passed, I came to realize that my favorite author was David Baldacci.

How long does it take you to write a book?

I began writing Catching Raven in 2014, and I really didn’t finish it until 2016. I have follow-up books, and they took about two months each, but the characters are established. I actually write the book in my mind before I sit down to the keyboard, and then I iron out the flaws.

What was one of the most surprising things you learned in creating your books?

How much I enjoy coming up with my own story. I find many of the stories I see on TV and in the movies to be stupid. When I write a story, I try to keep things logical and real. I want the reader to believe that what is happening is possible.

Is there a message in your novel(s) that you want readers to grasp?

In the Bible the book of Job is the story of a pious man who believed in God. The devil decided to test him and took away his family, his possessions, and all he had. Even living with the beggars with sores all over his body, he refused to deny God. For his steadfast determination to remain loyal to God, he was rewarded tenfold. That, in a sense, is what Samantha Raven goes through in my novel. She was steadfast in her belief that her daughter was a present from God and Tip, who is the young man she met at Wake Forest and fell in love with; he is the father of Elizabeth Raven. In the novel, Samantha spends her life doing right by her daughter. She remained steadfast and her mission was doing everything she for her daughter, including building a life without having her daughter’s father present. What I would like people to take from this book is the determination to do what is right and proper. In the end, Samantha, too, is rewarded tenfold.

How realistic are your books?

I hope everyone can believe what happened in this book. Can a man become a billionaire and go back to find the woman he impregnated as a young man? Can that woman be true to herself and him? Can a desk lamp warp into a chandelier? Most of what I describe, I hope can happen. I tried to write a book that can believed, even though it is fiction.

Are experiences based on someone you know, or events in your own life?

Yes! I have traveled to 132 countries and I have lived in 10. I have lived in socialist and Muslim countries. When I was young, I studied martial arts and have belts in Taekwondo, Hap Kido, and Sansui. I’m not a bad ass, but I have had experiences in many facets of life; therefore, I know what people can do if they are driven to achieve it. When I was in diplomatic security, I was trained how to drive and shoot. I received training concerning human trafficking and the customs of different societies that I would experience. I try to incorporate all that knowledge and experience into my books.

What makes you passionate about being an author?

Hopefully, when people read one of my stories and come away with new knowledge and appreciation of something that they were never aware of, they will have new knowledge. Did you know that you could drive 60 mph in reverse? Did you know that even a one hundred pound girl could take down a two hundred pound man if she knows how? I hope readers realize that the core of every society is the family. We, as a society, need to protect families and help them succeed. It is those age-old truths that are often disparaged but when followed do succeed: Honor your parents, work hard, and get all the knowledge you can when you can. And don’t quit a job until you have a better one. Be true to yourself, and what you believe.


Thank you, CB Tucker for your detailed answers!

Why do writers need editors?

editing-apps-800x600Before you say, “Duh!” please remember that some people have lots of self-confidence. Others can crawl off into a mental state and ignore the world around them, which can be considered a skill in the writing biz, but conformity is comforting to readers. Other writers seem to think that the rules don’t apply to them, like ee cummings. A few insist on ignoring the red and green squiggles that the word processor uses to offer help in eliminating common mistakes. Writers suffer from any of those problems, or have other idiosyncrasies that make editing necessary. Yes, I considered dealing with editors to be something of a pain, because I am self confident and not afraid to break a few rules.

However, I have learned quite a lot from writing teachers and editors. Friends and family will offer a few tips, but if those friends really like you, brutal honesty is off the table. Sometimes the distance combined with authority that goes along with having an editor is transformative. My first novel was a hot mess when it finally got a full length reading at the micro press that ultimately put it through line editing. My second novel was better, but still needed a lot of work in the editorial phase, beginning at conceptual, then line by line, and finally, proofreading. At that time, WCP did not pay proofreaders, instead relying upon volunteers, which was a bad business decision. My work suffered from that lack, as a few errors made it into the printed work, and sales were less than optimal.

Publishers seldom take on a fiction manuscript that isn’t complete, which leaves out the project development phase. Once the novel is finished, most writers will attempt to put it into the hands of either an agent or a publisher. Problems with style or continuity may crop up at this stage, but if the work is compelling, those can be addressed. What most people consider editing is copy or line editing, which is a line by line examination of grammar, spelling, mechanics, and style. Any “big changes” in the manuscript probably occur at this stage. The back and forth over details can be annoying or even funny, but most problems in the work are solved at this phase. Once, an editor challenged me on a detail where I described a man wearing a glen plaid suit. I thought it descriptive, but she thought it was a weird description that no reader would understand. Ultimately, the description remained, but that is the kind of thing that comes up in line edits.

Before printing comes proofreading, when any style or content changes have been addressed—so what’s left is a last look at spelling, capital letters, and adjustments to make the page layout work. I remember the copy editor at Whiskey Creek Press had to substantially change one sentence to avoid a page with a single word on it, and I was okay with her changes.

A good editor makes printed work better—by questioning, suggesting changes, and insisting on being absolutely correct. Real editing makes the author’s work shine, without the distractions of mistakes or inconsistencies. Nowadays, many people think that word processors have made editors obsolete. Unfortunately, that is simply wrong, and writing is suffering mightily. Errors abound, and the solution is a great editor who reads and corrects. Technology is advancing, but it cannot replace editorial expertise.

Jersey Boys on Netflix

Jersey BoysLike many of you, we use services such as Netflix rather than having a traditional cable subscription. At times, we miss the old TV Guide magazine, which would guide the viewing experience. Instead, with Netflix, there is some algorithm that knows my husband likes shoot ’em up flix, so I am not always happy with the suggestions. However, a couple of days ago, I noticed “Jersey Boys”as an option in our feed. I’m embarrassed to say that hubby actually, “What’s that?” I simply said, “Click on it and you’ll see.”

Anyway, fortunately for me, hubby likes music, especially vintage pop, so he was eager to take a look at the movie version of this musical, which had a great run on Broadway, and is still touring around the country. Jersey Boys tells the story the Four Seasons, featuring the fabulous Frankie Valli. Surprisingly, the film version is directed by Clint Eastwood. The cast is really great, with Christopher Walken in a small but pivotal role, and it also has the original Valli from Broadway, John Lloyd Young as well as Erich Bergen, who has a supporting role in another show we’ve watched on Netflix, Madame Secretary.

There is much to like about this film, which is actually a 2014 release, but I was most impressed with the sound track. And, as is possible when watching a film in the comfort of home, I paused it and did some research, finding that the cast sang, rather than having it dubbed by either the original band or by hired musicians. Many of the hits from the Four Seasons are present, including “Sherry”, “December 63 (Oh What a Night)”, “Walk Like a Man”, and “Big Girls Don’t Cry.” Valli’s solo, “My Eyes Adored You” is also in the film, as are other familiar tunes.

Although not entirely happy, for this film follows the rise and the ultimate fall of The Four Seasons, we enjoyed this film quite a lot. If you are a Netflix subscriber, the movie version of Jersey Boys is a great way to spend an evening. Toe tapping is optional, but recommended!

The book of the year?

The price we pay book cover
Lots of books are published each year, and I can only read a few of them. But, when a really important general interest book comes along, I often put it on the top of my “to be read” pile. In September, Dr. Marty Makary, a surgeon associated with Johns Hopkins, released a book entitled The Price We Pay: What Book American Healthcare—And How to Fix ItSince most people in America eventually get sick or have an accident, and only a few of us are fifty rich, this is the ultimate general interest book.

In Part I, entitled “Gold Rush” Makary doesn’t have to travel far—he visits “health fairs” at local churches, where salespeople disguised as medical professionals do screening tests and scare participants, mostly those on Medicare, into unnecessary and rather expensive procedures, such as placing stents into leg veins. In the second chapter, he discusses the lack of transparency in hospital pricing, as well as the astronomical rise in common procedures. For instance, a medical center in New Jersey offers joint replacement surgery for $135,400.00, which rose a mere 76.8% in a single year. BTW, Medicare only pays 13K for that procedure. For his third chapter, Makary travels to Carlsbad, NM, where the medical center seems to have overcharged and then sued almost everyone in town. Back in Virginia, Makary visits the courthouse to learn more about similar shenanigans at Mary Washington Hospital in Fredericksburg. Sadly, this hospital is supposed to be a “not for profit” hospital, and thus receives favored tax status, too. Also in this section, Makary provides an analysis of the proliferation of for profit helicopter ambulance services, which charge somewhere between $40K and $60K for a ride that I could make in an hour in my Toyota.

In the second portion of the book, Makary delves into some medical practices that can be improved by focusing on individual physicians. One OB doctor in Florida had a reasonable rate of C-sections, until figuring in Fridays, when the rate rose 80%. Why? The good doctor didn’t want to be bothered on the weekend, so moms who were in labor on Friday got the surgery. This section of the book also discusses the opioid crisis, and Makary admits that he had to learn to write fewer prescriptions for pain pills, after learning about the misuse of all those pills.

Part III of the book is about “Redesigning Healthcare” and it does offer several solutions to problems, but one chapter in this section explains how drug prices are affected by middle men (pharmacy benefits managers) who don’t supply anything other than a big bill for their services. Here’s an example: A pharmacy is paid $34.94 for 90 40mg doses of Zocor, but the employer is charged $442.85–and the PBM gets over $400 on that one transaction. Another chapter discusses problems in health insurance, which less and less helpful except in catastrophic circumstances, and there is even a chapter on “wellness” and how those well meaning programs are far too costly, especially as they often mean an invasion of privacy, or worse, over-treatment for minor issues.

Makary doesn’t make the mistake of only discussing problems without discussing solutions. Several positive programs are mentioned throughout the text, including websites such as ImprovingWisely.com, and the last chapter is a bit of a call to arms. In short, legislators and employers need to be educated on these matters, and healthcare consumers should do everything possible to demand transparent pricing for upcoming procedures.

The Price We Pay is a very important book. This should be the topic of your next book club, a gift for your friends and/or family, or even a holiday gift for your doctor or your legislator. Please buy this book, read it, and pass it on. Knowledge is power, and as this text has lots of information for Americans, this may well be the most important book you will read this year.