Summary
When a healthcare institution’s optimization system begins quietly shaping life-and-death decisions, journalist Mara Ellison uncovers a pattern no one wants named. As insiders wrestle with guilt, loyalty, and fear, the truth reveals that harm does not require malice—only well-designed incentives. What follows is not a collapse, but a reckoning with how modern systems protect themselves through silence. This thriller exposes how accountability erodes when efficiency becomes untouchable.
