This is an infuriating and bewildering book.

It is infuriating because it should make readers angry about the many forms of greed and abusive practices that American health care policy has allowed to develop and thrive in the pharmaceutical business. Feldman explains myriad aspects of the marketing chain and how at each step either exploitation or incompetence leads to higher prices. As a resource for a dedicated reader, it is a good place to look for reasons to get angry.

It is bewildering in part because the games and manipulations are hard to follow, but also because either there is no really good way to tell such a complex story, or Feldman has not quite found it. Part of the problem is that it resembles a collection of law review articles, with at least a third of the material left in the notes. That is 65 pages of notes plus...

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