Better than her last novel but not as good as the first novel of hers I read, which I fear may have been her best book. This novel explores a potential seamy underbelly of organ donation politicking without resorting to tired cliches of poor people waking up in bathtubs of ice without their kidneys. The plot moves along. The main character is Abby DiMatteo the doctor we will continue to see in more of Gerritsen’s medical thrillers. In this book she is an internist asked to serve on the prestigious transplant squad whose medical reputation is too good to be true, almost.... You can sort of see where the book is going as soon as it opens up with scenes of children being removed from an orphanage in Eastern Europe, but again Gerritsen manages to make it a human drama, not filled with overwrought cliches.