Avec intention de nuire (Pocket Book)

Robin Cook's background in medicine clearly influences the plot, but I'm curious about what specific real-world issues or events inspired the darker aspects of the story.

The way the medical scenes are depicted added a layer of realism that made the danger feel even more immediate. Did it enhance the tension for others as well?

The characters' choices seem to reflect deeper questions about medical ethics and personal responsibility. What do readers think Cook was trying to say about these issues?