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Cover of Coded to Kill by Dr. Marschall Runge (Post Hill Press, 2023)
Post Hill Press · 2023 · Fiction · Techno-Medical Thriller

Coded to Kill

A Techno-Medical Thriller

A medical thriller written by someone who has actually run hospitals. Who owns your medical record? What happens when the system designed to save your life becomes a weapon?

The premise

After a decade of development, Drexel Hospital's new electronic health records system is about to become the national standard. Once activated, it will house the real-time medical record of every American — a single, integrated, beautifully engineered system of unprecedented scale.

A former NSA operative sees it differently. He sees a tool for unimaginable power.

Only a loose-knit group of hospital employees with conflicting loyalties stands between him and that power. None of them is who they appear to be. None of them can do this alone.

"The system designed to save your life can become the weapon used against it."

Perfect for

Praise

"A beautifully written, complex mix of medical drama, espionage story, and hi-tech skulduggery, Coded to Kill is a thrilling read under the guidance of someone who knows what he is talking about, and never fails to enthrall with its detail and deft plotting."

Iain PearsAuthor of An Instance of the Fingerpost and The Dream of Scipio

"Dr. Marschall Runge gives us both a heart-stopping thriller and a searing indictment of the degree to which technology has sapped the soul of medicine and handed it to the technocracy."

Holden ThorpEditor-in-Chief, Science Family of Journals

For book clubs & reading groups

Six questions to discuss after reading. Useful for book clubs that pair fiction with current events, or healthcare-leadership cohorts looking at the policy questions inside the thriller.

  1. The novel's central premise — a single national EHR system — is more plausible now than when it was written. Which of the book's risks feel most realistic to you?
  2. The antagonist isn't a hacker; he's an insider with the right access. How does the book change how you think about who to trust with medical data?
  3. Several characters have conflicting loyalties: to their institution, to patients, to colleagues. Which character's choice did you find hardest to understand?
  4. Compared with Robin Cook or Michael Crichton, where does this book sit? What does it gain by having an author who has run a hospital?
  5. The book treats "the system" as a character. What does that frame let it say that a single villain wouldn't?
  6. The same author writes nonfiction (The Great Healthcare Disruption). What does the fiction tell you about the nonfiction's argument, and vice versa?

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Where to buy

Available in hardcover, Kindle, and audiobook at: