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I, too, am a practicing cardiologist so I have "walked in Dr. Jauhar's shoes" and for many years longer (30). While many of his points about the practice of medicine, including the behaviors of some private practitioners, are well-taken and well-documented, he makes no attempt to offer suggestions or solutions. As other reviewers have noted, the book seems to be more about his personal financial and family states, and how the world hasn't taken care of him. Most cardiologists work harder than he does (in his clinical academic practice)--They have to see many more patients in a day to make ends meet, and they don't have Cardiology Fellows covering their hospital patients at night. And while the rewards of taking care of patients can be great, don't expect the patients or their referring doctors to beat a path to your door just because you think you're a great doctor. He seems to think it is his "due". For me, this book picked up where his first book left off, continuing to bemoan his fate and the difficulty of his professional life. What seems clear is that Dr. Jauhar went into Medicine to please his parents, and to try to keep up with his older brother, not because he really wanted to. It seems like he lacks "the calling" and nothing short of accolades and more money will make him happy. There are many better books on the market currently offering better analysis of the problems facing physicians and the health care sector, and offering thoughts toward solutions.