A citywide physicians' strike escalates into a fight against corruption, greed, and murder when a young patient's death exposes a conspiracy within the healthcare system. Dr. William Coltrane, a physician, attempts to reform the healthcare system by organizing a powerful coalition of doctors to strike against HMO insurance entities. The situation intensifies when a friend's son dies due to medical malpractice and insurance bureaucracy, plunging Coltrane into a dangerous investigation involving Medicare fraud, corporate malfeasance, extortion, and homicide. The narrative framework appears to be a third-person perspective following Coltrane's descent into this dangerous world.

The premise sets up a tense medical and legal thriller, likely focusing on the ethical dilemmas faced by physicians within a flawed system. The narrative appears to be driven by a strong investigative plot, with Coltrane uncovering layers of corruption that threaten his life and his reform efforts. The genre suggests a fast-paced story with elements of suspense and potentially a critique of corporate influence in medicine. The resolution will likely involve Coltrane confronting the perpetrators and seeking justice for the victims.