Tempted to advance-order this title by a full spread ad in PW several months ago, I expected a polished medical thriller, but was disappointed to read a too-long soap opera about a wealthy Nobel prize-winning do-gooder who justifies mass-murder because her adopted son was killed in an African "ethnic cleansing" war. Unfortunately, none of the characters incite the reader to care much about them, and the longer you read, the less you care. Had the book been shorter and the self-examinations of the characters been fewer, the story could have been more entertaining. As it is, I can only say that Artemis as a threat let me down.