Lou is autistic. He, and a group of other autistics, work for a company, finding "patterns" in scientific formular. In return, they receive various perks, to make their life easier. But this is about to change: a new manager has decided that the Lou and his colleagues are too expensive, and wishes to force them to be guinea pigs of an experimental treatment to make them "normal".
But Lou doesn't wish to be normal - he has a job, a flat, a hobby, and is content with his life.
Elizabeth Moon is known for her fantasy and space opera work, loosely based on her experiences in the army. This novel marks her entry into a new genre - near-future thrillers. And what an entry - it's easiest her best work to date, and had me reading until the small hours.
Finding comparisons for this book are difficult - the best I can come up with are "The Business" by Iain Banks, and the film adaptation "Minority Report". It is a book that I intend to recommend to non-science-fiction fans, and has prompted me to write this, my first amazon review.