The business of medicine has taken a deadly turn.... What is your J Factor? In the not so distant future, big business and big medicine have a new definition of managed care.  It's called the Justification Factor system and it decides who lives and who dies.  It is the ultimate tally of your every action.  When the good become ill, they get the best treatment that medicine has to offer.  When the bad become ill, they're left to die. Dr. David West, an idealistic young surgeon, believes in the Hippocratic oath but finds his optimism in conflict with the new medical regime dominated by the International Organ Replacement Corporation, a company whose "products" are transplantable organs and whose "customers" receive those organs only if their J Factor is high enough--a company so powerful that world governments bend to its wishes. When Dr. West accidentally violates the policies of the IORC, he and Janette Compton, a passionate young attorney, discover just how far the IORC will go to protect its secrets--and its profits.  Stephen Kanar shows you the future of medicine in this imaginative, heart-pounding thriller.  And in this future, the cure can kill you.  The J Factor.  Is it worth keeping you alive?