It's been a while since I read it, but I generally like the author's writing style and find it engaging, although I know for some people it feels long-winded. I remember when I read it I felt it had an insightful and balanced take on several societal problems, which while not entirely different from other perspectives I've seen, was at least a lot more thorough and didn't just stop at "because bankers are greedy" or "because the government is incompetent".

I think the part that really shook me, and made a lasting impact, was this:

But in the early days when Omegaven was just plain illegal to sell across state lines, some parents would drive for hours, every month, to buy Omegaven from the Boston Children’s Hospital to take back to their home state. I, for one, would call that an extraordinary effort. Those parents went far outside their routine, beyond what the System would demand of them, beyond what the world was set up to support them doing by default. Most people won’t make an effort that far outside their usual habits even if their own personal lives are at stake.

It made me think hard about what trying hard to really fix something looks like, and what options I fail to entertain. And since reading that I've become more willing to actually do what's necessary to solve problems, even at risk of inconveniencing myself or worse, looking weird. Sometimes I meet people who prioritize not looking weird over the lives of themselves and their loved ones (like in the early days of the pandemic, when non-Asian people were still too embarrassed to wear masks in public). And when I find myself thinking that way, I think back to this book and think, let's make an extraordinary effort today.

I think the book would be better without Simplicio though, who is a pretty annoying strawman character.