What a terrible mess of a book. Although there is a story here that was engaging enough to keep me reading, it was impossible to take seriously, and 90% of why I kept reading was just to see how ridiculous it would keep getting.
The main flaw, I suppose, is that there is just too much thrown in there to make it coherent or believable. It's almost as if Sawyer was mulling around three or four main ideas for new novels, wasn't sure which to work on next, and just thought, "What the heck, I'll put ALL of them together and make a SUPER NOVEL!" After all, more drama is always better, right? (Spoilers below).
So we get a story about Pierre, a driven man with a fatal genetic disorder desperately trying to complete Nobel prize-worthy DNA research before his time is up, falling in love with a Molly, a mind-reading woman who ends up implanted with a neanderthal embryo by a mad scientist who is possibly a fugitive Nazi, Ivan the Terrible--but, no! Actually he's just a mad scientist about the right age and nationality to get confused with Ivan, and the real Ivan is actually the founder of the insurance company that Pierre signed up with, who is conspiring to secretly sample DNA from his customers and have those with problems murdered on a massive scale in order to save on claims payments, and also, one would assume, just for the pure joy of eliminating the inferior and the unfit.
All these elements get churned up together, so that it's difficult for a coherent story line to stand out. The result is a plot that just seems forced, amateurish, hokey. It's needlessly complicated. We get not only a real Nazi Ivan, and a red-herring mad scientist who Sawyer tries to make us believe is Ivan for much of the book (before the real Ivan is even introduced as a character under his new identity of insurance man), but we get thrown into past threads involving another man falsely accused of being Ivan and almost sentenced to death for it, who happens to be (unknown to anyone except Pierre after testing their DNA samples) the half brother of the real Ivan, which, WOW, is a really interesting twist, isn't it? Even though it adds absolutely nothing to the story, except the opportunity to end a few chapters with extra suspense as Pierre makes hints about this to the Nazi-hunter Avi.
On other hand, some elements are so undeveloped as to be silly in the opposite direction. Molly's mind reading ability has almost no purpose in the story except as a convenient way to feed clues to her and Pierre that they couldn't believably get otherwise, and to give us some cheesy "take that" moments, like this one, after Pierre bravely goes to the insurance company shareholder meeting to protest their evil policies, and is booed down by the crowd:
"'You got a lot of nerve, buddy,' said a fellow with a comb-over in the row behind them, leaning forward. Molly, who had been detecting some thoughts from this man and his wife throughout the evening, wheeled around and snapped, 'And you’re having an affair with your secretary Rebecca.'
The man’s mouth dropped open and he began to splutter. His wife immediately laid into him."
The Neanderthal child angle is used for nothing but mawkish emotional scenes in which Pierre and Molly fervently assert that she is their child whom they absolutely love and will do anything for.
Aside from such cheesy moments, we also get passages evocative of cheap romance novels: "They collapsed back down on the couch, making wild, hot love, first licking and kissing each other, she taking him into her mouth, he lapping at her, and then, of course, the most important of all, driving his penis into her, pounding, pounding, as if to propel his own sperm through her blocked fallopian tubes, and at last exploding in orgasm...." --- "He’d talked her into wearing the wig to bed that night, and it inspired him to new levels of creativity. Molly gently teased him about being her six-foot vibrator."
We get poor attempts at adding details for realism, that just come off as pointless and clumsy: "Sitting on a desk was a Dell Pentium computer. Molly booted it up, logged on to CompuServe, scurried down a couple of layers of menus, and pointed to the screen." --- "Mrs. Proctor returned and handed Pierre a Budweiser can. He pulled the tab, took a swig, and winced. He’d never get used to this cow piss Americans called beer."
Somewhat related to that last example, it's also clear that the author loves to use his novel as a way to expound his own personal views and opinions, especially on health care. Every time the topic comes up, it's wincingly obvious how he uses his characters as mouthpieces for his own views. Authors are entitled to their views of course, but copying and pasting them into your character's dialogues in this ham-fisted way is just bad writing. As you read this book, you can almost see Sawyer in his office at his Compaq with a document open in Microsoft Works, scanning his draft as the dot matrix printer screeches it out line by line, nodding approvingly, and saying to himself "I'll tell an exciting story and win people over to universal health coverage at the same time!"
The one good point: it was an easy read. I hate to leave books unfinished, and at least the writing style was simple enough that I could burn through the pages relatively quickly.