Arolen is a giant pharmaceutical company, expanding at rapid pace and bringing more and more doctors into its clutches. Once doctors go on CME on board a cruise organised by Arolen, they come back totally changed, in personality and opinions. Strangely many of them opt for a job in Julian Clinic, even at the cost of leaving their lucrative private practices. Incidentally, the number of therapeutic abortions at the Julian Clinic are also rising. Hero of the novel, Adam Schoneberg, a third year medical student, has to leave his medical education midway for want of money as his wife becomes pregnant and later on trapped in the clutches of unethical medical practice. Adam finally succeeds in unraveling the mystery behind Arolem pharmaceuticals. They drug the doctors and later perform psychological surgery on them aboard the ship(Fjord) which made them opt to join the Julian Clinic. The Julian Clinic, CME on cruise and Arolen's research lab at Puerto Rico and rapid and unexplained surge in sells of Arolen drugs.