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 | Executive Times | |||
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|  | 2007 Book Reviews | |||
| Next
  by Michael Crichton | ||||
| Rating: | *** | |||
|  | (Recommended) | |||
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|  | Click on
  title or picture to buy from amazon.com | |||
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|  | Patented Following his
  lackluster novel State of
  Fear, Michael Crichton has bounced back with a genetic engineering novel
  titled, Next.
  As he’s become wont to do, Crichton is calling attention through fiction to
  the ways in which public policy needs to change. In this case, he’s concerned
  about the gene patents that are being granted. In Next,
  he carries the current momentum to a point that will give pause to most
  readers. Here’s an excerpt, all of “CH002,” pp. 24-29: Alex had
  been watching the jury all during the latest testimony. Their faces were
  impassive, but nobody moved, nobody shifted. The gasps were involuntary,
  evidence of how deeply engaged they were with what they were hearing. And the
  jury remained transfixed as the questions continued: “Mr.
  Burnet, did Dr. Gross ever apologize to you for misleading you?” “No.” “Did he
  ever offer to share his profit with you?” “No.” “Did you ask him to?” “Eventually
  I did, yes. When I realized what he had already done. They were my cells,
  from my body. I thought I should have something to say about what was done
  with them.” “But he
  refused?” “Yes. He
  said it was none of my business what he did with my cells.” The jury
  reacted to that. Several turned and looked at Dr. Gross. That was a good
  sign, too, Alex thought. “One final
  question, Mr. Burnet. Did you ever sign an authorization for Dr. Gross to use
  your cells for any commercial purposes?” “No.” “You never
  authorized their sale?” “Never.
  But he did it anyway.” “No
  further questions.” The judge
  called a fifteen-minute recess, and when the court reconvened, the UCLA
  attorneys began the cross-examination. For this trial, UCLA had hired Raeper and Cross, a downtown firm that specialized in
  high-stakes corporate litigation. Raeper
  represented oil companies and major defense contractors. Clearly, UCLA did
  not regard this trial as a defense of medical research. Three billion dollars
  were at stake; it was big business, and they hired a big-business firm. The lead
  attorney for UCLA was Albert Rodriguez. He had a youthful, easy appearance,
  a friendly smile, and a disarming sense of seeming new at the job. Actually,
  Rodriguez was forty-five and had been a successful litigator for twenty
  years, but he somehow managed to give the impression that this was his first
  trial, and he subtly appealed to the jury to cut him some slack. “Now, Mr.
  Burnet, I imagine it has been taxing for you to go over the emotionally
  draining experiences of the last few years. I appreciate your telling the
  jury your experiences, and I won’t keep you long. I believe you told the jury
  that you were very frightened, as anyone would naturally be. By the way, how
  much weight had you lost, when you first came to Dr. Gross?” Alex
  thought, Uh-oh. She knew where this
  was going. They were going to emphasize the dramatic nature of the cure. She
  glanced at the attorney sitting beside her, who was clearly trying to think
  of a strategy. She leaned over and whispered, “Stop it.” The
  attorney shook his head, confused. Her father
  was saying, “I don’t know how much I lost. About forty or fifty pounds.” “So your
  clothes didn’t fit well?” “Not at
  all.” “And what
  was your energy like at that time? Could you climb a flight of stairs?” “No. I’d
  go two or three steps, and I’d have to stop.” “From
  exhaustion?” Alex
  nudged the attorney at her side, whispered, “Asked and answered.” The attorney immediately stood up.  “Objection.
  Your Honor, Mr. Burnet has already stated he was diagnosed with a terminal
  condition.” “Yes,” Rodriguez said, “and
  he has said he was frightened. But I think the jury should know just how
  desperate his condition really was.” “I’ll allow it.” “Thank
  you. Now then, Mr. Burnet. You had lost a quarter of your body weight, you
  were so weak you couldn’t climb more than a couple of stairs, and you had a
  deadly serious form of leukemia. Is that right?” “Yes.” Alex
  gritted her teeth. She wanted desperately to stop this line of questioning,
  which was clearly prejudicial, and irrelevant to the question of whether her
  father’s doctor had acted improperly after curing him. But the judge had
  decided to allow it to continue, and there was nothing she could do. And it
  wasn’t egregious enough to provide grounds for appeal. “And for
  help in your time of need,” Rodriguez said, “you came to the best physician
  on the West Coast to treat this disease?” “Yes.” “And he
  treated you.” “Yes.” “And he
  cured you. This expert and caring doctor cured you.” “Objection!
  Your Honor, Dr. Gross is a physician, not a saint.” “Sustained.” “All
  right,” Rodriguez said. “Let me put it this way: Mr. Burnet, how long has it
  been since you were diagnosed with leukemia?” “Six
  years.” “Is it not
  true that a five-year survival in cancer is considered a cure?” “Objection, calls for
  expert conclusion.” “Sustained.” “Your
  Honor,” Rodriguez said, turning to the judge, “I don’t know why this is so
  difficult for Mr. Burnet’s attorneys. I am merely trying to establish that
  Dr. Gross did, in fact, cure the plaintiff of a deadly cancer.” “And I,” the judge
  replied, “don’t know why it is so difficult for the defense to ask that
  question plainly, without objectionable phrasing.” “Yes, Your Honor. Thank you. Mr. Burnet, do you consider
  yourself cured of leukemia?” “Yes.” “You are completely
  healthy at this time?” “Yes.” “Who in your opinion
  cured you?” “Dr. Gross.” “Thank you. Now, I
  believe you told the court that when Dr. Gross asked you to return for
  further testing, you thought that meant you were still ill.” “Yes.” “Did Dr. Gross ever
  tell you that you still had leukemia?” “No.” “Did anyone in his
  office, or did any of his staff, ever tell you that?” “No.” “Then,” Rodriguez
  said, “if I understand your testimony, at no time did you have any specific
  information that you were still ill?” “Correct.” “All right. Now let’s
  turn to your treatment. You received surgery and chemotherapy. Do you know if
  you were given the standard treatment for T-cell leukemia?” “No, my treatment was
  not standard.” “It was new?” “Yes.” “Were you the first
  patient to receive this treatment protocol?” “Yes. I was.” “Dr. Gross told you
  that?” “Yes.” “And did he tell you
  how this new treatment protocol was developed?” “He said it was part
  of a research program.” “And you agreed to
  participate in this research program?” “Yes.” “Along
  with other patients with the disease?” “I believe there were others, yes.” “And the
  research protocol worked in your case?” “Yes.” “You were cured.” “Yes.” “Thank
  you. Now, Mr. Burnet, you are aware that in medical research, new drugs to
  help fight disease are often derived from, or tested on, patient tissues?” “Yes.” “You knew
  your tissues would be used in that fashion?” “Yes, but
  not for commercial—” “I’m
  sorry, just answer yes or no. When you agreed to allow your tissues to be
  used for research, did you know they might be used to derive or test new
  drugs?” “Yes.” “And if a
  new drug was found, did you expect the drug to be made available to other
  patients?” “Yes.” “Did you
  sign an authorization for that to happen?” A long pause. Then: “Yes.” “Thank
  you, Mr. Burnet. I have no further questions.” “How do you think it went?” her father asked as they left the courthouse.
  Closing arguments were the following day. They walked toward the parking lot
  in the hazy sunshine of downtown  “Hard to
  say,” Alex said. “They confused the facts very successfully. We know there’s
  no new drug that emerged from this program, but I doubt the jury understands
  what really happened. We’ll bring in more expert witnesses to explain that
  UCLA just made a cell line from your tissues and used it to manufacture a
  cytokine, the way it is manufactured naturally inside your body. There’s no
  ‘new drug’ here, but that’ll probably be lost on the jury. And there’s also
  the fact that Rodriguez is explicitly shaping this case to look exactly like
  the  “So, counselor, how
  does our case stand?” She smiled at her
  father, threw her arm around his shoulder, and kissed him on the cheek. “Truth? It’s uphill,”
  she said. Crichton
  deftly presents ways to help readers think about the exploitation of human
  genes. If you want to be entertained while thinking about genes, Next
  will bring you pleasure. The author’s note and bibliography can tend to make
  some readers think that this fiction is full of facts. Perhaps it is. It’s
  also entertaining.  Steve Hopkins,
  January 25, 2007 | |||
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 The recommendation rating for
  this book appeared  in the February
  2007 issue of Executive Times URL for this review: http://www.hopkinsandcompany.com/Books/Next
  by Michael Crichton.htm For Reprint Permission,
  Contact: Hopkins & Company, LLC •  E-mail: books@hopkinsandcompany.com | |||
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