An unscrupulous pharmaceutical billionaire has a plan to flood the US market with counterfeit drugs in the latest entry in Tom Clancy's #1 New York Times bestselling series. President Jack Ryan is used to dealing with threats to the American people, but how do you protect them against perfectly counterfeited pharmaceuticals? Patients in hospitals, clinics and at home are dying when the drugs they need for survival turn out to be ineffective copies.
The FBI has traced the fakes back to North Korea, but are the Koreans really the initiators of this scam?
Pharmaceutical billionare Miles Conlan has spent millions supporting radical groups while using the chaos they engender to cover his money making schemes. Could he be the shadowy figure working behind the scenes to destroy the American health system, and can Jack Ryan do anything about it when the North Korean military holds a knife against the throat of Seoul?