He paused a moment. "I hate that he's suffering, and now this worrying about having to come up with twenty thousand dollars when the Culovort runs out. It's breaking his will. I don't want him to die like this." He looked down at his tasseled loafers, his shoulders bowed, like a man who's gone up against the giant and gotten smashed. Erin wanted to weep.

He said quietly, "Do you know that in the U.S., about one hundred and fifty thousand people are diagnosed with colon cancer every year? I've written letters, sent e-mails, made phone calls to my elected representatives, to the FDA, until all I wanted was to shoot myself. No one seems to care except for the oncologists, the patients, and their beleaguered families, and they're powerless. I don't really know why I'm here. I knew you'd understand, Erin, but what can you do? What can anyone do to force the drug company to start up Culovort to full production again?"

"What we need," Erin said, drumming her fingertips on the little banged-up desk she'd bought from Goodwill in her sophomore year at Boston College, "is to get hold of solid proof they know damned well what they're doing, and that they are profiting from it. Then the media will sit up and pay attention. They love drug company scandals, but they like them much more when they're presented on a nice big platter complete with fines of hundreds of million dollars."

She rose, took both his hands in hers. "I don't know yet what I'm going to do, sir, but I do know that I'm going to try my best to find something that will help. Let me think about this, all right?"

She knew he'd left without much hope, but she was fired up, her brain cooking. She spent three hours that evening on the Internet searching out everything on the Culovort shortage, but found little more than Dr. Kender had already told her. Everywhere the same thing, in other words, the company line: Production line problems, overexpansion, it was being worked on, but it would take time. It was when she read about how the oncology departments at major university medical schools were beginning to ration Culovort that she kicked her desk.