One of the most black pilling books on medical research I've ever read. That neurological diseases rely on tests since patients can go a long way before dying makes their outcomes much easier to game with more subjective tests and the theoretical upside of making fake treatments much more profitable with a predicted long life to continue using pharmaceutical treatments. The only light in this book is that such fraud is revealed, which at least shines a dim spotlight if not penetrating beam into the darkness of fraudulent medical research out there