This book begins with Tweedy's experiences as a med student at Duke. He discusses his career as he rotates through different rotations as a resident and then ultimately becomes a psychiatrist at Duke. The book begins focusing on the prejudice he faces, but the majority of the book looks at health disparities in our country. He examines a system in which African-American patients are more likely to have chronic illnesses, higher fatalities, and lower level of care. The book is both a memoir, and a look at how the healthcare system fails so many patients.