The truth does not always out. The righteous are rarely rewarded in the kingdom of academic medicine. For a quarter century now, Carl Elliott has been appealing to the conscience of medicine. Always coming after medicine at a slant, he can see what others cannot. For the first time, he writes about the company he is keeping at medicine’s margins. In seven chapters, he listens as whistleblowers in medicine tell their stories. The ending is a quiet heartache over medicine’s faults. After reading it, newspapers and academic journals feel full of future Elliott characters.