Light shelfwear to edges and covers. Pages tight and clean. Spine has small tilt with creases. Book store stamp on edges. 465 pages. 465 pages. MMP Binding. Year: 1998. ISBN: 0553575465. Caduceus 21 is the future of health care. Few people know its balance sheet is fueled by a hidden trade in human organs. Only one person suspects where the organs are coming from.