I loved this book! I will admit to being a chicken -- there are some tragedies/illnesses that I do not think I would want to survive. This book takes that premise to a thrilling extreme. The main character is inducted into this group who agrees to arrange an "accident" if he should ever become seriously disabled or terminally ill. The problem is that he can't change his mind once the wheels are set into motion. The suspense is nearly unbearable as you understand that death awaits literally around every corner, and yet it never loses the believability factor. I love books that make me think, and this one delivered!