James, the patriarch of the Conway family is grief stricken when his wife dies, "How can a healthy woman die during hip replacement surgery?" James' younger brother, Charles, is an emergency room doctor. He wonders why hospital deaths among senior citizens have increased sharply. They suspect someone may be killing off patients to reduce the costs to Medicare and secondary insurers.
James falls in love. Days after his beloved is diagnosed with rheumatoid arthritis, she dies in her doctor's office, apparently due to an allergic reaction. The Conway family concludes that expensive patients are at risk.
Now James and Charles know too much. James has a torn tendon in his foot. Charles is a brittle diabetic, but they must flee. How can they survive the winter in the mountains? How will the medical examiner and the district attorney get the information they need to prosecute those suspected of murder?