Sismondo describes what happens within the chain from the design of the clinical trial to the diffusion of drug results, and highlights what he calls "ghost-management", which allows for a high degree of control of drug science by the pharmaceutical industry to influence doctors' prescriptions.

When colonel Gadhafi came to power in Libya in 1969 he appeared to be aggressive but open to illegal trafficking with Italy and he offered weapons against oil. He thus helped to build a corrupted system in Italy. This book aims at understanding this system, relying on different sort of sources particularly an original source, Mi.Fo.Biali Case,