Good condition but not perfect, Cover has minor nicks and tears, spine shows some creases from use. Ask Questions and request photos if your buying for the cover and not the content. STOCK PHOTOS MAY VARY FROM THE ACTUAL ITEM. ACTUAL PHOTOS AVAIL. UPON REQUEST. Additional Details ------------------------------ Product description: "As we stand poised on the brink of the reform era, the question for physicians is not what Bill and Hillary Clinton are going to do. The real question is, what is American medicine going to do to create workable solutions to the nation's health care crisis? For without the medical profession's support and collaboration, health care reform may fail." (from Revolution)