The Devil’s Ledger
Some lives cost too much to save.
A paramedic discovers a hidden algorithm deciding who gets help.
And who doesn’t.
Written by a former paramedic. Inspired by real calls.
I wrote The Devil’s Ledger because I’ve seen real people get reduced to line items.
We already live in a world where insurance algorithms deny lifesaving care, where hospitals close trauma centers because they’re “unprofitable,” where ambulance companies balance response times against reimbursement models, and where pharmaceutical pricing turns survival into a luxury good. We’ve seen nursing homes understaffed to boost margins. We’ve seen benefit managers inflate drug prices while patients ration insulin. We’ve seen spreadsheets make decisions that used to belong to human beings.
This book is a thriller, but it’s not fiction pulled from thin air. It’s a warning about what happens when profit is allowed to outrank urgency, when efficiency replaces judgment, and when technology learns the wrong lesson from the data we feed it.
I wrote this because once a system values money over people, it will do exactly that. Quietly. Reliably. And without remorse.
A burned-out medic stumbles onto a lethal truth: an AI algorithm is quietly deciding who gets saved and who gets written off. When he learns he’s been flagged, the clock starts. Drawn from real EMS calls and the raw chaos of the front lines.
This isn’t just a thriller. It’s a blunt-force reckoning with a system where formulas outrank humanity and every page leaves a bruise.
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The World of The Devil’s Ledger
The Knife & Gun Club was the grim but enduring nickname for the emergency department at Denver General Hospital, now Denver Health. It emerged in the 1980s and early ’90s, when the ER became one of the busiest urban trauma centers in the country. Weekend nights often looked like combat triage: stabbings, gunshots, assaults, overdoses, domestic violence.
It was never meant to be flippant. It was a survival tactic. A hard truth carried with dark humor so it didn’t crush the people who had to live with it.
From the Streets to the Pages
From Blog to Book:
The Devils’ Ledger was born from a decade spent on the streets of Denver as a paramedic—and from the raw, unfiltered stories that I shared on my blog, Rocky Mountain Medic. What started as a personal outlet to process trauma, burnout, and the dark humor of EMS life evolved into something bigger: a glimpse behind the curtain of public safety, and eventually, the spark for this novel.
Many of the scenes in The Devils’ Ledger are rooted in real calls, real patients, and real moments that haunted me long after shift change. While the conspiracy and thriller elements are fiction, the emotions are not. The fear, the exhaustion, the moral conflict—that’s all real.
This book isn’t just a story. It’s a tribute to the medics, nurses, and first responders who carry the weight of other people’s worst days… and still show up. If you’ve ever read the blog, you’ll see the fingerprints of those true stories throughout this book.
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