Ben Cowper, an attending psychiatrist at the prestigious New York–Episcopal Hospital, is stunned to learn the identity of the emergency patient he’s just been assigned to treat: Harry Shapiro, a Wall Street colossus and one of Episcopal’s most prominent donors. But a high-profile reversal of fortune has left the once powerful investment banker jobless, bitter, and possibly desperate — judging by the handgun his wife finds him clutching. In Ben’s expert opinion, Shapiro is a suicide waiting to happen. But when the headstrong financier balks at an extended stay in the hospital psych ward, Ben reluctantly releases him, bowing to political pressure from Episcopal’s chief administrator, who’s more concerned with the patient’s money than his mind.
Days later, the shocking news breaks: There’s been a shooting death in Harry Shapiro’s Hamptons mansion. But even more shocking is the identity of the victim. A tragedy sets in motion an explosive chain of events that turns Ben Cowper’s life upside-down.
As hard-nosed cops close in with harder questions, the hospital closes ranks to protect its own interests. But with colleagues freezing Ben out, innocent circumstances conspire to incriminate him. Hounded by a DA who’s out for blood, and haunted by the specter of a shattered career, Ben has no choice: He must delve into the hearts and minds of the people who know Harry best, uncover the secrets they’d rather die — or kill — to keep, and expose the truth behind a web of malice disguised as madness.
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A novel take on the financial crisis – CNN Money
"Is John Gapper a journalist with a novelist’s heart, or a novelist with a journalist’s instinct? Either way, he tells a great story."
— Lee Child, #1 New York Times bestselling author of the Reacher series
"John Gapper puts together an irresistible package: A psychiatrist pursuing a Wall Street murder mystery, while fighting for his reputation and maybe his life. This is a neatly crafted and well-written thriller, which shows why Gapper is a must-read columnist in the Financial Times. An audacious, assured debut."
— David Ignatius, columnist for The Washington Post and author of Bloodmoney
"Rarely does one read a first novel so self-assured, sharp, and compelling. A Fatal Debt offers a terrific premise and wonderful characters. It takes off like a rocket and doesn’t stop until its explosive conclusion."
— Joseph Finder, New York Times bestselling author of Buried Secrets and Vanished