"The list. You're on the list. God's chosen Gene."

When children's hospital volunteer and high school student Gene Adamson hears the words of the dying man, the gunman who used him as a shield after murdering a prominent geneticist, Gene thinks the man delirious. But then the bodies of killer and victim disappear from the morgue, and a ten-year-old girl desperately needing a heart transplant is mysteriously bumped from her number-one spot on the organ-recipient list. The list. What is the list? Gene, together with Jeanne Everston, the beautiful daughter of the murdered geneticist, appears to have stumbled onto a medical conspiracy so deadly the very knowledge of its existence marks them for death.

As a child's life hangs in the balance, Gene believes he's discovered the answer. He thinks he's cracked the conspiracy wide open. He is so wrong.