Facing opposition from the government and his own family, David Lang nevertheless, in the tradition of the Randian hero, possesses an iron will to persist in his conviction of the moral and efficacious way to practice medicine. For him, medicine is a passion, not a chore, and he delights in the scientific approach to real, pressing problems. He is willing to break government law when it conflicts with his precise and uncompromising understanding of absolute moral law. As spiritual fuel for his struggle, he draws his inspiration from the ballerina Nicole Hudson, who had risen out of destitution to perform in the ballet, Triumph, an alternate version of the Greek myths of Prometheus and Pandora, where man ultimately prevails over the gods. However, his inspiration is nearly shattered when a terrible accident leaves Nicole blind, with her optic nerves severed. In order to save her, David must perform his experimental, but illegal, nerve regeneration procedure. If he pursues this aim, he risks losing his job, family, and livelihood. If he does not, he will certainly lose his moral integrity. This is the treacherous double bind into which government regulation places the most rational, benevolent, and productive of men. His choice, and his struggle, are the focus of Ms. LaGreca's novel.

          Along with a devastatingly efficient critique of government involvement in medicine, Ms. LaGreca analyzes numerous broader questions. What do politicians seek when they impose regulatory programs? Why do some people cave in to the desire to conform at the cost of their selves and their values, while others persist in their loyalty to principles? Why does the government favor those currently in poverty, while imposing its greatest burdens on those who have risen out of it due to their own effort? Most importantly, what is the difference between the objective, the demands of reality, and the subjective, the whims of other people, and what happens to a person who favors the latter over the former? In the process of analyzing these questions, Ms. LaGreca offers extensive rebuttals to the mentalities of collectivism, altruism, conformity, and utilitarianism.

          Furthermore, Ms. LaGreca demonstrates that it is only on the grounds of the unmitigated right of the individual to pursue his self-interest that true freedom in medicine can be justified. The following conversation between Secretary Lang and Governor Burrow illustrates the impossibility of justifying medical innovation solely in the name of the "public interest."

          This is an excellent illustration of the fact that, in truth, there exists no such thing as "the public interest," any more than there exists such a thing as "society." There are only individuals and individual interests, and he who claims that the "public interest" ought to supercede individual interests, only means that some people's interests should be sacrificed to his own. Mack Burrow and regulatory politicians like him are no different from Louis XIV when he claimed, "L'État, c'est moi!" [I am the State].

          Noble Vision is a novel of heroes and villains, good and evil in the most fundamental existential sense. In it, men of integrity confront men of cowardice over the issue of state-controlled medicine. In the real United States, the government is still greedily eying the medical field, seeking to shackle and regulate it in preparation for a complete usurpation. Will there be enough real-world heroes to resist this infringement upon individual sovereignty, prosperity, and progress? For those who wish to partake in the struggle for free markets, Noble Vision is an excellent companion and source of intellectual ammunition.