THE HOSPITAL AT THE END OF THE WORLD
Pre-order Justin’s debut novel and get a FREE original short story in text and audio format that expands the book’s world. Details below.
A medical thriller. A family mystery. A warning about the future we’re already building.
In a future not far from our own, medicine has been handed over to a powerful AI system controlled by a single corporation. The Shepherd Organization promises efficiency. It promises safety. It promises perfection.
But what happens when the algorithm is wrong?
When Pok, an ambitious young medical student from New York, arrives at the last human-run medical school in America—a renegade institution in New Orleans—he’s chasing answers about his father’s mysterious death. What he finds instead is something far more dangerous: a deadly illness quietly spreading among newcomers to the city who grew up under AI rule… and a system determined to bury the truth.
“Justin C. Key has my full attention. His stunning debut deserves yours.”
—LeVar Burton“The cyberpunk, anti-AI, anti-tech-fascism medical thriller you need in your life right now.”
—Paul Tremblay, New York Times bestselling author of Horror Movie“Smart and brims with imagination… Key is a rising star in Afrofuturism, artfully tending the path laid by Octavia E. Butler.”
⎯ Tananarive Due, award-winning author of The Reformatory
Bonus Short Story: “The AI Is My Shepherd”
Pre-order The Hospital at the End of the World and fill out this form to download the text and audio versions of “The AI Is My Shepherd” today!
This story takes you back to when everything began and shows what’s at stake when human care is replaced by corporate algorithms. Here’s a sneak-peek excerpt.
Pok slept the whole walk over to MacArthur Medical Center. Phelando angled the stroller to fit in the hospital’s revolving door, crossed the lobby past the cafeteria and the long hallway down to the adult emergency room, and stepped into the pediatric wing, where light reds and blues replaced sterile white. A cartoon alligator pointed the way to a lone kiosk inviting him to check-in his son. The unit’s side panel proudly displayed an insignia Phelando had never seen before: a shepherd holding a stiff snake as a staff. Above it was the familiar TSO trademark for The Shepherd Organization.
Already? Phelando knew the integration was coming. He’d volunteered for the committee overseeing The Shepherd Organization’s robust proposals for reshaping medicine, starting at MacArthur. Helping out with notes and analyzing charts was one thing, but handling triage? AI had arrived. Pediatrics, it seemed, was the pioneer.
Before he offered his son’s index finger for scanning, Phelando interrogated the kiosk for the hospital’s policies and made sure he declined consent for DNA cataloguing. This done, he clipped the reader onto Pok’s finger…
More Praise
"Smart, exciting, and full of heart. Highly recommended."
—Karen Joy Fowler
"Visionary, chilling, and pulse-pounding—like John Grisham meets Cory Doctorow—The Hospital at the End of the World is the medical thriller for the age of AI."
—Maurice Broaddus, author of Sweep of Stars, Breath of Oblivion, and A City Dreaming
“Justin C. Key puts human faces on the technological revolution we all are about to experience. This is why science fiction was invented!"
—James Patrick Kelly, winner of the Hugo, Nebula, and Locus awards
"A stunning, pulse-pounding, heart-hurting journey through an all-too-plausible nightmare future."
—Sam J. Miller, Nebula award-winning author of Blackfish City
"This gripping and heartfelt coming-of-age tale from debut novelist Key takes place in a near-future America dominated by an AI system . . . . The worldbuilding fascinates and Pok is a wonderfully believable protagonist acting from both good intentions and naive suppositions. Key should win plenty of new fans with this.”
"In theory, AI has the potential to revolutionize health care by minimizing the potential for human error. Key’s debut novel shows a concerningly realistic future if this path is chosen, solidifying his place as a strong voice of contemporary sf . . . . Pok’s ethical and moral struggles with AI will resonate with those concerned with society’s trajectory. For fans of Michael Crichton, Elizabeth Bear, and Annalee Newitz."
"A medical-minded dystopia with mystery elements that emphasizes the importance of human connection and equity for everyone in a world of artificial intelligence. For readers of Laila Lalami."
"The writing shows the author’s rich imagination . . . . An enjoyable tale about AI’s dark underbelly."