The concept is ripe for a novel: doctor uses his access to patients, and trends, in the emergency room to carry out a war on the male criminal elements in the big apple.
The inherent tension in the idea would, seemingly, be enough fodder for a brilliant story. After all, it’s about a doctor who hurts people, and then proceeds to treat the people he’s intentionally harmed. A doctor violating his oath.
Dr. Vigilante does not live up to the lofty concept. It lives up to the pretension of a rich, hunky doctor living in New York City, who is written as a toned-down version of Batman.
The pretension, along with the terrible stereotypes and blatant sexism built into the plot, into the characters, even into the setting, helps drive this book down, down, down.