It was written by a real doctor, so I'm pretty sure the issues are real. There are a lot of issues involved with privatized health care and how the Japanese have structured their organization, which includes how they are trained. The inexperienced Japanese doctors are strongly contrasted with American ones, who have shown to have more experience because of greater surgeries.I also understand Asada is a rare breed among geniuses. But I find it strange other doctors have so low skills (maybe there's a normal one, the one that trained on rats when young). Ok the scenario needs some contrast. But here I think it's really too much.
That's definitely story dynamics to keep it interesting.Then there are the hurdles in the OR, with surprises, anomalies and everything happening at the last time when you have to improvise. Heck, Asada even decides he would do stuff prior to the operation, but without even telling his team.