My Book


Discovering the Cause and the Cure


America’s Health Care Crisis




A Physician’s Memoir


By Roger H. Strube, MD

With Foreword by Westley Wallace, M.D.

Book Cover Art © Rijalynne Saari-Perez 2010




The cover art and artist tell the story.

Sometimes you can judge a book by looking at its cover.




The cover artist - Rijalynne Saari

Rijalynne pronounced (rye-a-lynn) receive her Bachelor’s Degree in Fine Arts from

the Milwaukee Institute of Art and Design in 1993. She is a design consultant for the

Milwaukee area Design Center of a nationally know decorating firm. Prior to this

position she was the Artist and Creative Director of “& So Much More” where she

transformed plain white walls into spectacular works of art for over 15 years.

Rijalynne’s interest in art and design span three decades.

My wife and Rijalynne’s mother were best friends in grade school. That friendship

between our families has lasted to this day. We watched Rijalynne grow up and

followed her career. I was honored when she accepted the cover art design



I had seen Rijalynne’s work and believed her artistic talent was a great match for the

cover art. Fortunately, she was able to devote enough of her free time to complete

the project. After discussing the contents of the book and my ideas about the cover

art, Rijalynne got to work


The Cover -- Concept to Final Artwork

I wanted the cover art to tell the story of the book. The book is about the vision of our health

care system I developed as I transitioned from centuries old paper medical records through

administration of health care to the electronic age. The first design concepts we discussed

depicted the old, paper and memory bound past on the left. A robotic figure on the right would

point the way to the electronic computerized future. Originally, some version of the Honda

Asimo robot or one of the cyborg characters from Star Trek for the right side was suggested to

Rijalynne. I wanted the way forward to look like an enhanced Six Million Dollar Man. I asked her

to consider incorporation of a version of Janus, the Roman god of gates, doorways, beginnings

and endings. This theme fit the book very well considering both the transition from old to new

and the gate keeper concepts presented in the book. For inspiration I referred her to images of

Janus and these cyborg robots.

JanusBeginsAndEnds2FaceGod CyborgFemaleStarTrek CyborgMaleStarTrek

I also provided conceptual composite picture showing the Vitruvian Man on the

left and the Honda Robot on the right. A picture of the Robin Williams

robot from Bicentennial Man was included for reference. A copy of the

document I sent to Rijalynne is reproduced below.



The cover design had evolved to: 

Leonardo da Vinci’s Vitruvian Man on the left,

representing how medicine has been practice

for 2000 years transitioning to modern,

computerized medicine of the future. The

original “future” concepts are depicted here.

These ideas were sent to Rijalynne for


I also sent Rijalynne a copy of the poster for the 1927 silent film, “Metropolis.”

My research of robots had led me to this film. I downloaded the film and the

poster from Netflix. The movie was long but ground breaking for its time. The

social issues presented were not unlike what we are going through today.

The special effects, for 1927, were revolutionary. The robot was visually very

interesting. On the down side, the robot was evil.


Rijalynne produced a very rough first draft of my concepts. The influences of the

Bicentennial Man robot and the Metropolis robot are evident. There is a hint at the

Vitruvian Man background. Unfortunately, the composite turned out to be somewhat

frightening. The first draft may be seen below.

CoverArtRijalyn01 RobinWilliamsRobot

With this rendering, the cyborg concept was dead. The figure would have to

be human. One side representing the old past and the other, the future of

ealth care delivery. We settled on using the Vitruvian Man as the inspiration

for the cover. The left half of the image would represent the past. The

rightside the future. This old half man, dressed in the time of Hippocrates or

Asclepius, the god of medicine, holds a scroll representing paper charts and

the staff of Asclepius, tying the past triditions of medicne to the future. The

modern half figure on the right holds generic electronic devices. The draft

Rijalynne produced is pictured below.


Rijalynne was much closer to telling the

story of the book. Somehow the

important values of the past had to be

tied to the future. Two important

traditions of medicine in Latin would

appear on the left. The Staff of Asclepius

was also on the left and put the

rendering out of balance. I asked

Rijalynne to move the staff to the center

and place a writing quill in the right hand.

The background on the left was colored

in earth tones to look like parchment. In

Latin the words, “HIPPOCRATIC OATH”

and “FIRST DO NO HARM” fade in and



The figure holds the Rod of Asclepius in the center of the rendering joining the

healing traditions of the past with those of the future. This symbol offers a lesson

for some of us. Asclepius may have practiced Fee-for-Service (FFS) medicine. He

was killed by Zeus after taking gold to raise Hippolytus from the dead.


The right side represents the future of medical care. This young half man, dressed

in a modern white laboratory coat, holds a PDA in one hand and an electronic

notepad in the other, representing medicine’s digital future. The background colors

are crisp and metallic. The background was to show random ASCII binary code (lines

of “0s” and “1s”) but Rijalynne suggested many folks in this digital age would decode

the numbers. She suggested the ASCII binary code on the right match the Latin

words on the left to ward off the techies.


Rijalynne’s final draft, prior to finishing the cover art may be viewed below.


I was helped very little by my high school Latin but a little online research provided

the spelling and ASCII binary code needed for the words in the cover design. The

Latin translation:



“Hippocratic Oath

The Oath, written in Roman letters, on aged parchment, in capital letters:




“First, do no harm

The prime directive, written in Roman letters, on aged parchment:





Latin words written in ASCII binary code:

H I P P 0 C R A T I S



P R I M I U M   N O N

N 0 C E R E


This picture tells the story of one hundred sixty thousand words.


© Roger H Strube, MD 2010


My book is a memoir, in lay language, telling my life’s story of discovery of the

problems in our health care system and their solution. My vision of the future of

health care is presented in detail. A complete business plan for developing the

necessary technology is presented on this web site.


If you are interested in a deeper understanding of our Quality and Cost health care

crises, my book is available on Amazon/Kindle and through the publisher, iUniverse.


Published by iUniverse available on line at Amazon in both print and ebook versions.


Amazon: Hard & Paperback:





Hard Cover:


Soft Cover:





ISBN: 978-1-4620-0389-1 (pbk)

ISBN: 978-1-4620-0388-4 (cloth)

ISBN: 978-1-4620-0387-7 (ebk)

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