RWM was class president and in the honor society, and All State as a football tackler. An ardent Baptist, he went to Notre Dame and played on an undefeated football team that won national championships; he graduated cum laude. A telegram recruited him to fight communism and save our way of life. RWM went to Washington and passed the tests. The chapters in the book tell about his career in the agency. Chapter 5 tells of his "Life at Langley" when he returned to Headquarters. His knowledge of the Bay of Pigs came from television news. It seemed they relied too much on an assumed uprising of the Cuban people. Could such a mistake ever happen again? Pages 57-8 tells how the CIA promoted a bloody extermination campaign in Indonesia. (Read L Fletcher Prouty's book on this.) Page 59 tells of agency coups in South America. American training of the military and police created traitors who overthrew their governments; was this the definition of subversion?
Page 61 quotes Howard Hunt on gathering "any and all information" on Presidential candidate Goldwater for delivery to the White House. Page 63 tells of the CIA's insertion of individuals into dissident circles in order to establish their credential for foreign operations. (Could this explain W J Clinton's success?) Page 64 tells how RWM was transferred to Thailand, and page 80 tells of the sad results. Pages 111-6 tells of his successful survey of Thailand. This "good news" resulted in his quick removal! Years later the truth dawned on him: the CIA didn't want the truth! This tells of the management trick of offering a transfer to a better job, then eliminating the job after the employee transfers. RWM became another paper pusher. Page 120 shows the bureaucratic faults of the CIA. Page 128 tells of the fatal flaws of our presence in Vietnam. Pages 129-135 gives Vietnamese history in a nutshell. Page 146 summarizes the problem: how was it that one junior officer was better informed and had a clearer picture of the reality out there than all the rest of the Agency? Is this unique to a government agency? The bottom of page 159 tells of the results of his experiences. Chapter 14 concludes and summarizes this book.
The Appendix is the last part, but you should read it first to understand the writing of this book. His secrecy agreement let the CIA review and censor any information that they did not want revealed. When his writing was censored, he was allowed to substitute information from open sources. (See page 35 in Chapter 3 on the use of agents.) When RWM found a published book with the same opinions he was then allowed his critical comments. The CIA's secrecy agreement stops critics from explaining their actions to the American people.
Downsides - it can use some updating, and I think most chapters can be a little more detailed. (better to have more detail than less)
Another good option would be Joseph Varon's Handbook of Practical Critical Care Medicine.
If you're going to buy a crit care handbook it should be one of these.