Nathan Finewax is a cleaner in a hospital steadily falling apart. He's working on a ward where staff cheat, lie and steal to get ahead, where targets, death tolls and finance overrule patient care, and every day the same mistakes are repeated in a seemingly unstoppable wave of failures. Nathan is sucked deeper into the hospital routine as he dreams of escape, trying to avoid one day becoming a patient himself in this house of horrors. Based on the author's experience working in the NHS, Politics of the Asylum is a nightmare vision of the modern healthcare system. Adam Steiner's challenging debut is a novel for our times, and an emotive and highly original story of people trying to do more than simply exist.