These are issues where there very much isn’t a right answer that he should just single-mindedly pursue. However, the manga keeps a similar structure beyond that when he begins encountering issues that are tremendously more complex. That concept works well for the earlier stories where he encounters issues where his patients are put in danger due to bureaucratic issues, corruption, and the egos of those higher up, wherein its clear what the right thing to do is and he boldly does so despite how it would hurt him. However, he manages to gather some backbone and determines that he’ll do what’s right to save the It starts out with Saitou being incredibly naïve and being put off by the harsh realities of what being a doctor is truly like. This manga has a number of interesting sub stories, and most do manage to invoke a high level of emotion, however after reading it it largely wasn’t clear to me what it was trying to do or convey. Tl dr: A manga that has interesting stories about patients and their doctors, but has a protagonist that feels overtly lost and hence doesn’t really convey much overall.