The Sudden Star - Pamela Sargent - 1979 Fawcett Gold Paperback

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Rape and murder were as common as suicide. Medical help was allowed only for certain diseases, and disobedience incurred the worst of punishments. Ever since the sudden appearance of the white hole over Earth in the year 2000, society had decayed - and now only the corrupt survived.

Dr. Simon Negron knew the odds were against him, but he dared to defy the medical code. His "crime": giving insulin to a diabetic. And because of it he became a fugitive...a hunted outlaw with only a teenaged prostitute and a gang youth for allies...a haunted man running for his life in a nightmare world of increasing madness...a desperate human being who would dare to take a stand against the evil domination of THE SUDDEN STAR