This is actually my most favorite iteration of Medtech fast advance.
Going to some 1 point agendas means that sometimes you only need to score two agendas using FA tricks, then scoring two Clone Retirements out of hand.
Switching to Mushin No Shin from SanSan City Grid lets you bluff/trick/gamble your way to victory. Mushin No Shin + GRNDL Refinery is LEGIT. You can gain 24 bucks for a lowly investment of 3.
Mental Health Clinic is also pretty good. I still don't have tournament experience with it, so I'm not sure how many people will go out of their way to trash it.
Shi.Kyu in this deck is, to me, a must.
I think the deck is pretty tight. It's fantastic, has a lot of play, and sometimes you just gain a whole boatload of money.