Cons: The description overstates the amount of actually convertible material here. Most of the ideas and tables in here are too heavily dependent on the Otherverse America fluff to be easily adapted to other settings. A couple of the topics and items stray into "you did not just go there" territory (such as the "accidentally shot your best friend" traumatic past option) or are handled in an almost insultingly trivial manner (such as the entire Serial Killer/Sexual Predator section.) Overall, about half the material is too political to make much sense outside of an Otherverse America game.
Pros: It's free. There are about a dozen entries in the Street Vendor section who can be easily divorced from their political allegiance and dropped into a Shadowrun or Cyberpunk game without too much effort. And about half of the tattoo ideas are apolitical enough that they would make sense in a cyberpunk verse that isn't as politically-focused as Otherverse. Did I mention it's free?