This revised edition of Arnold Birenbaum''s important book brings the work up to date through the end of 1994 and the close of the 103rd Congress. It offers a comprehensive provocative and completely new assessment of health care reform with a focus on financing and coverage. A fine primeron the health care debate (JAMA) the book examines such topics as the changing doctor-patient relationship the growth of managed care the rise and decline of hospitals American business and health benefits and the uninsured in America. This new edition takes particular heed to the failure of health care reform in 1994 responding to the first edition Victor Sidel M.D. former president of the American Public Health Association called it A wonderfully far-ranging meticulously documented insightfully analyzed and remarkably well written challenge to professionals patients and community members to work for effective change in a bizarre expensive inefficient and often unresponsive medical care system.
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