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In the rapidly proliferating literature of medical ethics, I found Macklin's new book to be a unique and welcome addition. It is well written, clear, and easy to understand. Her use of a case-based approach seems particularly appropriate to the discussion of problems that interfere with patients' care. She identifies a variety of policies, procedures, and people that are threatening the rights of patients and the relationship between them and their care givers. Although they may act in the name of quality control, fiscal responsibility, risk management, and even patients' rights, these "enemies of patients" have served primarily to interfere
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