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Book Review
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Volume 331:1779 December 29, 1994 Number 26
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Understanding Health Care Reform
Medicine's Dilemmas: Infinite Needs versus Finite Resources

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By Theodore R. Marmor. 288 pp. New Haven, Conn., Yale University Press, 1994. $35 (cloth); $14 (paper). ISBN 0-300-05878-0 (cloth); 0-300-05879-9 (paper).
By William L. Kissick. 240 pp., illustrated. New Haven, Conn., Yale University Press, 1994. $25 (cloth); $12 (paper). ISBN 0-300-05964-7 (cloth)

The father of one of us ran a hospital as a sideline to his full-time job as a radiologist (and single parent of four). Now whole legions daven over hospital management, academic departments analyze the analysts, and health policy books are reckoned up by dozens. Fortunately for the reader, most are obsolete before they are printed.

When President Bill Clinton embraced managed competition -- signaling that health care businesses would not just linger but flourish -- he unleashed an unprecedented torrent of mergers and acquisitions. Each month, thousands of physicians are forced into a bizarre variant of musical chairs: join . . . [Full Text of this Article]




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