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Previous Volume 332:194 January 19, 1995 Number 3 Next

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By David Hilfiker. 259 pp. New York, Hill & Wang, 1994. $20. ISBN 0-8090-3921-4.

David Hilfiker's book is an important one for doctors (and students) who need to appreciate the breathtaking scope and impact of poverty and disenfranchisement in our nation. Well written though it is, it is not an easy book to read, because the people, their conditions, and the hopelessness of some of the real-life cases Hilfiker describes are painful to absorb. The book describes in detail the personal and professional aspects of a doctor's life and practice in Washington, D.C., one of America's most depressed and squalid inner cities.

The vast majority of physicians have only brief exposure to the ravages . . . [Full Text of this Article]

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