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Previous Volume 335:1539 November 14, 1996 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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By Henry A. Shenkin. 109 pp. Lanham, Md., University Press of America, 1996. $29.50. ISBN 0-7618-0238-X.

The debate about the organization, financing, and delivery of medical care in the United States has been the theme of the 1990s, and the cost of medical care is its driving force. Access, equity, and quality are touted as the rationale for the restructuring of the medical care system, but they have contributed only marginally to the real decision-making process. Who pays and by what means have been the dominant considerations in the restructuring and the positing of solutions to the financial crisis in medical care.

Current Dilemmas in Medical-Care Rationing: A Pragmatic Approach is a well-organized synthesis of the . . . [Full Text of this Article]

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