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Previous Volume 338:1855-1856 June 18, 1998 Number 25

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By Daniel Callahan. 330 pp. New York, Simon & Schuster, 1998. $24. ISBN 0-684-81109-X.
By William B. Schwartz. 178 pp. Berkeley, University of California Press, 1998. $22. ISBN 0-520-21467-6.

How do we approach the seemingly intractable problems of our health care system? We clearly cannot afford to continue the old fee-for-service medicine, but now patients and physicians are becoming increasingly unhappy with the competitive, price-driven managed-care market that is replacing it. What is more, growing evidence suggests that an unregulated market probably will not keep costs down much longer. Our medical care system grows ever more expensive, dysfunctional, and inequitable. And yet, in the four years since Congress rejected the Clinton reform plan, no one has proposed anything resembling a realistic, comprehensive solution. In a political climate hostile to . . . [Full Text of this Article]

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