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Book Review
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Volume 335:1077-1078 October 3, 1996 Number 14
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On the Ledge: A doctor's stories from the inner city

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By Neil S. Skolnik. 157 pp. Winchester, Mass., Faber & Faber, 1996. $19.95. ISBN 0-571-19883-X.

This book chronicles the experiences of a young family doctor practicing in an inner-city clinic in Philadelphia, where, apparently, he is surprised to find complex and seemingly intractable social problems among a patient population mired in severe urban poverty. The chapters are, in essence, experiential essays describing the realities of providing health care in such a setting.

For physicians who have trained or practiced in economically depressed communities, this book offers little in the way of new insight into the lives of poor, generally disenfranchised people grappling with every manner of adversity. On the other hand, the reader learns a . . . [Full Text of this Article]




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