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Book Review
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Volume 338:336-337 January 29, 1998 Number 5
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Beginnings Count: The technological imperative in American health care

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(A Twentieth Century Fund Book.) By David J. Rothman. 189 pp. New York, Oxford University Press, 1997. $24.95. ISBN 0-19-511118-4.

Rothman's book is an engaging, interesting, and complex one, easy to read, more difficult to evaluate. It is most obviously a collection of essays on what the author calls "decisive moments in the evolution of American public policy and public attitudes." There are six such moments, whose "tales," Rothman notes, cover "critical innovations" in the history of health insurance and medical technology. Each of the resulting six chapters takes up one of these "decisive moments." Those on health insurance deal with the origins and growth of Blue Cross, the enactment of Medicare, and the (failed) reform effort of President Bill . . . [Full Text of this Article]




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