By John A. Kastor. 356 pp. Baltimore, Johns Hopkins University Press, 2004. $55. ISBN 0-8018-7420-3.
John Kastor's first book traced the history and fate of recenthospital mergers in Boston, New York City, and San Francisco.This book tells of crises in the academic medical centers ofJohns Hopkins and the University of Pennsylvania in the 1990s.The stories are complex and richly (sometimes too richly) detailedand documented. The most important conclusion may be that thereis not one simple conclusion. However, some things are clear.First, the strong, charismatic leaders of the institutions involved— university presidents, medical school deans, chief executiveofficers of hospitals, and board chairmen — were not selectedfor . . . [Full Text of this Article]
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