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Usually, second opinions are requested by patients to gain a better understanding of their disease and how to manage it. In the case of Arnold Relman's book, the patient is the American public and the disease is the U.S. health care system. The public did not request this second opinion, but from it they would certainly gain a better understanding of the pathology of the health system and why previous opinions have fallen far short of producing a cure.
The book has three interwoven components: a factual review of historical currents in U.S. health care, a critique of current ideas
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