Abstract
Part 1 The changing health care system: the destabilization of health care for-profit medicine American medicine - the power shift privatization of health care high-tech medicine. Part 2 Important subsystems: academic health centres foundations and the nations's health agenda the community health care centre health care in New York City. Part 3 Medical education, the physician supply and nursing: the reform of medical education the politics of physician supply nursing. Part 4 Patients' needs and resources: clinical decision-making in catastrophic situations rationing cancer care health care for the elderly psychiatry before the year 2000 medical care for the poor. Part 5 Health agenda issues: balancing dollars and quality a hard look at cost containment US health policy - expectations and realities.
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