This book is an analysis of the American health care system during a period of rapid change. For the remainder of the century, these shifts will shape how providers and purchasers of services respond to the two great accountability problems that characterize health care: the vulnerability of the person who needs services and the absence of the payer at the point of service.
The profit motive has become pervasive in health care centers as an increasing number become owned by private corporations. These new for- profit organizations provide diagnostic and therapeutic services, and a growing number of doctors depend on them to gain access to patients. Gray analyzes the changes in health care since 1960 and how these changes effect the care available to Americans and at what cost. Annotation c. Book News, Inc., Portland, OR (booknews.com)