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Hadler (medicine & microbiology/immunology, Univ. of North Carolina-Chapel Hill) amplifies and updates his 2004 book, The Last Well Person: How To Stay Well Despite the Health-Care System, here writing another clear message on his prescription pad: "Rx: less is more." Challenging conventional medical wisdom, he advises a healthy skepticism about the benefits of drugs, routine tests, and many common medical procedures-dubbing what he describes as impeccably performed but medically unnecessary treatments "Type II Medical Malpractice"-and he makes the unfashionable assertion that aches and pains are a normal part of the aging process. Topical chapters provide information on heart disease, cancer, diabetes, and other common conditions as well as discussions of how mental states and socioeconomic factors affect health; "shadow chapters" offer additional, specialized information on each topic. Though the book may not convince readers to forgo their annual prostate-specific antigen (PSA) tests or mammograms, it will educate them on being far better health-care consumers. This often densely written but provocative look at the U.S. medical system is worth the effort; recommended for larger public and academic libraries.