TS Bodenheimer and K Grumbach. 259 pages. Norwalk, CT: Appleton & Lange; 1995. $26.00. ISBN 0-8385-3678-6. Order phone 203-838-4400.
This highly readable text gives a broad but detailed picture of how health care is organized and dispensed in the United States. It considers the problems of, and possible solutions for, cost control, long-term care, quality control, ethical issues, and insurance programs. Alternatives are examined in accounts of the German, Canadian, and British systems. The authors do not shrink from frank analysis of the reasons for the paralysis of health care reform in the United States. Clinicians are likely to find this text attractive because of its supportive flow charts and its frequent use of specific, concrete examples of the consequences of the present U.S. non-system.
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