The institution of American medicine seems to be changing with more than glacial speed now, and this alone could be called a revolution. A far faster rate of innovation is expected in the near future, as this book demonstrates in four essays which were modified from lectures given in the autumn of 1966. The author has guided the department of preventive medicine at Harvard University since 1947 and has practical experience with political affairs. He is well known for the general viewpoint he expresses here.
The first essay demonstrates the basic paradox of modern medicine. While biomedical research, already splendid, continues to develop rapidly, medical care lags, remaining inferior in some important respects to the systems of nations spending far less money. To resolve this paradox, and meet other problems as well, the author urges significant change in the basic framework of medical practice, in addition to financial programs. The