ARNOLD BIRENBAUM is Professor of Pediatrics at the Albert Einstein College of Medicine in New York and the author of 11 books.

• Preface Introduction A System in Need of Direction Dissatisfaction Widespread--Our Leaders Receive a Wake-Up Call The Changing Relationship with Your Doctor The Growth of Managed Care and the Backlash The Challenge to Providers The Rise and Decline of Hospitals American Business and Health Benefits The Uninsured, the Uninsurable, and the Fear of Falling Current Needs Vulnerable People Long-Term Care People with AIDS The Right to Die Caring for the Future Northern Exposure: The Canadian Experiment Taking Health Care Off the National Agenda--The Failure to Answer the Wake-Up Call References Index

ARNOLD BIRENBAUM is Professor of Pediatrics at the Albert Einstein College of Medicine in New York and the author of 11 books.

• Preface Introduction A System in Need of Direction Dissatisfaction Widespread--Our Leaders Receive a Wake-Up Call The Changing Relationship with Your Doctor The Growth of Managed Care and the Backlash The Challenge to Providers The Rise and Decline of Hospitals American Business and Health Benefits The Uninsured, the Uninsurable, and the Fear of Falling Current Needs Vulnerable People Long-Term Care People with AIDS The Right to Die Caring for the Future Northern Exposure: The Canadian Experiment Taking Health Care Off the National Agenda--The Failure to Answer the Wake-Up Call References Index

ARNOLD BIRENBAUM is Professor of Pediatrics at the Albert Einstein College of Medicine in New York and the author of 11 books.

• Preface Introduction A System in Need of Direction Dissatisfaction Widespread--Our Leaders Receive a Wake-Up Call The Changing Relationship with Your Doctor The Growth of Managed Care and the Backlash The Challenge to Providers The Rise and Decline of Hospitals American Business and Health Benefits The Uninsured, the Uninsurable, and the Fear of Falling Current Needs Vulnerable People Long-Term Care People with AIDS The Right to Die Caring for the Future Northern Exposure: The Canadian Experiment Taking Health Care Off the National Agenda--The Failure to Answer the Wake-Up Call References Index