THE AMERICAN HEALTH SCANDAL by Roul Tunley

THE AMERICAN HEALTH SCANDAL

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KIRKUS REVIEW

As assertively as the title would indicate, this views the lacunae in our health care and finds that although we have made good progress in the laboratory, it has been generally poor in its application to the people and disastrous in its costs for them. Mr. Tunley spent a year researching this and much of the evidence is based on direct quotation and experience, spot checks of institutions and installations, and a tour of England, Sweden, Germany, Yugoslavia, Canada with some invidious comparisons. In transit, he finds much to say against our care of the ill and the old, our lack of doctors and g.p.s in particular. ""The World's Most Hated Union""-- the wrong-headed, selfrighteous A.M.A., Blue Cross and Blue Shield with Medicare to offer equally limited benefits. A few statistics are certainly deadly: we take 11th place in infant mortality; only 30% of the bill is picked up by the insurance coverage three quarters of the population now has.... He sees group practice as the possible answer (this is the conclusion Selig Greenberg reached in his less lively critique of The Troubled Calling-Macmillan- p. 424) here much more firmly implemented by the recommendation for compulsory health insurance. Mr. Tunley's glowing report on the National Health Service in England, for example, which has not always been supported elsewhere is primarily first person-second hand, which brightens the expose but does not necessarily authorize it. However the overall criticisms and remedial propositions seem sound.

Publisher: Harper & Row