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February 7, 1977

A Spy In the House of Medicine

Author Affiliations

New Orleans

JAMA. 1977;237(6):582-583. doi:10.1001/jama.1977.03270330072030

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A Spy in the House of Medicine tells everything you always wanted to know about medical care in this country but were afraid to ask. Dr George Silver's authoritative writing reflects his expertise as a family doctor, local health officer, professor of social medicine and public health, and Secretary of Health with the Department of Health, Education, and Welfare.

The book traces the historical development of American medicine and interestingly roots its current status in the past. It then pinpoints a wide variety of problems in medical care delivery in this country and, chapter by chapter, offers solutions or at least alternatives. Even the most partisan supporters of our controversial system will be convinced that improvement is not only advisable but inevitable.

Access and availability of medical care and the selection and education of American physicians are widely discussed. Physicians are poorly distributed, not only geographically, but sociologically. The physician-patient