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July 4, 1977

Medicine Under Capitalism

JAMA. 1977;238(1):66-67. doi:10.1001/jama.1977.03280010066032

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Through a series of case studies and trenchant analyses, Vicente Navarro, an outstanding social analyst who has taught at academic institutions in different parts of the world, has put together in Medicine Under Capitalism a provocative collection of essays.

Written in particular cultural and political settings and using the Marxist method, the book examines the composition, functions, and nature of the health sector by regarding society as a whole. A key question repeatedly asked is, "Who owns and who controls the income and wealth of our country and most other capitalist countries?" The obvious answer, of course, is not the working class or the middle class but the few in the corporate class or monopolistic sector of society.

Navarro believes that the main health problems in America, like the maldistribution of health resources, are a result of the lack of power and control over our economic, political, and social institutions