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September 2, 1974

Blueprint for Medical Care

Author Affiliations

Case Western Reserve University Cleveland

JAMA. 1974;229(10):1354. doi:10.1001/jama.1974.03230480070041

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This small book attempts nothing less than to describe a complete, new health care system for the United States. If it is not wholly successful or convincing, it nevertheless does put the entire problem clearly before us with all its interconnected parts. Presented originally as a set of lectures at MIT, the treatise is most exciting and original in its description of the technological potential for better emergency services and for more effective and efficient communication, transportation, and other supporting services. At the same time, the author points out that the greatest deficiency in American medicine today is in the numbers and education of general physicians.

The book is written for the layman, and complex issues are presented in condensed, sometimes oversimplified form. By omitting almost all references, supporting data, and illustrative cases, Dr. Rutstein has produced a compact text, but one which is dry and sometimes monotonous.

Some of