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March 12, 1982

Options for Health and Health Care: The Coming of Post-Clinical Medicine

JAMA. 1982;247(10):1504. doi:10.1001/jama.1982.03320350098047

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Since this review of the socioeconomics of modern American medicine contains a foreword by Wilbur Cohen, it seems appropriate to begin a review of it by quoting Harry Truman. "I need to get me a one-armed economist," declared the President, "because the ones I have are always saying 'On the one hand, on the other hand.'"

Such balanced, review-article fairness to all viewpoints and endorsement of none is both the glory and the limitation of this important overview of today's health care problems. The scholarship of Alfred and Maria Miller can be measured by the bibliography: 14 chapters each cite 100 references. The book goes beyond scholarship, however. Alfred Miller was Associate Deputy Assistant Secretary for Legislation in the US Department of Health, Education, and Welfare, where analysis of legislative options presumably was part of his job. Many references in the book are made to mimeographed papers prepared for the