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litde fo^pal education, the value ofcooperation between various disciplines, and the benefits of using the prepared mind are praised. The last section ofthe book holds an intriguing account ofthe development of knowledge that is utilized in treatment of the respiratory distress syndrome. Involved are stories of discoveries by men who didn't even know die syndrome existed. Fortuitous was the assignment ofpersons ofquite different backgrounds to positions where diey could communicate. Vignettes are delightful. For example: "I've used the RETROSPECTROSCOPE —to look backwards—from the level of the brightness of today to the murkiness or darkness of decades or centuries ago when 'breakdiroughs' were rewarded by burning at the stake instead of the Nobel prize." Numerous similar appropriate statements tempt the reviewer to include many more of them. They arise from the pen of a man who is humble, concise, a straight thinker, aware of the advances we could make by better cooperation, and anxious to do what he can to further more fruitful activity. Throughout die book one encounters pleasing anecdotes concerning vagaries of the personalities whose work has been investigated. The author has uncovered a tremendous amount of information about the personal lives and thoughts ofearly scientists. I suspect that most persons interested in respiratory physiology have already read some of these chapters. If you haven't, you will be weU rewarded for doing so. Robert W. Virtue 727 Birch Street Denver, Colorado 80220 The End of Medicine. By Rick J. Carlson. New York: John Wiley Sc Sons. Pp. xiii+290. $12.95. Carlson is a lawyer who has chosen to prosecute medicine. The adversary perspective oflawyers is applied to the politics ofmedicine. Early in this work he aptly quotes Voltaire: "The efficient physician is the man who successfully amuses his patient while nature effects a cure." While much of diis book is devoted to the description and analysis of modern medicine, the overaU focus is on the failure of modern medicine to produce better health for Americans. Carlson contends that medicine is coming perilously close to reaching its ultimate limitations, and he asserts that by the year 2000 medicine as we know it today wiU be no more. To combat the fate of medicine, Carlson caUs for the dissolution of the largest and most expensive social service system in the world—the medical care system in the United States. He cautiously isolates the characteristics of modern medicine that underpin the current medical paradigm operative in the United States, and though his arguments may be heard as profoundly radical, his method ofconclusion and remedial offerings for an alternative paradigm, while somewhat utopie, are nevertheless convincing. The most fundamental message of this book is that no amount of social and systems engineering wiU replace die need to think differently about health, for it 634 I Book Reviews is in the relationship between human beings and their environment that the key to health ües. From this premise Carlson sees health being achieved through the strategic collaboration of human beings with their world expressed through a series of relationships. These relationships include the relationship between mind and matter; humans and nature; humans and the social roles they play; and humans and higher consciousness, even spirituality. The physician can help, but the individual must be responsible for those relationships and must "learn" to control bodily processes and relearn their interconnectedness with nature. By expanding consciousness and self-awareness, the individual wiU discover his more spiritual capacity. While this contention incorporates a basicaUy holistic health perspective, Carlson calls for something further, something more consciousness evoking, in that he persuasively encourages the reader to indulge in the somewhat idealistic philosophy born of the author's personal Weltanschauung . Most impressive to me is Carlson's methodology of dealing with this complex issue, and his thorough research certainly validates his perspective. Written in a crisp, clear, and comprehensive style, his work is an excellent and edifying contribution for professional and layman aUke. Krysten Latham, D. D. Chaplain's Office University of Chicago Death, Dying, and the Biological Revolution. By Robert M. Veatch. New Haven, Conn.: Yale University Press, 1976. Pp. ix+323. $12.95. Here is a comprehensive "first" analysis ofpublic policy and its...


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