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Inescapable Decisions examines the disarray in the American health care system and proposes major corrective strategies. Mechanic shows that the high-technology interventionist type of medicine commonly practiced in the United States has lost its sense of priorities and balance. Expensive and sometimes dangerous procedures of unknown efficacy are used excessively and often inappropriately, while many basic preventive and primary care services remain unavailable to those who need them the most. This incredibly complex system of care operates in an environment of heavy-landed rules...

The exact definition of "madness" remains elusive. There are difficulties in distinguishing the criminal from the mad or, more euphemistically, the mentally ill. Controversy has centered on the frightening potential possessed by the state to deprive of his rights the individual officially classified as mad.

In this book, Wing, a psychiatrist of international repute, argues for a limited medical definition of mental illness, although he explains how even a doctor's professional judgment may often be influenced by social pressures. He compares concepts of madness prevalent in different...

Bringing together twenty-five of...