The reissue of Rosemary Stevens's groundbreaking book on the growth of medical specialties offers a new opportunity to consider the state of the American health care system. Updated with an extensive new introduction and a new bibliography, Stevens's book chronicles the development of the medical profession and shows how increasing emphasis on specialization has influenced medical education and public policy. She details specialization's effects on health care costs and on health care providers, and her concerns are especially timely: the implications of technology and the resulting ethical...