The development of modern medicine is on a very steep trajectory upward--a rise that began only about a hundred years ago. This rise is certainly quantitative, but it is accompanied by qualitative changes in the way we understand and deliver healthcare. This book begins with a look at three recognized periods of medical development--from 1900 until World War II, from the war until about 1980, and the period since 1980.

While the common response is to celebrate these developments, this book suggests that perhaps we should also be wary, especially of the qualitative changes. Since World War...