Originally published in 1987. The Conservation of Human Resources, Columbia University, has been carrying out over the past three years an inquiry into selected forces that are altering the structure and functioning of the U.S. health care system. The funding for the project was provided by the Robert Wood Johnson Foundation and the principal inves

Howard S. Berliner, Sc.D., is associate research scholar at the Conservation of Human Resources, Columbia University. He is the author of A System of Scientific Medicine: Philanthropic Foundations in the Flexner Era (1985) and co-author of Young People at Risk.