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Frontmatter -- Contents -- Preface to the Second Edition -- Introduction -- Part I The Uninsured, Health Care Costs, and Public Programs -- The U.S. Health Care System: On a Road to Nowhere? -- Wanted: A Clearly Articulated Social Ethic for American Health Care -- From Bismarck to Medicare—A Brief History of Medical Care Payment in America -- The Sad History of Health Care Cost Containment as Told in One Chart -- The Unsurprising Surprise of Renewed Health Care Cost Inflation -- The Not-So-Sad History of Medicare Cost Containment as Told in One Chart -- Medicaid and Medicare: The Unanticipated Politics of Public Insurance Programs -- PART II Managed Care, Markets, and Rationing -- Bedside Manna -- Must Good HMOs Go Bad? The Commercialization of Prepaid Group Health Care -- Defending My Life -- Business vs. Medical Ethics: Conflicting Standards for Managed Care -- The Prostitute, the Playboy, and the Poet: Rationing Schemes for Organ Transplantation -- Ethics of Queuing for Coronary Artery Bypass Grafting in Canada -- Rationing in Practice: The Case of In Vitro Fertilization -- PART III International Perspectives and Emerging Issues -- Reforming the Health Care System: The Universal Dilemma -- Health Care in Four Nations -- Keeping Quality on the Policy Agenda -- What's Ahead for Health Insurance in the United States? -- Luxury Primary Care— Market Innovation or Threat to Access? -- Correspondence: Response to ''Luxury Primary Care'' -- Limiting Health Care for the Old -- Scapegoating the Aged: Intergenerational Equity and Age-Based Rationing -- Index to Authors -- About the Editors