“In recent decades, the deficiencies of our system of medical education and medical care have become clearer and more comprehensible to an expanding and highly vocal segment of the public. Many educators share the uneasiness and recognize the need for change.” These words from Dr. John Knowles's Preface define the context of this collection of thought-provoking essays, originally presented in 1966 as a series of lectures sponsored jointly by the Lowell Institute of Boston and Massachusetts General Hospital.

Written by seven men distinguished in the fields of medicine, education, and government, they are addressed to everyone, expert and layman alike, concerned with the quality of medical care in the United States. The ultimate aim of medicine is to enhance the quality of life by the prevention of disease and the comprehensive care of the sick. Technological advances continually provide us with new and better tools, but medicine is plagued by rising costs, inefficient use of facilities and personnel, and critical shortages of manpower. Each author, from his particular point of view, recognizes the need to bring medicine into contact with the social sciences, and presents concrete proposals for government aid and curriculum reform.