As a general practice physician in Connecticut over the past 25-plus years, Gottfried has developed many insights into American medicine. He offers general readers an assessment of weaknesses and excesses that have resulted in an overpriced, underperforming health care system in the U.S., among them an overabundance of specialists, the marketing of drugs, the influence of consumer and advocacy groups, malpractice suits, the birth and death industries, and issues regarding heart care, prostate cancer screening, colon cancer screening, mammograms, osteoporosis screening and treatment. He suggests a number of ways to overhaul the system in order to regain cost- effective, quality health care in the U.S. Annotation ©2009 Book News, Inc., Portland, OR (booknews.com)