This work... deserves the attention of all who have an interest in medical education and its history. It relies on the accurate use of statistics, provides careful analysis, and incorporates a goldmine of information on Americal medical care and education. Rothstein has produced a remarkable book that will provide historians of medicine, medical educators, health service administrators, and others interested in health care with information not available in any other treatise. I have no hesitation in recommending it unreservedly.