Moving and Shaking American Medicine

?Betty Leyerle does a truly remarkable job in describing and analyzing the current state of the American medical delivery system, its institutions in all their fragmentation, its ills, internal conflicts and its basic processes as they undergo transformation. ... Leyerle displays freshness and originality in the way she approaches her data and in her ability to document her thesis through materials that are usually overlooked by students of the field. In doing so, Leyerle goes past virtually all traditional approaches to professionalism in medicine and to the study of medicine as a social and economic system. It seems to me that all future work in these areas will have to take into account Leyerle's theoretical approach and her findings. She has accomplished a truly path-breaking work.?-Joseph Bensman, Professor of Sociology, The Graduate School and University Center of the City University of New York