About
This book is a history of medicine and psychiatry over the last two centuries but with particular emphasis on economic changes in medicine in general and psychiatry in particular over the past 40 years. The Alexian Brothers health systems and its 700 year history is used as a point of focus and illustration for changes which have occurred in all hospitals, medical and psychiatric, in the age of Managed Care. It is a history of the scientific and economic issues driving these changes.