
Technical and methodological inadequacies inherent in the approach to the role of medicine are exaggerated by the semblance of a utilitarian viewpoint and occasional quasi-Darwinian overtones. But McKeown's reformist intentions-consistent throughout his major analyses-are far from nihilistic. The touchstone of all his work is embodied in the insight that a health care system will only be rationalized once the institutions that compose it are themselves rationalized in a larger framework of issues and problems.
Author(s): Ronald M. Green
Volume 55, Issue 3
(pages 389–403)
Published in 1977