The Limits of Medical Care

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Abstract
Fuchs, in his provocative book Who Shall Live,1 estimates that the presence or absence of medical care accounts for only 10 per cent of the differences in mortality between different populations. Genetics, health habits, and that vague, yet powerful factor, social class, account for the majority of the differences.Health services policy during the past two decades has largely been occupied with achieving equity of access to medical care for people with previously low rates of access. Neighborhood health centers, Medicaid, and special maternal and child health projects have resulted in approximate equality of use by different socioeconomic groups. . . .

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