The book investigates the ethical and practical challenges of rationing medical care in the United States. It examines the historical context and the societal implications of allocating scarce medical resources, particularly in the late 20th century. The author analyzes the frameworks and criteria used to make these difficult decisions, exploring the potential for bias and inequity. The work aims to provide a critical perspective on the mechanisms and philosophies underlying medical resource allocation.

This work is recognized for its thorough examination of a complex and often contentious issue in healthcare policy. The book is noted for its detailed historical analysis and its engagement with the ethical dimensions of medical rationing. It serves as a foundational text for understanding the debates surrounding resource allocation in American medicine. The authority perspective suggests a scholarly approach, likely appealing to academics, policymakers, and ethicists.