Part 1: Modern miracles, hard choices -- Health care past and present -- The irony of equal access to health care -- Health care politics, policy, and economics -- Tragic choice, technology, and political decision-making -- Young and old -- Distributive justice and health care rationing -- Part 2: Health care politics in America -- The Constitutional framework -- The health care lobby -- Congress and the Bureaucracy -- Budget politics: who gets what, when, and how -- Socialism, private enterprise, or state regulation