This 1982 book examines the changes in hospital care in New York that occurred around the turn of the twentieth century. It represents a fundamental departure from traditional medical history, which has usually emphasised 'progress' through science and technology. Professor Rosner identifies the economic, political and demographic pressures that brought about a reshaping of the health care system, and analyses the dramatic reorganisation of hospitals that took place. He also discusses major scientific advances such as the discovery of anaesthetic properties of ether, nitrous oxide and chloroform, and the consequent increase in surgical solutions to medical problems.