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I ·Makecheeks or US money orders payable to ~heNe~uYorkRPuiewofBoobWe accept US Dollars drawn on a USbank or Canadian Dollars drawn on a Canadian I moneybank.Iforders.paying Ratesby CDNJ au.ide returnthe US:to Mike Canada ]ohnson,$52.50/CDN ~heNew $69,York ReviewRest of qfBoo~r,World Regular250 WestPost 57 $56.50,Sr., Rm Rest1321, of NewWorld Yark.Print NYFlowAir 10107. PostWe cannot(recammended accept internationalfor the Far I I Eastand Australia) $83.50. Credit card orders will be charged atthe US Dollar ,,, shown.Please allow (1to B weeks fordelivery ofyour finr issue. I L,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,__~ H[sloryand- Nlamnry I- GRANDEKPECTIITIONS The United 8tates, 1945-1974 Tie Odrd History ol tlte United states: Volume X JAMES T. PIITTWSON "One can hardly imagine a better overview of American life during the Cold War, the s~uggle for civil rights, and the debacle of Vie~am.... His sentencesalways move swiftly from point to point; meaning is never muddled with partisanrhetoric or academicjargon; and a gift for apt quotationand tellingexample energizesevery page.... Readingthis very long book is as pleasurableas it is instructive'-h?ichae Dirda, The WashingtonPost Book World."A definitivehistory of post-warAmerica'-The Economist."A lour.de fol·ce from the last murmuringsof the New Deal through the last mutteringsover Watergate'-David M. Shribman,Wall SheetJournal. '%tterson is one of America's most eminenthistorians of modem America, and this sweeping synthesis of our recent past displays his great gifts as a scholar and writer in full measure.Grond Expectationsis a bold and engagingnanative. It also proposes a series of challengingand at times surprisinginterpretations of the postwar era'-Alan Brinkley.$35.00, 768 pp., 40 illus.,8 maps DRAWNWITH THE SWORD Reflections on the Alnerican Civil War JAMES M. McPHWSON "A mus~tfor all buffs.... McPherson's book not only gives us an astute survey and summary of recent work on the Civil War, but also many brilliant insights of his own"-C. Vann Woodward.'n7ese per- ~II ceptive essays deliver just what readers have come to expect from the pen of our generation's leading Civil War historian. Learned, original, quick to question convention,and written in McPherson'sclear and often eloquent prose, they challenge readers tothink anew about important issues and personalities associated with the nation's great ~auma'%ary W Gallagher. "Whether he is discussing the persistent appeal of the Civil War...or explaining the genesis of Ulysses S. Grant's militarystrategy, McPherson is exact, convincing,and judicious....These pieces providea lively reminder that the best scholarship is also often a pleasure to read'-The New YorkTimes Book Review. "Notmerely is he the leadingliving historian of the CivilWar, but he is a scholarwhose la~owledge and authority are unsurpassed; when McPherson speaks, even in a minor key, people listen" -Jonathan Yardley,The WashingtonPost. $25.00, 272 pp. THE ANATOMYOF MEMORY An Ilnthology Edited Ly JAMES McCONKEY "This is one of the small handful of ~uly great anthologies....McConkey is a modem Proust, andthis book is a collective remembrance of things past. Here is a world of particular individual voices, each one saying, in a fresh and different way, 'we are what we were"'-Robert D. Richardson,Jr. "It's altogether fitting that the author of Court of Memory and one of our best novelists,James McConkey,should have put together this invaluable anthology of writers remembering and writing about memory. From St. Augustine,with whom the 'anatomy' begins and ends, to Proust, Nabokov,James Agee and many oth- ers from this century,the anthologyis never less than fascinating'-William H. Pritchard."An entertain- ing and exhilaratingvolume, certainly one that's hard to forget'-Waslzington Post Book Wo~·ld."Most immediatelystriking is the erudition,range, and originality of the selections....Scientists, poets, essayists, philosophers,novelists, theologians parade through this anthology in a displayof diverseperspectives and relatedinsight that is dazzlingin its coherentcomplexity'-Elizabeth Coleman. $30.00, 528 pp. Call 1-800-451-7556 (M-F,9-5 EST)· OXFORD UNIYE58ITY PRESS · www.oup-usa.org r SUMMER 1996 THE WILSON QUARTERLY Published by the Woodrow Wilson International Center for Scholars 11 HEALING AMERICAN HEALTH CARE Caroline Poplin • Peter J. Ferrara • Eric J. Cassell • C. Everett Koop Louis Lasagna • Willard Gaylin Health care in America is changing. Describing the new regime, our authors point to perils ahead and suggest a little preventive medicine. 52 THE LITTLE ISLAND THAT COULD by Anne F. Thurston The arrival of full democracy in prosperous Taiwan again raises the ques- tion of the island’s relations with the mainland. 44 FREDERICK TAYLOR’S APPRENTICESHIP by Robert Kanigel The father of “scientific management” helped kill the apprentice system that had provided the first step in his own career. 68 “AND NOW A WORD FROM OUR SPONSOR” by James B. Twitchell The author of Adcult explains how advertising shapes our culture. 78 REBECCA WEST AND THE GOD THAT FAILED by Carl Rollyson How one of Britain’s best writers resisted the siren of communism DEPARTMENTS 3 EDITOR’S COMMENT 4 CORRESPONDENCE 6 FINDINGS QWERTY • Hispanics • Silicon Alley 8 AT ISSUE Postered and Mugged 72 BOOKS Why Things Bite Back Democracy’s Discontent The Open Sore of a Continent 90 POETRY Anthony Hecht on Joseph Brodsky 117 PERIODICALS Rise of a Counter-Academy? The Suicide of the Newspaper WQ cover Design by Adrianne Onderdonk Dudden. The views expressed herein are not necessarily those of the Woodrow Wilson International Center for Scholars. USPS 346-670 Volume XX Number 3 Printed in the U.S.A. EDITOR’S COMMENT amented or celebrated, President Bill Clinton’s failure to bring about sweeping health-care reform left the system to take care of Litself. And pretty much willy-nilly, that is what the system has done. The two general questions our authors ask in our six-part treatment of this unfolding story is where the system is heading and whether this direc- tion bodes fair or ill for the future of health care. The views advanced by our authors, five of whom are trained physicians, reflect a range of ideolog- ical preferences. Yet taken together, they constitute a forthright critique of our faute de mieux system of managed care. To be sure, the media have been abuzz with horror stories about managed care. Under the new arrangement, we have learned, the two most crucial players—the doctor and the patient—must defer to the directives of adminis- trators in health maintenance organizations, often without the patient’s aware- ness of the rules of the game. It’s hardly surprising that such directives, driven by considerations of cost containment, can sometimes run counter to the patient’s best interests or the physician’s best judgment. But rather than revisit horror stories or demonize the HMOs (which, after all, are merely stepping into a void resulting from stalemate and indecision), we offer a close look at the arrangement and its ramifying effects on everything from medical research and hospitals to primary care and the doctor-patient relationship.