IN THIS ISSUE

Viewpoint
Alan Lotvin
Only a small percent of a typical health plan's population takes medicine for conditions outside the generalist's scope. But it's a big portion of the drug bill.
Ethics
Michael S. Victoroff, MD
When physicians think it is acceptable to withhold care from lawyers involved in malpractice suits, does it signal a breakdown of the social order?
Legislation & Regulation
John Carroll
The senate majority leader, a surgeon who owns a large stake in a chain of hospitals, puts forth far-reaching proposals for reforming the health care system.
Employer Update
MargaretAnn Cross
Companies test new approaches to funding the pharmacy benefit with the goal of saving money overall.
TOMORROW'S MEDICINE
Thomas Morrow, MD
Diseases will soon be defined by biochemical pathways and genetic interactions. Biochips may identify patients likely to respond to therapeutic agents.
News and Commentary