Almost half a century after graduating medical school, Dr. Louis J. Rosenbaum examines the state of American medicine prior to the enactment of Obama-care. He examines the decline of morality and standards in our culture as well as relevant federal regulations, court decisions, tort law, and media bias, and he describes their adverse impacts upon physicians and patients. He explains how the current focus on controlling costs eclipses consideration of ill-conceived governmental policies. He notes that the free-market American health-care system minimizes delays in providing necessary treatments and achieves cancer survival rates superior to those of countries with socialized medicine. He documents universities' failure to teach medical students and doctors to control costs by evaluating the benefits and risks of possible treatments. His pragmatic suggestions are based on forty years of practicing, teaching, and conducting research.