Includes bibliographical references and index.

American exceptionalism : structural and conceptual -- American exceptionalism : historical and political -- Where do we want to be? -- Representative policy options -- The policy analysis process : identification and definition -- The policy analysis process : health technology assessment -- The policy analysis process : evidence-based medicine -- The policy analysis process : evaluation of political feasibility -- The policy analysis process-evaluation of economic viability -- The policy analysis process : analysis of values and social context -- Implementation strategy and planning -- Health professional leadership -- Conclusion : all those levers and still no fulcrum.