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David ( 1974-12 ) Mixed Prognosis: Equity, Access, and Emerging Issues Within British Columbia's Health Care System  Health care is not the aim of the health care system. The health care system exists to serve its own ends.[Prognosis Negative, p. 29.] We can see that clearly in the statistics which cut through the mythology. The average life span in 1949 was 69 years. It has increased only a few years since then. [Prognosis Negative, p. 9.] Radicals A Practical Approach The Practical Approach Series PROGNOSIS NEGATIVE: CRISIS IN THE HEALTH CARE SYSTEM A HEALTH/PAC BOOK DAVID KOTELCHUK, Editor New York, Vintage Books, 1976. 506 pp., $2.95. As contributions to the body of existing literature on community health advocacy, these two recent publications have many themes in Prognosis negative : crisis in the health care system Item Preview remove-circle ... Prognosis negative : crisis in the health care system. by Kotelchuck, David; Health/PAC. Publication date 1976. Topics Medical care, Delivery of health care, Medical assistance, Economics, Medical.