Tokyo: Nihon Iryo Kikaku 日本医療企画, 1988. Hardcover. 330 p., text in Japanese, illustrations, very good second printing hardcover with dj.
The author traveled to the US in 1954, lived in Chicago studying cardio surgery for 3 years. After starting a teaching career in Japan, returned to US in 1959 and became researcher based in New York; developed artificial heart and lungs for open-heart surgery that didn't require blood transfusion. Fellow of American College of Surgeons. At time of this book he was Clinical Professor of Surgery at the New York Medical College (Apparently now he is Chairman and Professor of Healthcare Administration at Shumei University, Tokyo). The book opens with the "Crucible of the present" focusing on the AIDS panic, drugs, STDs, etc, but Hirose also uses medicine as a departure point to analyze US society (Jehovah's Witnesses needing to have operations without blood transfusions; the coroner's office involvement in police brutality cases, etc.) Discusses the healthcare system in the US and how it is constrictive in spite of US being land of free; how the healthcare of uninsured is big problem; the drug lobby; the abuse of elderly at nursing homes; the issue of foreign-trained doctors; malpractice suits, and more.