The emphasis of the book seems to be on sociocultural issues, which are not clearly defined. The authors indicate that "the way people perceive, interpret, and treat illness varies from society to society and culture to culture." Although this is true enough, mainly for isolated social groups, one wonders whether this generalization, which seems to be one of the main tenets of the book, has any practical application. When cross-cultural issues emerge in San Francisco or Los Angeles, not necessarily because of differing disease pictures among different cultures but because the physician and the patient do not understand each other, the potential solutions require definitions that do not seem of interest to the authors. Even when the book presents serious health problems faced by minorities, the discussion does not include a clear view of action to redress inequalities.