India's experience—national,community, public or private health?

India, as the largest democracy, second most populous country, ninth largest industrial power and fifteenth poorest nation, has in respect of health care to be considered as a special case among developing countries. Nevertheless, the identification in India, as an alternative to national welfare provision, of opportunities for returning social and economic responsibilities for health care to local communities is important for both developing and developed countries. This article outlines and comments upon recent developments in providing primary health care in rural communities in India. It concludes by examining possible parallels between self-sustaining community health schemes and the search in developed countries for community and personal involvement so as to overcome emergent limitations of professionalized and welfare systems of care.     

Book reviews

E. Glyn Lewis, Multilingualistn in the Soviet Union: aspects of language policy and its implementation. The Hague and Paris: Mouton, 1971. xx+332pp. Dfl 62.

L. G. Churchward, The Soviet Intelligentsia. An essay on the social structure and roles of Soviet intellectuals during the 196os. London and Boston: Routledge & Kegan Paul, 1973. xiii + 204 pp. £3.25.

Galia Golan, Reform Rule in Czechoslovakia. The Dubcek Era 1968–1969. Cambridge: at the University Press, 1973. Vii + 327 pp. £5.80. $18.50.

Otto Ul?, The Judge in a Communist State. A View from Within. Athens, Ohio: Ohio UP, 1972. xiv + 307 pp. $8.75.

Robert M. Slusser, The Berlin Crisis of 1961: Soviet‐American relations and the struggle for power in the Kremlin, June‐November 1961. Baltimore and London: The Johns Hopkins UP, 1973. xvi + 509 pp. $17.50. £7.90.

Edward Taborsky, Communist Penetration of the Third World. New York: Robert Speller & Sons, 1973. iii + 500 pp. $12.50.

Philip R. Pryde, Conservation in the Soviet Union. London: Cambridge UP, 1972. xv + 301 pp. £5.00.

Marshall I. Goldman, The Spoils of Progress: Environmental Pollution in the Soviet Union. Cambridge, Mass, and London: The M.I.T. Press, 1972. xi + 372 pp. $7.95. £3.60.

Robert H. McNeal, Bride of the Revolution. Krupskaya and Lenin. London: Victor Gollancz, 1973. 326 pp. £3.60.

George Katkov et al. (eds.), Russia Enters the Twentieth Century 1894–1917. London: Methuen, 1973. 352 pp. £1.50 (paperback).

Paul Craig Roberts and M. Stephenson, Marx's Theory of Exchange, Alienation and Crisis. Stanford, Calif.: Hoover Institution Press, 1973. 127 pp. $5.50.

W. H. Parker, The Russians: How They Live and Work. Newton Abbot: David & Charles, 1973. 179 pp. £2.50.

Wright Miller, Who are the Russians? A History of the Russian People. London: Faber & Faber, 1973. 240 pp. £3.95.     

Chewing the fat over the High Court's judgment on the world's best-selling drug

The English Patents Court has recently refused a declarationof non-infringement in relation to the compound patent coveringAtorvastatin (Lipitor), the world's best-selling drug, but founda patent relating to its hemicalcium salt invalid for lack ofnovelty and obviousness; this decision is seen as a victoryfor Pfizer since the invalidation of the hemicalcium salt patenthas not shortened its period of exclusivity.