HOWARD F. STEIN is Professor in the Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City. Dr. Stein is the 1999 recipient of the Omer C. Stewart Award for exemplary contributions to the field of applied anthropology. A specialist in medical, psychoanalytic, and applied anthropology and related fields ranging from rural health to ethnic studies, Stein has observed first-hand the changes that have taken place in health-care and in various other organizations. He is a member of numerous professional associations and author or coauthor of more than 20 books, among them The Human Cost of a Management Failure: Organizational Downsizing at General Hospital (with Seth Allcorn, Howell S. Baum, and Michael Diamond forum, 1996) and Prairie Voices: Process Anthropology in Family Medicine (Bergin and Garvey, 1996).