Medicine: Do-It-Yourself Hospital

Richard Cwiklinski got out of his hospital bed in Milwaukee at 6:30 a.m., threw on a sports shirt and slacks, strolled down to the cafeteria for breakfast. After breakfast, he had a back rub, went for a walk in the hospital park, leisurely enjoyed the Lake Michigan landscape in the brisk spring air.

Cwiklinski, a 45-year-old fireman with an ulcer, was not flouting hospital rules. As one of 24 patients in St. Mary's 25-bed self-care unit, he was well within them. For over six months the new unit had been taking in patients...

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