The new Rx for healthcare PR is totally tied up with the radical redesign of the industry. A number of factors are influencing this trend: great achievements of biomedicine; the waxing of alternative remedies; the rise and falter of managed care; the towering presence of international drug companies; and the loose rein of the regulators that control them.

Each of these developments have made healthcare an increasingly formidable slice of the nation's economy. Spending on healthcare topped a trillion dollars ...