According to Katz, the American welfare system that nobody likes has been able to resist fundamental change over two centuries because of its symbiosis with the social structure and the political economy. From his analysis of the history of welfare in the United States he finds that there have always been contradictions among its goals: deterrence, discipline, compassion, control, and patronage. Real reform, unlikely in the near future, would require that both social insurance and public assistance be replaced with full employment at fair pay, complemented by a social wage to all who are unable to work or find a suitable job. A stimulating challenge to the benevolent interpretation of welfare in America; recommended for academic and large public libraries.