Structural change is a disturbing process that destroys as well as creates. Stressing the negative side, Kolko sees greater contradictions than ever in capitalism and a bankruptcy of policy since "governments have now tried all the anticrisis measures and they have failed." She finds the prognosis of "growing immiseration with growing concentration of wealth" and other of Marx's formulations more relevant now than they were a few decades ago. Yet she does not expect capitalism to collapse; "the vast majority of the world's people will remain victims . . . until they act to take power." The book's conclusions outrun its logic and evidence; some exaggerations amount to distortions; but the book does point to unanswered questions and unsolved problems.