Revisiting and updating Paul Starr's seminal work, see Symposium, Transforming American Medicine: A Twenty-Year Retrospective on The Social Transformation of American Medicine, 29 J. Health Politics, Policy & L. 557 (2004).
On medical professionalism, Eliot Friedson's latest work is
The Third Logic (Univ. Chicago Press, 2001). A book review
on this work is at 28 J. Health Politics, Policy & L. 133 (2003).
Updating some of the figures in the Joseph White article, in 2003
the median income for primary care physicians was about $157,000, and
for general surgeons, about $265,000.
The following excerpt provides additional perspective on historical attitudes about sickness and medicine:
Doctors, Patients, and Health Insurance: The Organization and
of Medical Care (1961)
Herman Miles Somers and Anne Ramsay Somers
Reprinted with Permission
So have attitudes toward medical care shifted over the centuries: from a "blessed benevolence" or a "private luxury," medical care has gradually assumed the status of a necessity and a "civic right." The speed and degree of the most recent change have been so great that we may be said to be living in a veritable "revolution of rising expectations" in regard to health and medical care. . . .
Witness, for example, the ordeal of Charles II of England, which took place as late as 1685:
The development of scientific medicine has greatly changed this
view. . . . When Professor Lawrence Henderson identified the period
as the Great Divide in United States medical care -- when "for the
time in human history, a random patient with a random disease
a doctor chosen at a random stood better than a 50-50 chance of
from the encounter" -- his sharply turned phrase heralded the changing
public attitude toward the value of medical care.
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