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The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry
1982
Paul Starr
An in depth look at the factors that have influenced the rise and development of the medical industry into the behemoth that it is today.

Key Takeaways:

  • Analyzes how physicians, hospitals, and insurers consolidated power across the 20th century, creating today’s medical-industrial complex.
  • Introduces concepts like “professional sovereignty” to explain how doctors carved out authority to define illness, therapy, and legitimate knowledge.
  • Shows that our current medical system is historically contingent—one possible outcome of battles over money, status, and control, not an inevitable endpoint.
  • Provides crucial backdrop for understanding why alternative and nutrition-based approaches emerged in tension with, and sometimes in reaction to, this system.
Categories
History
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