The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry
1982
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.