List Books » The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry
Authors: Paul Starr
ISBN-13: 9780465079353, ISBN-10: 0465079350
Format: Paperback
Publisher: Basic Books
Date Published: June 1984
Edition: Reprint
Paul Starr is Professor of Sociology and Public Affairs at Princeton University and its Woodrow Wilson School of Public Affairs. He is the author of the Pulitzer Prize-winning The Social Transformation of American Medicine and The Creation of the Media. Starr is the co-founder and editor of The American Prospect. He lives in Princeton, New Jersey.
Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries.
....This important book is written with wit, irony and great style. --The New York Times Books of the Century
Preface | ix | |
Acknowledgments | xiii | |
Book 1 | A Sovereign Profession: The Rise of Medical Authority and the Shaping of the Medical System | |
Introduction: The Social Origins of Professional Sovereignty | 3 | |
The Roots of Authority | ||
Dependence and Legitimacy | ||
Cultural Authority and Occupational Control | ||
Steps in a Transformation | ||
The Growth of Medical Authority | ||
From Authority to Economic Power | ||
Strategic Position and the Defense of Autonomy | ||
Chapter 1 | Medicine in a Democratic Culture, 1760-1850 | 30 |
Domestic Medicine | ||
Professional Medicine | ||
From England to America | ||
Professional Education on an Open Market | ||
The Frustration of Professionalism | ||
The Medical Counterculture | ||
Popular Medicine | ||
The Thomsonians and the Frustration of Anti-Professionalism | ||
The Eclipse of Legitimate Complexity | ||
Chapter 2 | The Expansion of the Market | 60 |
The Emerging Market Before the Civil War | ||
The Changing Ecology of Medical Practice | ||
The Local Transportation Revolution | ||
Work, Time, and the Segregation of Disorder | ||
The Market and Professional Autonomy | ||
Chapter 3 | The Consolidation of Professional Authority, 1850-1930 | 79 |
Physicians and Social Structure in Mid-Nineteenth-Century America | ||
Class | ||
Status | ||
Powerlessness | ||
Medicine's Civil War and Reconstruction | ||
The Origins of Medical Sectarianism | ||
Conflict and Convergence | ||
Licensing and Organization | ||
Medical Education and the Restoration of Occupational Control | ||
Reform from Above | ||
Consolidating the System | ||
The Aftermath of Reform | ||
The Retreat of Private Judgment | ||
Authority over Medication | ||
Ambiguity and Competence | ||
The Renewal of Legitimate Complexity | ||
Chapter 4 | The Reconstitution of the Hospital | 145 |
The Inner Transformation | ||
Hospitals Before and After 1870 | ||
The Making of the Modern Hospital | ||
The Triumph of the Professional Community | ||
The Pattern of the Hospital System | ||
Class, Politics, and Ethnicity | ||
The Peculiar Bureaucracy | ||
Chapter 5 | The Boundaries of Public Health | 180 |
Public Health, Private Practice | ||
The Dispensary and the Limits of Charity | ||
Health Departments and the Limits of Government | ||
From Reform to the Checkup | ||
The Modernization of Dirt and the New Public Health | ||
The Prevention of Health Centers | ||
Chapter 6 | Escape from the Corporation, 1900-1930 | 198 |
Professional Resistance to Corporate Control | ||
Company Doctors and Medical Companies | ||
Consumers' Clubs | ||
The Origins and Limits of Private Group Practice | ||
Capitalism and the Doctors | ||
Why No Corporate Enterprise in Medical Care? | ||
Professionalism and the Division of Labor | ||
The Economic Structure of American Medicine | ||
Book 2 | The Struggle for Medical Care: Doctors, the State, and the Coming of the Corporation | |
Chapter 1 | The Mirage of Reform | 235 |
A Comparative Perspective | ||
The Origins of Social Insurance | ||
Why America Lagged | ||
Grand Illusions, 1915-1920 | ||
The Democratization of Efficiency | ||
Labor and Capital Versus Reform | ||
Defeat Comes to the Progressives | ||
Evolution in Defeat, 1920-1932 | ||
The New Deal and Health Insurance, 1932-1943 | ||
The Making of Social Security | ||
The Depression, Welfare Medicine, and the Doctors | ||
A Second Wind | ||
Symbolic Politics, 1943-1950 | ||
Socialized Medicine and the Cold War | ||
Three Times Denied | ||
Chapter 2 | The Triumph of Accommodation | 290 |
The Birth of the Blues, 1929-1945 | ||
The Emergence of Blue Cross | ||
Holding the Line | ||
The Physicians' Shield | ||
The Rise of Private Social Security, 1945-1959 | ||
Enter the Unions | ||
A Struggle for Control | ||
The Growth of Prepaid Group Practice | ||
The Commercial Edge | ||
The Accommodation of Insurance | ||
Chapter 3 | The Liberal Years | 335 |
Aid and Autonomy, 1945-1960 | ||
Public Investment in Science | ||
The Tilt Toward the Hospital | ||
The Structural Impact of Postwar Policy | ||
The New Structure of Opportunity | ||
The New Structure of Power | ||
Redistribution without Reorganization, 1961-1969 | ||
The Liberal Opportunity | ||
Redistributive Reform and Its Impact | ||
The Politics of Accommodation | ||
Chapter 4 | End of a Mandate | 379 |
Losing Legitimacy, 1970-1974 | ||
Discovery of a Crisis | ||
The Contradictions of Accommodation | ||
The Generalization of Rights | ||
The Conservative Assimilation of Reform | ||
Health Policy in a Blocked Society, 1975-1980 | ||
An Obstructed Path | ||
The Generalization of Doubt | ||
The Liberal Impasse | ||
The Reprivatization of the Public Household | ||
Chapter 5 | The Coming of the Corporation | 420 |
Zero-Sum Medical Practice | ||
The Doctor "Surplus" and Competition | ||
Collision Course | ||
The Growth of Corporate Medicine | ||
Elements of the Corporate Transformation | ||
The Consolidation of the Hospital System | ||
The Decomposition of Voluntarism | ||
The Trajectory of Organization | ||
Doctors, Corporations, and the State | ||
Notes | 450 | |
Index | 496 |