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The social transformation of American medicine /

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Bibliographic Details
Main Author: Starr, Paul, 1949-
Format: Book
Language:English
Published: New York : Basic Books, [1982]
Subjects and Genres:
Medical care > United States > History.
Social medicine > United States > History.
Physicians > United States > History.
History, Modern 1601-
Physicians.
History.
Social medicine.
Medical care.
United States.
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Table of Contents:
  • 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.

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