American Medicine & The Public Interest / Edition 2

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The reissue of Rosemary Stevens's groundbreaking book on the growth of medical specialties offers a new opportunity to consider the state of the American health care system. Updated with an extensive new introduction and a new bibliography, Stevens's book chronicles the development of the medical profession and shows how increasing emphasis on specialization has influenced medical education and public policy. She details specialization's effects on health care costs and on health care providers, and her concerns are especially timely: the implications of technology and the resulting ethical dilemmas, the issues of insurance, many people's limited access to care. As a long-time observer of American medicine, Stevens makes a valuable contribution to the current debate on how best to provide—and pay for—a high level of medical care in this country.

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Editorial Reviews

Journal of the American Medical Association
The republication of this classic work is to be enthusiastically welcomed. Despite the sea change in medicine and medical history of the past three decades, this book remains the best and most expansive map we have for tracing the changing place of medical specialization during the first two thirds of the 20th century, for understanding how and why specialization played such a fundamental role in shaping the organization of medicine in the United States during that period, and for charting further historical explorations of the continuing power and perplexities of specialism in the world of modern American medicine.
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Product Details

  • ISBN-13: 9780520210097
  • Publisher: University of California Press
  • Publication date: 1/1/1998
  • Edition description: First Edition, Updated Edition with a New Introduction
  • Edition number: 2
  • Pages: 616
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.38 (d)

Meet the Author

Rosemary Stevens is Professor of History and Sociology of Science at the University of Pennsylvania. Among her books are
In Sickness and in Wealth
(1989) and, with Robert Stevens, Welfare Medicine in America (1974).

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Table of Contents

Introduction to the Updated Edition
Introduction 1
Pt. I The Professional Setting 7
1 From Colonial Times to the Civil War: The First Two Hundred and Fifty Years 9
2 Egalitarianism in Medicine and the Challenge of Specialism, 1860-1900 34
3 Reform Achieved: The AMA and Medical Education, 1890-1914 55
Pt. II Formal Recognition of the Specialties, 1900-1930 75
4 Surgeons, Physicians, and General Practitioners: The Rebirth of the College System, 1900-1916 77
5 Delineation of a Specialty: Ophthalmology, Optometry, and the First Specialty Board 98
6 The American Medical Association and Specialization 115
7 The Public Interest and the Profession 132
8 The Specialists and Professional Regulation 149
Pt. III The Specialties Come of Age, 1930-1950 173
9 Medical Specialization and Medical Care: Prospects of Organizational Change 175
10 Who Should Control Specialization? 198
11 Specialties and Specialty Boards: The Defining Process 218
12 The Boards As a System 244
13 Medical Care in the 1940s 267
Pt. IV Professional Structures Reexamined 291
14 Specialization and the General Practitioner 293
15 Pressures for New Specialty Boards: A Process of Fragmentation 318
16 Professionalism and the Medical School 348
17 Graduate Medical Education 378
Pt. V The Medical Profession and Medical Care 415
18 Medicine and the Public Voice: The Financing of Medical Care 417
19 Shoring up the System: Medicare 444
20 Medicaid: Promise and Experience 473
21 The Federal Government and the Health Care System 496
22 American Medicine and the Public Interest 528
Statistical Appendix 542
Bibliography 548
Update to the Bibliography, 1998 557
Index 563
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