The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry by Paul Starr

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Read The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry Online Free - 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.

"The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review

Title : The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry
Author :
Rating :
ISBN : 0465079350
Edition Language : English
Format Type : Paperback
Number of Pages : 528 pages


Frank rated it ★★★★★

September 09, 2010

I was suspicious that this might be a historically-based political screed, since Paul Starr has been active in liberal political health care circles for years, and he was one of the major "economists" to sign on to a petition for Obama's health care bill (he's actually a sociologist but hell, the...

Carol rated it ★★★★★

August 23, 2009

This outstanding history, published 1984, of the system, or lack of it, of health care delivery in the USA is exceptionally relevant now, 2009, during the health care debates. It's a long, detailed book, but it's objective and well-referenced. It's exceptionally useful in describing developments...

Michael rated it ★★★★☆

January 15, 2013

Starr's book is one of the landmarks in the history of medicine. Using a framing theory of professional authority and a desire for independence, he examines medicine in America from the late Colonial period up through 1980. This book is sometimes overwhelming, but rarely obscure, and useful for b...

Paul rated it ★★★★★

April 25, 2015

Seminal work describing in detail the progressive political enfranchisement of the medical profession (and now the industry surrounding it). Necessary for anyone who wants to understand the current incentive framework foundation of American medicine, and the thought processes and the sociology of...

Bill rated it ★★★★★

September 30, 2008

Pulitzer-winning history of exactly what the title says. It is an incredible piece of history that describes how the American medical profession rose to a position of social authority over the course of the twentieth century to become perhaps the most prestigious--and affluent--profession in mode...

Nathanael rated it ★★★★★

January 21, 2018

Paul Starr splits this history of Ameican medicine roughly before 1930. Before this point, physicians rose in authority and managed to remain independent from corporate or government control. Starr speaks in generality of American society and American medicine both following a trajectory of becomi...

Vivian rated it ★★★★★

June 14, 2017

Despite being published in the 1980s, I think this book offers many insights into the circumstances and forces that shaped the medical system into what it is today. Unlike many books on the history of medicine that detail the individuals and discoveries that have influenced the practice of medici...

Christy rated it ★★★★★

January 06, 2017

Reading Paul Starr's summary here in a Sociology of Medicine undergraduate class in the early 80s I realized how we thoroughly screwed up American healthcare starting towards the turn of the 20th century when the rapidly scientising and professionalizing field of medicine ran smack dab in the mid...

Tom rated it ★★★★★

February 12, 2018

As others have noted, this book is not a short read. I have many pages underlined and notes on the blank back pages. I will return to it as a reference in the future. The book was originally published in 1982, but this edition has an addendum taking the issues up to 2016, so it is fairly current....

S.D. rated it ★★★★★

January 05, 2018

“By the 1920’s the medical profession …had helped shape the medical system so that its structure supported professional sovereignty instead of undermining it….Over the next few decades…advances gave physicians increased mastery of disease and confidence in their judgment and skill. The chief thre...

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