HIST 249 Lecture Notes - Lecture 17: Jacksonian Democracy, Flexner Report, Patient Protection And Affordable Care Act
Document Summary
A series of changes that have transformed medicine over the last 200 years. You begin to see in the 19th century organised activity. Fundamental changes that took place in the end of the 18th century: Medical pluralism and numerous healthcare occupations has gradually shifted to a situation of medical monopoly. It is not complete monopoly but there is a powerful monopoly. From many local occupations representing many social classes to single middle-class professions. Replacing external patronage with collective solidarity and professional authority. Treat entire population or at least most of it rather than small segment. There are all kinds of auxiliaries to the medical profession. It is becoming more dif cult to talk about collective solidarity alone, because now there is government. The medical profession has held a medical authority and solidarity. Rather than have multiple occupations treating small segments of the population depending on social status, wealth, and other factors, the profession as a whole treats the entire population.
