Unevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources.
The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization.
Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer’s work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States.
Doctors are obviously influential in determining the costs of their services. But even more important, many believe, is the influence physicians have over the use and cost of nonphysician health-care resources and services. Doctors and Their Workshops is the first comprehensive attempt to use economic analysis to understand some of the physician effects on nonphysician aspects of health care.
Sister Kenny was first published in 1976. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions.
Sister Elizabeth Kenny, the Australian-born nurse, is remembered by thousands of grateful parents and grandparents of young polio patients, as well as others who were less personally affected, as the woman who successfully fought the medical profession to win acceptance of her techniques to combat the crippling effects of this disease.
In this biography Victor Cohn, a prize-winning science writer, details the life of Sister Kenny and her significant role in the history of medicine. It is an inspiring story and one which will be of particular interest to those of the present generation who are engaged in the movement for women's equality. Sister Kenny's struggle against the bitter opposition of many doctors to her concepts for the treatment of polio dramatized the then common attitude of male chauvinism on the part of the medical profession toward nurses.
The biography traces Sister Kenny's life from her birth in Australia, through her early nursing career in the bush, to her rise to prominence in America. Much of the narrative focuses on her confrontation with the medical establishment. Throughout, the author writes from an objective viewpoint, and in conclusion he assesses Sister Kenny's accomplishments.
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