By Eliot Freidson
"Profession of Medicine is a demanding monograph; the information provided are stimulating and inspiration upsetting. . . . Given the increasing area of what disorder is and the contentions of physicians approximately their rights as pros, Freidson wonders aloud no matter if services is turning into a masks for privilege and gear. . . . Profession of Medicine is a landmark within the sociological research of the professions in sleek society."—Ron Miller, Sociological Quarterly
"This is the 1st e-book that i do know of to visit the foundation of the problem by way of laying open to view the elemental nature of the pro declare, and the constitution institutions."—Everett C. Hughes, Science
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Additional resources for Profession of Medicine: A Study of the Sociology of Applied Knowledge
Example text
However, neither university nor guild could by themselves estab lish the physicians monopoly over the work of healing because they could not create widespread public confidence and thus en courage widespread public utilization of physician services. Guild 17 See Jacob R. Marcus, Communal Sick-Care in the German Ghetto ( Cin cinnati: The Hebrew Union College Press, 1 9 4 7 ). D. 931. 20 THE FORMAL ORGANIZATION OF A PROFESSION and university physicians formed an elite, and a small one at that.
There are, furthermore, special hardship payments for elderly doc tors with small lists, a pension scheme for all participating doctors, and a privileged tax position. By and large, the National Health Service is quite concerned with placating organized medicine—at least the more powerful seg ments of such. The health program is so popular generally that neither of the major political parties is inclined to attack it. The service itself is organized in a way that attempts to protect the physician from lay influence and leave the physician free to practice as he will.
Aside from the limitation of competing practice, the setting of minimum educational and licensing standards, and the circulation of up-to-date scientific information bearing on the technology of medical practice, the AMA has been most prominent in its concern with controlling the socioeconomic organization of medical practice. In spite of its official acceptance of the general principle of group practice and of the use of the insurance principle in financing medi cal care, its “Principles of Medical Ethics” are predicated on a model of individual rather than cooperative forms of practice, financed on a fee-for-service rather than an insured, prepaid basis.