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American medicine is under serious attack. The health care system is falling short of its major goal, improving the health of the population. The United States ranks only 35th in world life expectancy. But where American medicine arguably remains at a pinnacle in the world – in the status, wealth and power of the profession of medicine -- physicians are in danger of losing first rank. As other professions close the gap, their top economic position is threatened. Slippage may be measured also by other, less quantifiable factors, such as the highest prestige of physicians among all learned occupations.Queen of the Professions: The Rise and Decline of Medical Prestige and Power in America is a colorful yet authoritative work of social history offering readers a sturdy platform from which to confront looming issues about the future of American medical care. Its unique perspective brings crucial context to current debates about modern medicine, exploring in entertaining detail its historical foundations and its present and future challenges.
The twentieth century dramatically changed American professional medicine. Astonishingly, if the first fifteen years of the twenty-first century are any indication, American professional medicine, especially the nature of the relationship between physicians, their patients, and government, may undergo changes every bit as profound as those witnessed in the previous century. The distinguished scholar and historian, Dr. Charles McClelland, admonishes us that if we are to accurately foresee and appropriately respond to the changes he identifies and the additional changes he envisions, we have much to learn from the historical development of the medical profession. Every patient, physician, policy maker and taxpayer is well advised to pay very close attention to his prescient analysis.Paulie G