by smallpoxgirl » Thu 27 Jan 2005, 02:15:06
$this->bbcode_second_pass_quote('PenultimateManStanding', 'W')hatever happened to Doctors visiting patients instead of making them wait two and a half hours in the lobby reading every freaking Time magazine since 1993?
So you really want to know the story of how that happened?
Back in the 1800's there were tons of doctors and tons of different competing schools of medicine: allopathy, homeopathy, herbalism, etc. Of them allopathy, the "regular" doctors, were probably the least effective and most dangerous. The robber barons, Carnegie, Rockefeller, Harriman, Vanderbilt, etc, had built up so much money that they couldn't spend it all on buying stuff for themselves. Plus they were in lots of political trouble: anti-trust breakups and the like. So they started funding endowments to craft society in their own image. Because of the importance of medicine in peoples lives, it was obvious that it would be one of the most important to control. They saw in allopathy a model of medicine that mimicked thier technocratic view of society, so they started giving tons of money to the allopaths to build hospitals and medical schools. They simultaneously ran smear campaigns against all other schools of medicine. One of the first and most influential was a campaign against abortion. They claimed loudly and repeatedly that "new research had proved that a fetus was a person". In reality they had no new information that hadn't been common knowledge for a long time, but by draping it under a cloak of science, they were able to convince state legislatures to pass laws that an abortion could only be performed when an allopath declared that it was "medically necessary". Medically necessary often consisted of some poorly described nervous condition that might be made worse by the trauma of carrying a child to term, but the laws, never the less persisted in that state from the mid 1800's until the 1960's. Those were the first laws that gave special recognition to allopaths. The next step was that allopaths lobbied for and recieved restrictive licensing laws from the state. They based their lobbying on further claims to technical expertise and superior efficacy of treatment which were demonstrably false, but were accepted because they were backed by adequate money. The AMA formed with the purpose of slandering and driving out all other schools of medicine. Soon they turned their efforts to reducing the number of regular physicians in order to raise physician salaries. With a combintation of legislative lobbying, building exclusive research/training institutions with money from the robber barons, and ever more restrictive licensing requirements they slowly restricted the profesion and drove down the number of physicians. This all culminated in the Flexner report in 1910. The Flexner report, comisioned by Andrew Carnegie, badly slandered most of the medical training institutions in the country and assured that they would never recieve any more robber baron funding. By this point they had succeeded in raising the licensing standards so high that no school could survive without their money. The report resulted in the closure of all but two black medical schools in the country, every all-women's medical school, and about 2/3 . He also remarks on how all the nations women's medical schools should be closed because women obviously aren't interested in being doctors. So schools close, and the number of doctors goes down.of all medical schools. It contains some very enlightened remarks, for example, about how black medical schools should stop trying to teach surgery because no white person would ever accept a black surgeon. Instead, Flexner asserts, black schools should concentrate on hygiene and public health so that blacks stop being such a disease vector spreading infections to whites
So the reason we don't make housecalls is that there are too few of us and we are overworked and overpaid. We are that way because it was profitable to us and because it was profitable for the wealthy ruling class who needed to craft doctors in their own image.