History

Book Review of Vandals at the Gates of Medicine: Historic Perspectives on the Battle Over Health Care Reform. Reviewed by Jane M. Orient, MD

According to an old Cuban proverb, “Camarón que se duerme, se lo lleva la corriente” (shrimp that sleep are swept away by the current). Some physicians may find Dr. Faria’s wake-up call as welcome as a blast of Arctic wind. In his view, the current policy of most medical organizations — “nonconfrontation and cooperation” — …

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Hammurabi, Defensive Medicine, and Practice Guidelines

The world owes all its onward impulses to men ill at ease.The happy man inevitably confines himself within ancient limits. Nathaniel Hawthorne (1804-1864) On Managed Care And Cutting-Edge Technology In the wake of the epochal November 1994 elections that swept conservatives to power, and hopefully a new philosophy of health reform—viz, economic incentives to promote …

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Vandals at the Gates

But what events have led us to this deplorable state of affairs with American medicine headed inexorably in the wrong direction—down the path of welfarism, collectivism, and corporatism? To answer this loaded and troublesome question, perhaps one should ponder the words of the politician par excellence, Franklin Delano Roosevelt, who once admitted, “Nothing just happens …

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