How medicine went astray

A talk on the history of medicine and the work of Harris Coulter.

"It is a truism that the practice of medicine is not a purely scientific endeavor. While scientific considerations play their role at all times, the physician is an economic unit competing with other economic units, and it also cannot be denied that economic pressures of various kinds must influence the practice of medicine.

Thus, while medical practice is affected by medical theory, medical practice is in turn affected by the economics of medical practice, and to a far greater extent than is commonly realized." - Harris Coulter

We expect our accountants to be honest, and to do good work; we also expect to have to pay them and understand that they are competing in the marketplace for our business, rather than tallying our finances out of benevolence of spirit.

How is it that the medical profession has effectively divorced itself, in the public eye, from this equation? There is nothing wrong with making a living; indeed, it is the mechanism of compensation that generates an abundance of offerings in the marketplace.

But it is wrong to pretend that ones work is somehow outside of such rubrics, and that to challenge medical doctors on the extent to which their actions and advocacy are driven by pecuniary and psychic self-interest is unseemly.

In my talk linked below, I give a brief overview of the important work of Harris Coulter on the history of the medical profession; I hope you enjoy it!

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