Issac Starr –?
Too much emphasis on standards is a cause of
decay; often it is a psychological defense
mechanism set up by persons no longer
productive.
Journal of Clinical Investigation: ()
Paul Starr –
Professor of Sociology, Harvard University
Modern medicine is one of those extraordinary
works of reason: an elaborate system of
specialised knowledge, technical procedures, and
rules of behaviour.
The Social Transformation of American MedicineIntroduction,
p. , Paul Starr. Basic Books, New York ()
The medical profession has had an especially
persuasive claim to authority. Unlike the law and
the clergy, it enjoys close bonds with modern
science, and at least for most of the last century,
scientific knowledge has held a privileged status in
the hierarchy of belief.
The Social Transformation of American Medicine
Introduction, p. , Paul Starr. Basic Books, New York
()
But medicine is also, unmistakably, a world of
power where some are more likely to receive the
rewards of reason than are the others.
The Social Transformation of American Medicine
Introduction, p. , Paul Starr. Basic Books, New York
()
In America, no one group has held so dominant a
position in this new world of rationality and
power as has the medical profession.
The Social Transformation of American Medicine
Introduction, p. , Paul Starr. Basic Books, New York
()
If the medical profession were merely a
monopolistic guild, its position would be much less
secure than it is. The basis of its high income and
status, as I have argued all along, is its authority,
which arises from lay deference and
institutionalized forms of dependence.
The Social Transformation of American Medicine
Introduction, p. , Paul Starr. Basic Books, New York
()
Probably no event in American history testifies
more graphically to public acceptance of scientific
methods than the voluntary participation of
millions of American families in the 1954 trials of
the Salk vaccine.
The Social Transformation of American Medicine
Introduction, p. , Paul Starr. Basic Books, New York
()
Professional autonomy has been protected by the
institutional autonomy of hospitals. In the
multihospital systems, centralized planning,
budgeting, and personnel decisions will deprive
physicians of much of the influence they are
accustomed to exercise over institutional policy.
The Social Transformation of American Medicine
Introduction, p. , Paul Starr. Basic Books, NewYork
()
A corporate sector in health care is also likely to
aggravate inequalities in access to health care.
Profit-making enterprises are not interested in
treating those who cannot pay. The voluntary
hospital may not treat the poor the same as the rich,
but they do treat them and often treat them well.
The Social Transformation of American MedicineIntroduction,
p. , Paul Starr. Basic Books, New York ()
Sir Richard Steele –
Irish-born English essayist and dramatist
There are so few who can grow old with a good
grace.
The Spectator
Gertrude Stein –
US author
We, living now, are always to ourselves young
men and women.
The Making of AmericansIntroduction
John Steinbeck –
US novelist
The medical profession is unconsciously irritated
by lay knowledge.
East of EdenCh. ()
Laurence Sterne –
Irish-born English writer and churchman
There are worse occupations in the world than
feeling a woman’s pulse.
A Sentimental Journey
I live in a constant endeavour to fence against the
infirmities of ill health, and other evils of life, by
mirth.
Tristam ShandyDedication
Imagine to yourself a little, squat, uncourtly figure
of a Doctor Slop, of about four feet and a half
perpendicular height, with a breadth of back and
a sesquipedality of belly, which might have done
honour to a serjeant in the horse-guards.
Tristam ShandyVol. II, Ch.
Sciences may be learned by rote, but Wisdom not.
Tristam Shandy
People who are always taking care of their health
are like misers, who are hoarding a treasure
which they have never spirit enough to enjoy.
Attributed
Robert Louis Stevenson –
Scottish writer
He sows hurry and reaps indigestion.
An Apology for Idlers
Even if the doctor does not give you a year, even if
he hesitates about a month, make one brave push
and see what can be accomplished in a week.
Virginibus PuerisqueCh.
It is better to lose health like a spendthrift than to
waste it like a miser.
Virginibus PuerisqueCh.
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