Re: Why its good to be in medicine: job security...

On Dec 13, 8:27 pm, Straydog <a...@xxxxxxxxx> wrote:
Tomorrow's issue of the *Journal of the American Medical Association* (
Vol. 298 No. 22, December 12) includes an article: "Medical
Professionalism in a Commercialized Health Care Market" by Arnold S.
Relman, MD, Departments of Medicine and Social Medicine, Harvard Medical
School.

Here's the article:

Medical professionalism in the United States is facing a crisis, just as
serious as the crisis facing the health care system, and the 2 crises
are interrelated.

To understand today's crisis in medical professionalism requires knowing
what a profession is and what role it plays in modern society. Freidson1
considered a profession to be 1 of 3 options modern society has for
controlling and organizing work. The other 2 options are the free market
and management by organizations such as government or private
businesses. Freidson suggested that medical work was totally unsuited
for control by the market or by government or business and, therefore,
the practice of medicine could only be conducted properly as a profession.


This is total fallacy. What Freidson describes as "profession" looks
exactly as a complete monopoly which is a natural end of any "free
market" development if it is allowed to reach that stage. Medicos are
lucky in that they manage to persuade the public and lawmakers in
absolute necessity for them to control the entry point to their
profession. The result is exactly as expected. Any monopoly
degenerates in time morally, intellectually and otherwise. And that is
what we observe.

I am amused by the following observation, though:


... but the central role of the physician as the manager and provider of medical services is not
likely to be challenged. ^^^^^^^^^^^


Here we go. They are not doctors anymore. What do you expect from
managers?
.

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