Faiths that failed? Professionalism, technology, and science in 20th-century America

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Abstract
Those problems are probably most visible in the form of the tremendous economic and administrative strains that have been confronting the medical profession, and the world of health care generally, for at least the last decade: the rapidly spiraling costs (unmatched by comparable increases in the incomes of most doctors); the increasingly powerful and intrusive role of insurance companies, HMOs, and government agencies; and the steady loss of control by doctors themselves over the economic and institutional conditions in which they work. There have been numerous efforts to bring some order and control to this messy new health-care world, most notably President Clinton's politically disastrous attempt in 1994 to create a national health insurance system. But so far at least, our society has lacked the social and political will-and perhaps also the knowledge-to find any coherent solution to these problems.

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