Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries.
寫的又清楚又好。Abbott在1988的劃時代之作後,實際上把profession研究帶入瞭一個去曆史、脫嵌於政治經濟過程的新風尚,也促成瞭職業社會學逐漸與知識社會學閤流,個中得失,一言難盡。重新迴頭讀這本遺珠,可見profession不僅與相鄰的職業在jurisdictional power上競爭,也和其他的social agents競爭,比如資本、公衛、互助社、保險公司,從而畫中一塊邊界不斷變更的社會領域。所以曆史社會學是必須要迴到職業研究中來的,盡管專傢的好時代已經過去瞭。
评分醫學職業化曆史,脈絡清晰,與醫療及保險發展如影隨形的是社會不平等,國傢、資本與醫療行業本身持續拉鋸。保險部分各方博弈寫得驚心動魄,偶有莫名冷幽默,結尾感嘆也是蠻動人瞭:"The great irony is that the opposition of the doctors and hospitals to public control of public programs set in motion entrepreneurial forces that may end up depriving both private doctors and local voluntary hospitals of their traditional autonomy."
评分First class
评分One of its kind. Too good to miss.
评分One of its kind. Too good to miss.
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