Shifting the Narrative of American Medical History

IF 0.4 3区 历史学 Q1 HISTORY Journal of the Gilded Age and Progressive Era Pub Date : 2023-01-01 DOI:10.1017/s1537781422000500
David G. Schuster
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Abstract

In many ways, this shift paralleled the decade's larger conservative turn, but when American politics shifted leftward during the Great Depression in the 1930s, the AMA continued to take professional medicine into "ultra-conservative” territory, much to the social disadvantage of Americans. Medicine's reactionary turn brought the profession into questionable relationships with the drug and tobacco industries, which in turn led to profits that the AMA used to lobby politicians and influence public opinion against public health and national health care plans that AMA leadership feared would compromise physicians' influence within the health-care marketplace. According to Swenson, recent developments within medicine, including the AMA support for the Affordable Care Act (signed into law in 2010) and physicians joining together during the COVID epidemic to support public health directives in the face of impassioned conservative opposition, point to how the profession may be on the verge of another pendulum swing back to its progressive roots.
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美国医学史叙事的转变
在许多方面,这种转变与十年来更大的保守转向是平行的,但当美国政治在20世纪30年代大萧条期间向左转移时,美国医学协会继续将专业医学带入“极端保守”的领域,这对美国人的社会不利。医学界的反动转变使该行业与毒品和烟草行业陷入了可疑的关系,这反过来又导致了美国医学协会用来游说政治家和影响反对公共卫生和国家卫生保健计划的公众舆论的利润,美国医学协会领导层担心这会损害医生在卫生保健市场中的影响力。根据斯文森的说法,医学界最近的发展,包括美国医学协会对《平价医疗法案》(2010年签署成为法律)的支持,以及医生们在COVID疫情期间联合起来,面对慷慨激昂的保守派反对,支持公共卫生指令,这些都表明,这个行业可能正处于另一个钟摆回归其进步根源的边缘。
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51
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