Theoretical Medicine

, Volume 8, Issue 1, pp 19–29 | Cite as

The medical profession and the corporatization of the health sector

  • J. Warren Salmon


This article describes the most important determinant of contemporary American medical practice: the corporatization of the health care delivery system. It argues that there is an urgent need for greater reflection by physicians on the values inherent in profit-based health care and on the implications of such a model of care. Other pressures on the medical profession and several available responses are examined. The article then poses a challenge to the profession to assume a more forthright advocacy for social equity in health care provision.

Key words

Cost containment Corporatization Professional autonomy Right to health care Social ethics Justice 


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  1. [1]
    D. A. Whiteis, and J. W. Salmon, “The Proprietization of Health Care and the Underdevelopment of the Public Sector,” International Journal of Health Services 16:4 (1986), forthcoming.Google Scholar
  2. [2]
    J. W. Salmon, “Profit and Health Care: Trends in Corporatization and Proprietization,” International Journal of Health Services 15:3 (1985), 395–418.Google Scholar
  3. [3]
    A. S. Relman, “The New-Medical Industrial Complex,” The New England Journal of Medicine 303: 17 (October 23, 1980), 963–970.Google Scholar
  4. [4]
    A. S. Relman, “Meeting Community Needs is a Major Concern Raised by For-profit Health Care,” Business and Health 2 (January/February 1985), 60.Google Scholar
  5. [5]
    H. S. Berliner, and R. K. Burlage, “Proprietary Hospital Chains and Academic Medical Centers,” International Journal of Health Services 16: 4 (1986), forthcoming.Google Scholar
  6. [6]
    A. Sager, “The Reconfiguration of Urban Hospital Care: 1937–1980,” ed. A. L. Greer and S. Greer, Cities and Sickness: Health Care in Urban America (Beverly Hills: Sage Publications, 1983), 55–98.Google Scholar
  7. [7]
    D. Ozar, “Justice and a Universal Right to Basic Health Care,” Social Science and Medicine 15 (1981), 135–141.Google Scholar
  8. [8]
    J. Bingham Hall, “Medical Turmoil: Four Hospital Chains Facing Lower Profits, Adopt, New Strategies,” Wall Street Journal (October 10, 1985), 1.Google Scholar
  9. [9]
    R. Stevens, “The Future of the Medical Profession,” From Physician Shortage to Patient Shortage: The Uncertain Future of Medical Practice (February 27–29, 1986), Second Cornell Conference on Health Policy, Cornell University, Medical College, New York.Google Scholar
  10. [10]
    H. S. Berliner, and J. W. Salmon, “The Holistic Alternative to Scientific Medicine: History and Analysis,” International Journal of Health Services 10: 1 (1980), 133–148.Google Scholar
  11. [11]
    S. Wohl, The Medical Industrial Complex (New York: Harmony Books, 1984).Google Scholar
  12. [12]
    C. Derber, “Capitalism and the Medical Division of Labor: The Changing Situation of Physicians,” ed. J. McKinlay Issues in the Political Economy of Health Care (New York: Methuen, 1984): 217–256.Google Scholar
  13. [13]
    “Physician Heal Thyself ... Or Else,” Forbes (October 1977), 90–96.Google Scholar
  14. [14]
    J. W. Salmon, Corporate Attempts to Reorganize the American Health Care Delivery System, Unpublished Doctoral Dissertation, (Ithaca: Cornell University, 1978).Google Scholar
  15. [15]
    L. Bergthold, Business and the Politics of Health Care Policy, Unpublished Doctoral Dissertation (University of California at Santa Cruz, 1985).Google Scholar
  16. [16]
    M. Korcok, “From Patient Advocate to ‘Gatekeeper’: Symposium Examines Pressures, Conflicting Interests,” American Medical News (April 4, 1986), 21–23.Google Scholar
  17. [17]
    J. B. McKinlay, and J. Arches, “Toward the Proletarianization of Physicians,” International Journal of Health Services 15: 2 (1985), 161–195.Google Scholar
  18. [18]
    S. V. Williams, J. M. Eisenberg, L. A. Pascale, and D. S. Kitz, “Physicians' Perceptions About Unnecessary Diagnostic Testing,” Inquiry 19 (1982), 363–370.Google Scholar
  19. [19]
    R. Rosenblatt, and I. S. Moscovice, “The Physician as Gatekeeper: Determinants of Physicians' Hospitalization Rates,” Medical Care 22 (1984), 150–159.Google Scholar
  20. [20]
    S. A. Shroeder, “Variations in Physician Practice Patterns: A Review of the Medical Cost Implications,” ed. E. Carels, D. Neuhauser, and W. Stason, The Physician and Cost Control (Cambridge: Oelgeschlager, Gunn and Hain, 1980), 45.Google Scholar
  21. [21]
    C. Cancila, “Economist Deplores Selfishness of 1980's,” American Medical News (May 16, 1986), 3; 38.Google Scholar
  22. [22]
    M. O'Neil Mundinger, “Health Service Funding Cuts and the Declining Health of the Poor,” The New England Journal of Medicine 313: 1 (July 4, 1985), 44–47.Google Scholar
  23. [23]
    D. Ozar, “Patients' Autonomy: Three Models of the Professional-lay Relationship in Medicine,” Theoretical Medicine 5 (1984), 61–68.Google Scholar

Copyright information

© D. Reidel Publishing Company 1987

Authors and Affiliations

  • J. Warren Salmon
    • 1
  1. 1.School of Urban Planning and PolicyUniversity of Illinois at ChicagoChicagoUSA

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