The New Medical World Order: Not So Flat

  • Rifat LatifiEmail author


A few decades ago, the medical world did not have any particular order. Each country took care of people the way they thought it would be best. With some exceptions, hospitals for the most part, it existed in silos, isolated from other industries. However, there is a new medical order that has transformed the healthcare industry into a web-linked interdependent, complex, competitive industry, with the philosophy of domination, takeover of hospitals and creating large corporation of healthcare industry for the most part. This world order is with full contrasts, growing the gap wider between the hospitals of western world and third world countries and between hospitals of rural and urban America. So, the medical world, after all, may not be so flat.


Modern hospital Transformation of medicine Two worlds Advanced technologies; access to care Global surgery 


  1. 1.
    Starr P. The social transformation of American medicine: the rise of a sovereign profession and the making of a vast industry. New York: Basics Books; 1984.Google Scholar
  2. 2.
    Trunkey D. The medical world is flat too. World J Surg. 2008;32(8):1583–604. Scholar
  3. 3.
    Raffel MW. Healthcare and reform in industrialized countries. Pennsylvania: The Pennsylvania State Press, University Park; 1997.Google Scholar
  4. 4.
    Burns LR. The business of healthcare innovation. Cambridge: Cambridge University Press; 2005.CrossRefGoogle Scholar
  5. 5.
    Meara JG, Leather AJM, Hagander L, et al. Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386(9993):569–624.CrossRefGoogle Scholar
  6. 6.
    Alkire BC, Raykar NP, Shrime MG, et al. Global access to surgical care: a modelling study. Lancet Glob Health. 2015;3(6):e316–e23.CrossRefGoogle Scholar
  7. 7.
    Funk LM, Weiser TG, Berry WR, et al. Global operating theatre distribution and pulse oximetry supply: an estimation from reported data. Lancet. 2010;376:1055–61.CrossRefGoogle Scholar
  8. 8.
    Holmer H, et al. Global distribution of surgeons, anaesthesiologists, and obstetricians. Lancet Glob Heal. 2015;3:S9–S11.CrossRefGoogle Scholar
  9. 9.
    Casey KM. The global impact of surgical volunteerism. Surg Clin North Am. 2007;87(4):949–60.CrossRefGoogle Scholar
  10. 10.
    Shrime MG, Dare AJ, Alkire BC, O’Neill K, Meara JG. Catastrophic expenditure to pay for surgery: a global estimate. Lancet Glob Health. 2015;3(02):S38–44. Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.New York Medical College, School of Medicine, Department of Surgery and Westchester Medical CenterValhallaUSA

Personalised recommendations