The American dominative medical system as a reflection of social relations in the larger society

Baer, Hans A.

doi:10.1016/0277-9536(89)90002-6

Cited by 55 publications

(21 citation statements)

References 14 publications

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“…Although the United States encompasses a great variety of health-related ideas, philosophies, and practices, the core of our health-care system is based upon a biomedical model that generally has not supported recognition of or sensitivity toward diversity in health care delivery (Baer, 1989;Lupton, 1994;Page, 1995). The discourse of participants in this study suggests that philosophies of medicine that are different than allopathy are often still dismissed or devalued.…”

Section: Discussionmentioning

confidence: 99%

Exploring the emergent identities of future physicians: Toward an understanding of the ideological socialization of osteopathic medical students

Harter¹,

Krone

2001

Southern Communication Journal

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Section: Discussionmentioning

confidence: 99%

Exploring the emergent identities of future physicians: Toward an understanding of the ideological socialization of osteopathic medical students

Harter¹,

Krone

2001

Southern Communication Journal

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“…Patients came to rely on expert or professional advice for problems that used to be handled by lay people (Roberts 1999). This was accompanied by the rise of biomedicine as the dominant system by the early 20th century (Baer 1989). Biomedicine established itself by excluding other forms of rationality, including women's folk knowledge of the body and oral traditions of self-care.…”

Section: How Might Mexican Migrant Popular Medicine Compare With Selfmentioning

confidence: 98%

Popular Medicine and Self-Care in a Mexican Migrant Community: Toward an Explanation of an Epidemiological Paradox

Waldstein

2010

Medical Anthropology

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While Hispanics are among the most economically disadvantaged groups in the United States, immigrants from Latin America have health profiles equal to or better than Americans of European descent. Research on this epidemiological paradox suggests that aspects of Hispanic culture prevent negative health outcomes associated with poverty, poor education, and barriers to professional care. However, little attention has been given to the ethnomedical beliefs and practices of any Hispanic subgroup. Here I present an ethnographic study of women's popular medicine in a Mexican migrant community in Athens, Georgia. Migrant women promote healthy behaviors, diagnose sick family members, and prescribe home remedies. These practices stem from long traditions of self-medication and family care, which have experienced less disruption by the biomedical profession than have other North American popular medical systems. Examining Mexican popular medicine within the context of scientific literature suggests that these self-care practices protect health and should be considered by investigators of the "Hispanic health paradox." The study also suggests that directing more attention to self-care will be fruitful for medical anthropology.

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“…Quite frequently, such conditions had overdetermining consequences for the particular forms assumed by the various policies that were pursued in the countries of Europe and North America. Thus, on one hand, for example, in the United States, the conflicts-often of doubtful scientific merit and validity-between itinerant popular healers and the up-and-coming grouping of scientific hospital medicine (whose effectiveness nevertheless did not seem noticeably superior to that of its opponents) were settled through centralized repression by means of the notorious Flexner Report (funded by the Carnegie and Rockefeller foundations)-a report that made possible a suffocating control of medical staffing and the definitive hegemony of hospital medicine (Baer, 1989;Fox, 1986). On the other hand, in Europe, the conflict was probably internalized within the body of professional medical cadres, leading to a polarization of the latter first into layers practicing their profession within newly established social-security organizations and second into layers confined to private medical practice involving only a small part of the population (Honigsbaum, 1990).…”

Section: General Outline Of International Tendencies and Policies On mentioning

confidence: 99%

“…This transition was naturally effected in an overdetermined setting by means of an ideological subtext of scientism, hegemonic at a common-sense level, and by acceptance and assimilation of its outlook by the upholders of political and social order and the subordinate social classes. By contrast, in social formations where the predominant school of medicine is imposed "from above," predicating dissolution of older therapeutic paradigms, and where the state is constituted through operations more repressive in character and federalist in origin, without conspicuous involvement in everyday functioning (e.g., in the United States), these challenges to the dominant medical model would persist, metamorphosed into every manner of "parallel" alternative health care practices with comparatively significant penetration, particularly among the popular strata (Baer, 1989;Ehrenreich & English, 1979;White, 1990). …”

Section: General Outline Of International Tendencies and Policies On mentioning

confidence: 99%

Social Policy in Greece in the Interwar Period: Events, Conflicts, and Conceptual Transformations

Nikolaidis¹,

Sakellaropoulos²

2012

SAGE Open

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This study gives an outline-by period-of the most basic social policy measures and health and welfare programs of the Venizelist political center. The periodization involves a breakdown of the above-mentioned policy into three separate phases whose distinguishing characteristics are then outlined-namely, the first period from 1910 to 1916 where the predominant feature is the attempt to develop a range of structures and services that might begin to try to cover the growing needs of the population of a geographically expanding Greece. In the second period between 1918 and 1920, this expansionist strategy of the social state would come to be regarded as too advanced by the Venizelist center itself, and on the basis of forms of social and political expression, including some previously developed inside the working class, attempts would be made to roll it back. In the third period between the years 1928 and 1932, which was to be marked by a greater sharpening of social conflict, the politics of the Liberals were to involve endeavors to carry out bourgeois modernization as a counter to the social crisis, efforts conducted in a spirit of pragmatism in a situation where a whole array of economic, social, and political parameters were limiting the potential for promoting implementable policy measures at that time. Moreover, in this final phase, all such social policy measures were characterized by obvious efforts to manipulate and control the political and social forms of organization of the popular classes. Starting from the above considerations, our analysis seeks to distinguish itself from views particularly prevalent among Greek politicians even today, as well as among sections of the electorate, that portray Venizelos as a representative of advanced social radicalism. But we also distinguish ourselves from those who regard him as an exponent of bourgeois modernization. Whereas the former view perceives Venizelos' policies as part of a continuous linear course toward progress, the latter sees everything as the outcome of a bourgeois class strategy for modernization of economic and social processes. Both stances suffer from an inability to comprehend that social evolution develops unevenly, and above all is the product of social balances of forces that are overturned, modified, and transformed.

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The American dominative medical system as a reflection of social relations in the larger society

Cited by 55 publications

References 14 publications

Exploring the emergent identities of future physicians: Toward an understanding of the ideological socialization of osteopathic medical students

Exploring the emergent identities of future physicians: Toward an understanding of the ideological socialization of osteopathic medical students

Popular Medicine and Self-Care in a Mexican Migrant Community: Toward an Explanation of an Epidemiological Paradox

Social Policy in Greece in the Interwar Period: Events, Conflicts, and Conceptual Transformations

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