Philadelphia Reflections

The musings of a physician who has served the community for over six decades

Related Topics

Philadelphia Medicine
The first hospital, the first medical school, the first medical society, and abundant Civil War casualties, all combined to establish the most important medical center in the country. It's still the second largest industry in the city.

Philadelphia Physicians
Philadelphia dominated the medical profession so long that it's hard to distinguish between local traditions and national ones. The distinctive feature is that in Philadelphia you must be a real doctor before you become a mere specialist.

Medical Economics
Some Philadelphia physicians are contributors to current national debates on the financing of medical care.

Insurance in Philadelphia
Early Philadelphia took a lead in insurance innovation. Some ideas, like life insurance, flourished. Others have faded.

Indigents
With a long history of welcoming and assisting the poor, Philadelphia has always risked swamping the lifeboat by attracting more of them than it can handle.

Favorite Reflections
In no particular order, here are the author's own favorites.

Reminiscences
"The past is never dead. It's not even past." -- William Faulkner, Requiem for a Nun

Clinton Health Plan of 1993 - Part One
Mistaking Senate re-election of Harris Wofford to mean the country demanded reform of the medical system, newly-elected President Clinton announced he would create one. When stakeholders surmised he was making it up as he went along, they deserted him.

Personal Passions
My own personal short list; eight decades in retrospect.

2-Institutions and Informal Power vs. Religious Power
Patriarchy and matriarchy are forms of parent control, usually the expression of existing power. Contracts are similar but draw on reciprocal powers which are pre-existing. In fact, contracts are ordinarily unenforceable unless they have this component. Ultimately, the power of institutional controls tends to be pre-existing.

Clinton Health Plan Starts at the Union League

 

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