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Author: Lynn Payer
ISBN : 0805048030
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Format: PDF
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A classic comparative study of medicine and national culture, Medicine and Culture shows us that while doctors regard themselves as servants of science, they are often prisoners of custom.
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- Paperback: 224 pages
- Publisher: Holt Paperbacks (November 15, 1996)
- Language: English
- ISBN-10: 0805048030
- ISBN-13: 978-0805048032
- Product Dimensions: 0.7 x 5.4 x 8.3 inches
- Shipping Weight: 10.4 ounces (View shipping rates and policies)
Free Download Medicine and Culture: Revised Edition
While we may be used to looking at the anthropology of less developed countries, Lynn Payer turns her lens at European and American medicine. In England one keeps a stiff upper lip, as doctors give fewer tests, less medicine and lower doses, even when not rationed. West Germans use six times the number of heart drugs as the French or English, although the three countries have similar rates of heart disease, often using several at once due to the attitudes towards the heart. France looks more at the terrain than the pathological organisms attacking it, strengthening the immunological system with techniques Americans would consider fringe medicine. And French doctors would use a hysterosalpingogram instead of the D&C that German, English and Americans use to diagnose conditions because they are afraid of adhesions from surgery that might impair fertility. American doctors do excessive hysterectomies that would be considered unwarranted in England, France and Germany and, at least at the time of the book, radical mastectomies instead of lumpectomies.
The book also looks at how medical compensation affects the way medicine is practiced. German and American doctors who are paid fees for each procedure use far more than English doctors who are paid a straight salary. American doctors may raise their fees when they want more compensation while French doctors would need to perform more operations. American doctors whose insurance companies would require them to perform a cesarean section after fibroid removal are more prone to remove the uterus than French doctors who have no such pressure and feel that a woman could have six myomectomies before a C-section would be required.
And different organs are looked at as important.