Medical Revolutions?: The Growth of Medicine in England, 1660–1800

This paper studies the rising use of commercial medical assistance in early modern England. We measure individual consumption of medical and nursing services using a new dataset of debts at death between ca. 1670 and ca. 1790. Levels of consumption of medical services were high and stable in London from the 1680s. However, we find rapid growth in the provinces, in both the likelihood of using medical assistance and the sums spent on it. The structure of medical services also shifted, with an increase in “general practice,” particularly by apothecaries. The expansion in medical services diffused from London and was motivated by changing preferences, not wealth.