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In a work that spans the twentieth century, Nancy Tomes questions the popular--and largely unexamined--idea that in order to get good health care, people must learn to shop for it. Remaking the American Patient explores the consequences of the consumer economy and American medicine having come of age at exactly the same time. Tracing the robust development of advertising, marketing, and public relations within the medical profession and the vast realm we now think of as "health care," Tomes considers what it means to be a "good" patient. As she shows, this history of the coevolution of medicine and consumer culture tells us much about our current predicament over health care in the United States. Understanding where the shopping model came from, why it was so long resisted in medicine, and why it finally triumphed in the late twentieth century helps explain why, despite striking changes that seem to empower patients, so many Americans remain unhappy and confused about their status as patients today.

Table of Contents

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  1. Cover
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  1. Title Page, Copyright, Dedication
  2. pp. i-v
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  1. Contents
  2. p. vii
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  1. Preface. A Tale of Two Medicine Bottles
  2. pp. ix-xiii
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  1. Acknowledgments
  2. pp. xv-xviii
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  1. Abbreviations and Acronyms
  2. pp. xix-xx
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  1. Introduction: This Isn’t Your Father’s Patient
  2. pp. 1-16
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  1. Part One: The Hazards of New Choices: The 1920s to the 1940s
  1. 1. Farewell to the Free Trade in Doctoring
  2. pp. 19-47
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  1. 2. The High Cost of Keeping Alive
  2. pp. 48-76
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  1. 3. The New Corner Store
  2. pp. 77-104
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  1. 4. The Guinea Pigs’ Revolt
  2. pp. 105-136
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  1. Part Two: Free Enterprise Medicine: The 1940s to the 1960s
  1. 5. The Fourth Necessity
  2. pp. 139-164
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  1. 6. The MDs Are Off Their Pedestal
  2. pp. 165-219
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  1. 7. A Big Pill to Swallow
  2. pp. 220-248
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  1. Part Three: A Consumers’ Revolution? The 1960s to the 1990s
  1. 8. The Patient Must Prescribe for the Doctor
  2. pp. 251-286
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  1. 9. Get Ready for a New Breed of Patients
  2. pp. 287-320
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  1. 10. Shopping Mall Medicine
  2. pp. 321-359
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  1. 11. Medicine-Chest Roulette
  2. pp. 360-387
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  1. Conclusion: The Barbarians Are at the Gate
  2. pp. 388-422
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  1. Notes
  2. pp. 423-472
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  1. Bibliography
  2. pp. 473-518
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  1. Index
  2. pp. 519-539
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