The Physician Legislators Of France

Explores the causes and significance of the political influence gained by French medical doctors between 1870-1914.

Originally published in 1987 Doctors, Bureaucrats and Public Health in France focuses on crucial period of 1888-1902, arguably considered the creation of the modern medical system in France. Scientific developments, demographic and political concerns sparked unprecedented period of government action concerning medical care. The nature of the resulting legislation was largely determined by a new medical union movement, promoting the professional goals of private physicians. The book focuses on the formation of the physicians Union movement and its role within medical legislation, as well as its effect on other public health programs. It also focuses on the interplay of professional concerns and political issues which together describe the medical politics of the era.

All advanced health care systems face severe difficulties in financing the delivery of today's sophisticated medical care. In this study David Wilsford compares the health systems in France and the United States to demonstrate that some political systems are considerably more effective at controlling the cost of care than others. He argues that two variables--the autonomy of the state and the strength and cohesiveness of organized medicine--explain this variance. In France, Wilsford shows, the state is strong in the health policy domain, while organized medicine is weak and divided. Consequently, physicians exercise little influence over health care policymaking. By contrast, in the United States the state is weak, the employers and insurers who pay for health care are fragmented, and organized medicine is strong and well financed. As a result, medical professionals are able to exert a greater influence on policymaking, thus making cost control more difficult. Wilsford extends his comparison to health care systems in the United Kingdom, West Germany, Italy, Canada, and Japan. Whether the private or public sector finances health care, he discovers, there is now an important trend in all of the advanced industrial countries toward controlling escalating costs by curbing both the medical profession's clinical autonomy and physicians' incomes.

Following France’s defeat in the Franco-Prussian War in 1870–71, French patriots feared that their country was in danger of becoming a second-rate power in Europe. Decreasing birth rates had largely slowed French population growth, and the country’s population was not keeping pace with that of its European neighbors. To regain its standing in the European world, France set its sights on building a vast colonial empire while simultaneously developing a policy of pronatalism to reverse these demographic trends. Though representing distinct political movements, colonial supporters and pronatalist organizations were born of the same crisis and reflected similar anxieties concerning France’s trajectory and position in the world. Regeneration through Empire explores the intersection between colonial lobbyists and pronatalists in France’s Third Republic. Margaret Cook Andersen argues that as the pronatalist movement became more organized at the end of the nineteenth century, pronatalists increasingly understood their demographic crisis in terms that transcended the boundaries of the metropole and began to position the French empire, specifically its colonial holdings in North Africa and Madagascar, as a key component in the nation’s regeneration. Drawing on an array of primary sources from French archives, Regeneration through Empire is the first book to analyze the relationship between depopulation and imperialism.

This political history shows how the turmoil and transformation of nursing during the French Third Republic reflected the political and cultural tensions at work in the nation, including critical conflicts over the role of the Church in society, the professionalization of medicine, and the emancipation of women.

The eleven essays in this volume illustrate the richness, complexity, and diversity of French medical culture in the nineteenth century, a period that witnessed the medicalization of French society. Medical themes permeated contemporary culture and politics, and medical discourse infused many levels of French society from the bastions of science - the medical faculties and research institutions - to novels, the theater, and the daily lives of citizens as patients. The contributors to this volume - all established scholars in the history of medicine - present the French medical experience from the point of view of both practitioners and patients, and show how medical themes colored popular perceptions and shaped public policies. Topics addressed range from popular medicine to elite Parisian medicine, the interaction of literary and medical discourse, social theater, medical research and practice, medical specialization and education. The essays reflect current trends of medico-historical analysis which emphasize the centrality of class, race, and gender in understanding concepts of disease and the practice of medicine. They show how the medical experience of patients, practitioners, students, and researchers varied according to social class, gender, and geography and the importance of these factors for the construction of disease.

Nineteenth-century France was a society of apparent paradoxes. It is famous for periodic and bloody revolutionary upheavals, for class conflict and for religious disputes, yet it was marked by relative demographic stability, gradual urbanisation and modest economic change, class conflict and ongoing religious and cultural tensions. Incorporating much recent research, Roger Magraw draws both upon still-valuable insights derived from the 'new social history' of the 1960s and upon more recent approaches suggested by gender history , cultural anthropology and the 'linguistic turn'.

This collection of essays looks at issues of health and citizenship in Europe across two centuries. Contributors examine the extent to which the state can interfere with the private lives of its citizens, the role of individual responsibility and if any boundary occurs in terms of what the state can realistically provide.