Commentary — June 15, 2009, 1:51 pm

“The Crisis in American Medicine” Redux

In his speech before the American Medical Association on June 15, 2009, Barack Obama noted that there is nothing new about the challenges facing would-be health-care reformers:

The other day, my friend, Congressman Earl Blumenauer, handed me a magazine with a special issue titled, “The Crisis in American Medicine.” One article notes “soaring charges.” Another warns about the “volume of utilization of services.” And another asks if we can find a “better way [than fee-for-service] for paying for medical care.” It speaks to many of the challenges we face today. The thing is, this special issue was published by Harper’s Magazine in October of 1960.

Members of the American Medical Association—my fellow Americans—I am here today because I do not want our children and their children to still be speaking of a crisis in American medicine fifty years from now.

Readers interested in how little has changed in the last fifty years can read “The Politics of Medicine” from that issue, or Bernard DeVoto’s “Letter to a Family Doctor,” from 1951–or my own take on the matter, “Sick in the Head: Why America won’t get the health-care system it needs,” which I invite future presidents to consider with equal rue.

Share
Single Page

More from Luke Mitchell:

Commentary January 31, 2010, 11:08 am

Reply

From the July 2009 issue

We still torture

The new evidence from Guant??¡namo

Get access to 165 years of
Harper’s for only $45.99

United States Canada

CATEGORIES

THE CURRENT ISSUE

October 2016

The Hamilton Cult

= Subscribers only.
Sign in here.
Subscribe here.

Held Back

= Subscribers only.
Sign in here.
Subscribe here.

Division Street

= Subscribers only.
Sign in here.
Subscribe here.

Innocents

= Subscribers only.
Sign in here.
Subscribe here.

The Quiet Car

= Subscribers only.
Sign in here.
Subscribe here.

Psychedelic Trap

= Subscribers only.
Sign in here.
Subscribe here.

view Table Content

FEATURED ON HARPERS.ORG

Article
The Hamilton Cult·

= Subscribers only.
Sign in here.
Subscribe here.

"The past is complicated, and explaining it is not just a trick, but a gamble."
Illustration by Jimmy Turrell
Article
Division Street·

= Subscribers only.
Sign in here.
Subscribe here.

"Perfectly sane people lose access to housing every day, though the resultant ordeal may undermine some of that sanity, as it might yours and mine."
Photograph © Robert Gumpert
Article
Held Back·

= Subscribers only.
Sign in here.
Subscribe here.

"'We don’t know where the money went!' a woman cried out. 'They looted it! They stole our money!'"
Artwork by Mischelle Moy
Article
The Quiet Car·

= Subscribers only.
Sign in here.
Subscribe here.

Flor Arely Sánchez had been in bed with a fever and pains throughout her body for three days when a July thunderstorm broke over the mountainside. She got nervous when bolts of light flashed in the sky. Lightning strikes the San Julián region of western El Salvador several times a year, and her neighbors fear storms more than they fear the march of diseases — first dengue, then chikungunya, now Zika. Flor worried about a lot of things, since she was pregnant.

Late in the afternoon, when the pains had somewhat eased, Flor thought she might go to a dammed-up bit of the river near her house to bathe. She is thirty-five and has lived in the same place all her life, where wrinkled hills are planted with corn, beans, and fruit trees. She took a towel and soap and walked out into the rain. Halfway to the river, the pains returned and overcame her. The next thing Flor remembers, she was in a room she didn’t recognize, unable to move. As she soon discovered, she was in a hospital, her ankle cuffed to the bed, and she was being investigated for abortion.

Photograph by Joshua Lutz
Article
Innocents·

= Subscribers only.
Sign in here.
Subscribe here.

"The next thing Flor remembers, she was in a room she didn’t recognize, unable to move. As she soon discovered, she was in a hospital, her ankle cuffed to the bed, and she was being investigated for abortion."
Photograph © Nadia Shira Cohen

Average amount of time a child spends in Santa Claus’s lap at Macy’s (in seconds):

37

Beer does not cause beer bellies.

Following the arrest of at least 10 clowns in Kentucky and Alabama, Tennesseans were warned that clowns could be “predators” and Pennsylvanians were advised not to interact with what one police chief described as “knuckleheads with clown-like clothes on.”

Subscribe to the Weekly Review newsletter. Don’t worry, we won’t sell your email address!

HARPER’S FINEST

Mississippi Drift

By

Matt was happy enough to sustain himself on the detritus of a world he saw as careening toward self-destruction, and equally happy to scam a government he despised. 'I’m glad everyone’s so wasteful,' he told me. 'It supports my lifestyle.'

Subscribe Today