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.