Modern measurement for a modern health service.
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If there is any one thing that is missing in today's health care delivery system, it is consumerism. This will be remedied as more and more Americans start taking direct responsibility for how their health care dollars are spent. Hand in hand with such developments will be increasing opportunities for developers and sellers of health-related products and services to promote their wares directly to medical consumers, who will either buy them outright or influence their healthplans to make the purchases. Purveyors of new technology and capital medical equipment will be especially likely to abet the new medical consumers and to derive financial benefits from them. From the perspectives of the many medical consumers who inquire to AMC about access to and use of radiologic services, the areas of greatest interest include high resolution ultrasonography, routine and functional magnetic resonance imaging, interventional radiology, gamma-knife surgery, and tumor-specific and patient-specific radiotherapy. Brain tumor and prostate cancer patients and their caregivers are particularly likely to be concerned about the radiotherapy modalities available.
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In this article I explore the connections between state centralization, the professionalization of healing, and the end of the royal midwife Louise Bourgeois' (1563-1636) illustrious career in seventeenth-century France. Specifically, I analyze seventeenth-century narratives of two events which frame Louise Bourgeois' public career as a writer and royal midwife in order to demonstrate the way that the changing meanings of childbirth and the role of the midwife in the medical hierarchy were bound up in state formation and consolidation. The result for midwives was that, though they could still practice, they were ultimately considered marginal to the medical community.
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