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Medical dominance has been described as a feature of the health care system in most English-speaking countries. This dominance is exhibited in a number of ways which include professional autonomy of doctors, their control over patients, and the dominance of health professionals. ... The main purpose of this essay will cover the historical, cultural and structural aspects of medical dominance and a critical analysis of medical dominance will be discussed.
Medical dominance is less than a century old. ... In 1862 the Victorian Government became the first to give doctors advantages such as the exclusive rights to medical titles, and the rights to sign death certificates. ... Friedson states that the primary reason that medicine has attained such dominance is, because of the authority that it has attained to direct and evaluate the work of others without in turn being subject to formal direction and evaluation themselves. ... (Germov, 2002) Germov argues that these political forces favour free enterprise and private health insurance arrangement and have supported the development of medical dominance. It is suggested that by government support of self regulation and ‘fee for service’ has resulted in a situation where medicine has sought to maintain dominance and power for the pursuit of profit.
Approximate Word count = 1004
Approximate Pages = 4
(250 words per page double spaced)
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