Communities great and small across Europe for eight centuries have contracted with doctors. Physicians provided citizen care, helped govern, and often led in public life. Civic Medicine stakes out this timely subject by focusing on its golden age, when cities rivaled territorial states in local and global Europe and when civic doctors were central to the rise of shared, organized written information about the human and natural world. This opens the prospect of a long history of knowledge and action shaped more by community and responsibility than market or state, exchange or power.

"Most important, there is no evidence that the good will built by U.S. doctors transferred to the South Vietnamese forces, and in fact the opposite may have been true: American programs may have emphasized the inability of the South Vietnamese government to provide basic health care to its own people. Furthermore, the programs may have demonstrated to Vietnamese civilians that foreign soldiers cared more for them than their own troops did. If that is the case, the programs actually did more harm than good in the attempt to win hearts and minds."--BOOK JACKET.

When did medicine become modern? This book takes a fresh look at one of the most important questions in the history of medicine. It explores how the cultures, values and meanings of medicine were transformed across the late eighteenth and early nineteenth centuries as its practitioners came to submerge their local identities as urbane and learned gentlemen into the ideal of a nationwide and scientifically-based medical profession. Moving beyond traditional accounts of professionalization, it demonstrates how visions of what medicine was and might be were shaped by wider social and political forces, from the eighteenth-century values of civic gentility to the radical and socially progressive ideologies of the age of reform. Focusing on the provincial English city of York, it draws on a rich and wide-ranging archival record, including letters, diaries, newspapers and portraits, to reveal how these changes took place at the level of everyday practice, experience and representation.