First published in 1960, Richard Harrison Shryock's Medicine and Society in America: 1660-1860 remains a sweeping and informative introduction to the practice of medicine, the education of physicians, the understanding of health and disease, and the professionalization of medicine in the Colonial Era and the period of the Early Republic. Shryock details such developments as the founding of the first medical school in America (at the College of Philadelphia in 1765); the introduction of inoculation against smallpox in Boston in 1721; the creation of the Marine Hospital Service in 1799, under which all merchant marines were required to take out health insurance; and the state of medical knowledge on the eve of the Civil War.

It was in the 1840s that Americans first began to sue physicians on a wide scale. The unprecedented wave of litigation that began in this decade disrupted professional relations, injured individual reputations, and burdened physicians with legal fees and damage awards. De Ville's account discusses this outbreak of malpractice litigation with the use of anecdotes.

Focusing on doctors' feuds and duels, yellow fever epidemics in Philadelphia, and a court-martial of the medical director of army hospitals in the Revolutionary War, this title is set during a time when American medicine was caught in a period of catastrophic change.

This reissue offers an opportunity to consider the state of the American health care system. The text chronicles the development of the medical profession and shows how increasing emphasis on specialization has influenced medical education and public policy. It details specialization's effects on health care costs and on health care providers, as well as the implications of technology and the resulting ethical dilemmas, the issues of insurance, and many people's limited access to care.

Adds 21 new essays and drops some that appeared in the 1984 edition (first in 1978) to reflect recent scholarship and changes in orientation by historians. Adds entirely new clusters on sickness and health, early American medicine, therapeutics, the art of medicine, and public health and personal hygiene. Other discussions are updated to reflect such phenomena as the growing mortality from HIV, homicide, and suicide. No index. Annotation copyrighted by Book News, Inc., Portland, OR