Medical Dominance, now in a revised edition, provides a fascinating
account of the medical profession's successful domination of a wide
range of health care services. Evan Willis delves into the past to
explain the existing division of labour and health care, the rise
of the medical profession to a position of economic power within
the health system, and their defence of that dominant position. Now
completely revised and updated, this edition also considers the
related question of the policy implications of medical dominance.
The defence by doctors of their position of power is highlighted by
the author's exhaustive and original research into demarcation
struggles between medicine and other health occupations, in
particular midwifery, optometry and chiropractic. Conventional
explanations of medical dominance are challenged by the argument
that the role of developments in medical knowledge and in
technology itself have been overstated. As well, greater account
must be taken of the social relations and struggles which developed
for control of that knowledge and technology.
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