ABSTRACT

Physicians as a corporate group have power over the allied health professions, e.g. radiologic and medical technology and physical and occupational therapy. This chapter focuses on the medical hierarchy, with examples from radiologic technology and medical technology. It considers why health services were conducive to an occupationally dominated division of labor. The medical profession, through its private regulatory power over hospitals, not only commands the major capital concentrations in the health services industry but also has a measure of control over other occupations which are dependent on hospital employment. There is an increasing tendency to believe that physicians are losing control of health services, as hospitals and financial organizations come into dominance. The historically successful efforts of physicians, as a corporate group, to monopolize the market through governmental imposition of licensing laws are well known. The practice of medicine laws have been used to block the development of organizations and occupations not under control of physicians.