ABSTRACT

Aerospace companies are involved in everything from computerized medical information systems to life support systems. Specialization in medicine, while deepening knowledge in a particular area, is also circumscribing the work that doctors may legitimately perform. The growing oversupply of doctors in developed countries reinforces these trends in medical work and professional power by intensifying intraprofessional competition and devaluing their position in the job market. The oversupply of doctors is thought to be a major reason for the recent shift to a salaried medical staff, which has been so dramatic as to be termed "the salary revolution". There are reports from across the United States that physicians are rebelling against the continuing challenges to their authority and attempts to cut their incomes by Health Maintenance Organization and other corporate-like means of organizing the profitable production of medical care. The healthy debate over the changing position of doctors within the rapidly changing health care system is likely to continue for some time.