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Making a Free Market: Professionals and Populists in the Transformation of US Medicine, 1787-1860
Linköping University, Department of Management and Engineering, The Institute for Analytical Sociology, IAS. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0002-7768-539X
Department of Sociology, 410 Barrows Hall, University of California, Berkeley, Berkeley, CA, USA.
2019 (English)In: Socio-Economic Review, ISSN 1475-1461, E-ISSN 1475-147XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

In the early decades of the 19th century, physicians in the USA enjoyed unquestioned authority in medicine and increasing state recognition. But by mid-century, their monopoly had given way to a raucous free market for medical care. To explain the causes and consequences of this dismantling of a professional monopoly, we draw on political sociology. We argue that to maintain a monopoly, a dominant profession must defend its cultural authority against rival claims and preserve its institutional support from the state. A dominant profession can lose its monopoly if rival occupations mobilize to challenge its cultural authority and if populist political coalitions mobilize to repeal laws upholding professional monopolies. Our analysis, which covers all states in the Union by 1860, reveals that the dynamics of contention, both within the system of professions and in the wider political arena, can erode the foundations of professional monopolies.

Place, publisher, year, edition, pages
Oxford University Press, 2019.
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Identifiers
URN: urn:nbn:se:liu:diva-154429DOI: 10.1093/ser/mwy052OAI: oai:DiVA.org:liu-154429DiVA, id: diva2:1287687
Available from: 2019-02-11 Created: 2019-02-11 Last updated: 2019-02-20Bibliographically approved

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Habinek, Jacob

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  • apa
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  • ieee
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  • Other style
More styles
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  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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