I'm a doctor (like many of you) and make $54,000 a year. I educate other 
doctors who go on to make $300,000 a year within a decade after leaving my 
classroom. I am a social medicine doctor, a Doctor of Philosophy. They are 
biomedical doctors, doctors of capitalist reproduction. 

We both claim to be primary care doctors. But they fall far short. I find 
sickness etiology in social relations. they find it in reified flesh. 

Mine is the real primary care medicine.  It addresses the primary roots of 
sickness. Indeed, the primary causes of preventable illness, injury and disease 
– capitalist social relations – need to become the “primary cares” of medicine. 
The Alma Ata Declaration, for all its imperfections, came close to implying as 
much. As David Sanders, MD, argued long ago, the fundamental causes of ill 
health are out of the control of [the biomedical profession], and “indeed, any 
open recognition of the real causes would call into question the very system 
that allows [medical professionals] to own and market their commodity” (Sanders 
p. 117). 

They need to be overthrown.

Best,

Brian McKenna



-----Original Message-----
From: Jim Devine <[email protected]>
To: Progressive Economics <[email protected]>
Sent: Mon, Nov 9, 2009 2:22 pm
Subject: Re: [Pen-l] toward doctors on salary?



me:
> [of course, a shift to paying doctors salaries is a further move
> toward their proletarianization.]
raghu:
 What is wrong with that? Why does it make sense to have
 "enterpreneurial" doctors?
I didn't say that there was anything WRONG with it. It's just part of
apitalism: "entrepreneurial" types of all sorts are ground up by the
achine (except for a minuscule minority). Luckily I belong to a
ector where the remaining feudal institutions help defend me from
ecoming a commodity.
- 
im Devine / "Segui il tuo corso, e lascia dir le genti." (Go your own
ay and let people talk.) -- Karl, paraphrasing Dante.
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