Format

Send to

Choose Destination
See comment in PubMed Commons below
JAMA. 1987 Dec 4;258(21):3155-6.

Unconscious on a corner.

Abstract

KIE:

A physician working in inner-city Washington, D.C., uses the case of Mr. W., a homeless demented patient, as the starting point for his essay on medicine's abandonment of the poor. Having stabilized Mr. W. and treated his acute condition, the hospital physicians were prepared to discharge him to the unsupervised environment of a city shelter. Hilfiker acknowledges that the needs of the poorest, most broken members of society seem overwhelming. Physicians, not knowing what to do, do nothing, and the public sector does little enough. Hilfiker identifies the "monetarization" of private medical care, the inadequacy of the public system, and the stresses and frustrations of caring for the poor as the reasons for their abandonment by the medical bureaucracy. He urges his colleagues to bring the poor into their practices, and to return to their roots as members of a "servant profession."

PMID:
11644093
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Write to the Help Desk