How Did Doctors Become Serfs?
WASHINGTON -- There is no better key to a culture than language. The lilting
poetry of everything uttered in Ireland, for instance, shows a depth of spirit that punishing hardship never could obliterate.
The directness of New Yorkers places a high premium on honesty, and the indirectness of the French on privacy. The elaborate
courtesy of the American South indicates a sense of form and consideration that sometimes overrides the true intention underneath.
Also, it's possible to make extravagant offers in the South, because people can be counted on not to accept. They, too, are
governed by what Thomas Mann called "the discipline and energy of good manners."
But something disturbing is happening in the way Americans talk about
each other. They seem determined to drain the language of its essential juices and to rob people of importance. The most egregious
example is in the field of medicine. How did doctors come to be called "health-care
providers"? It's a shocking and insulting dismissal of years of training and reservoirs of authority that patients
need to confer upon their physicians. It all grew out of the managed-care movement
and a deliberate effort to undermine doctors in order to pay them less and impose upon them more. Patients were denied the
dignity of the medical practice they had known, and doctors were hounded into other lines of work because that's what their
profession, once respected, had become -- a line of work.
The same thing is happening
now to writers. When Time-Warner merged with AOL, suddenly the scribes became not authors,
journalists or playwrights, but "content providers."
Universities have become so obsessed
with paying their bills and pleasing their benefactors that many of them now refer to their students as "customers."
The oddest of all is the designation
of prostitutes as "sex workers." This vocabulary flows from the
wish of feminists to treat all women with courtesy and to point out that many sell their bodies out of sheer desperation to
support children and keep themselves alive. It's a worthy sentiment, but should
language really try to change the degradation of such circumstances? What is happening in all these cases (except,
of course, the last) is an ascendancy of corporate/entrepreneurial
culture that is rendering everything else secondary and subject to revision. Especially under attack are the
professions. Lawyers are among the few to be spared, but they may well be next. Too many are surrendering too
quickly, not understanding that their expertise, their creativity, their insight, clear and undiluted, are critical to the
success of the whole -- business included.
By Jack Anderson and Douglas Cohn with
correspondent-at-large Lee Cullum
United Feature Syndicate 2000 Deseret
News Publishing Co.
