Carrillo Ana María
Departamento de Salud Pública, Facultad de Medicina, UNAM, México.
Dynamis. 2002;22:351-75.
This article analyses the struggles of 19th century Mexican physicians to gain professional autonomy versus the state. Medical practitioners sought to resist the imposition of a series of state measures, including directives to attend all patients and provide free care to the poor, forced adherence to political ideologies, state control of medical education, penal action in cases of professional liability, violation of medical confidentiality, and challenges to professional freedom. The article shows the reach of political power over medical practice in the 19th century, and explains the range and limits of the power of the medical profession.
本文分析了19世纪墨西哥医生为争取相对于国家的职业自主权而进行的斗争。医学从业者试图抵制一系列国家措施的实施,包括要求诊治所有患者并为穷人提供免费护理的指令、强制遵守政治意识形态、国家对医学教育的控制、职业责任案件中的刑事诉讼、对医疗保密的侵犯以及对职业自由的挑战。本文展示了19世纪政治权力对医疗实践的影响范围,并解释了医学职业权力的范围和局限性。