Louis-Courvoisier Micheline
Programme de Sciences humaines en médecine, Institut d'ethique biomédicale, Faculté de médecine, Genève.
Can Bull Med Hist. 2012;29(1):29-48. doi: 10.3138/cbmh.29.1.29.
At the end of the 18th century, economic survival was difficult for physicians. The medical market was crowded and to build (and seduce) a clientele, they had to pay particular attention to their appearance. Being well dressed and travelling by horse or in a carriage was necessary to demonstrate that they had a good reputation and were a "good" doctor. However, this still did not guarantee financial security for the doctor and his family. In an era when medical fees were only just beginning to be discussed, it was difficult to know how to bill patients and how to get paid. At the same time, the first texts on medical ethics appeared, insisting on modesty, authenticity, delicacy, and sincerity. In this article, by exploring personal archives and printed moral prescriptions, I will suggest that there were tensions between the everyday difficulties of medical practice and the recommendations on medical ethics, tensions that had consequences for the patient-doctor relationship.
18世纪末，医生们的经济状况举步维艰。医疗市场竞争激烈，为了建立（并吸引）客户群体，他们必须格外注重自己的外表。穿着得体，骑马或乘坐马车出行，对于展示他们的良好声誉以及表明自己是一名“优秀”医生来说是必不可少的。然而，这仍然无法保证医生及其家人的经济安全。在一个医疗费用才刚刚开始被讨论的时代，很难知道如何向患者收费以及如何获得报酬。与此同时，第一批关于医学伦理的文献出现了，强调谦逊、真实、体贴和真诚。在本文中，通过探究个人档案和印刷的道德规范，我将指出医疗实践中的日常困难与医学伦理建议之间存在矛盾，这些矛盾对医患关系产生了影响。
