In this article, we examine the components of medical professionalism; identify the roots of the loss of professional autonomy by physicians in the United States—a process that, in effect, is leading to the deprofessionalization of American medicine; discuss why such deprofessionalization is undesirable for the society; and explore three health care delivery systems and their effects on deprofessionalization. We suggest that a system based on organizations set up and directed by physicians will be the system that best preserves medical professionalism and serves the public interest.
Reed RR, Evans D. The Deprofessionalization of MedicineCauses, Effects, and Responses. JAMA. 1987;258(22):3279-3282. doi:10.1001/jama.1987.03400220079041