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November 22, 1995

Medicine—More Than Molecules and Money-Reply

Author Affiliations

Harvard Medical School Boston, Mass

JAMA. 1995;274(20):1588. doi:10.1001/jama.1995.03530200023028

In Reply.  —I thank Dr Hirsch for bringing Rudolf Virchow's name to the fore.1 When the faculty of the Johns Hopkins Medical School celebrated Virchow's 70th birthday in 1891, Sir William Osler2 hailed him as the founder of scientific medicine. An equally strong case can be made for Virchow as the founder of social medicine; his investigation of the role of social factors in the epidemic of relapsing fever in Upper Silesia in 1847 was pathbreaking.1 Dr Hirsch and I agree that we need more and better science as well as renewed commitment to caring for the patient.3Dr Catalona is correct in suggesting that my presentation of the controversy on screening and treatment for prostate cancer was "limited." I did not undertake an exhaustive review. When he states that it "lacks balance" and "does not accurately reflect the current literature," I beg to disagree. I

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