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Comment & Response
April 2016

Applying the Principles of McDonaldization to Medicine—Reply

Author Affiliations
  • 1Department of Neurology, University of Rochester Medical Center, Rochester, New York
  • 2Department of Sociology, University of Maryland, College Park
JAMA Neurol. 2016;73(4):479. doi:10.1001/jamaneurol.2015.4722

In Reply We thank Avasarala for his interest in our article.1 While we share his interest in the advantages of McDonaldization and his concern about its excesses, we do not accept his resignation about its negative aspects. Humans created the McDonaldized aspects of medicine, and humans can change them, especially their negative effects. We can see people resisting and even turning back the excesses of McDonaldization in other sectors of American society. In education, for example, teachers, students, and parents have successfully pushed back in some measure against excessive standardized testing (calculability and control) and a uniform curriculum (efficiency, predictability, and control).