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Perspectives
December 1999

Psychiatry 2099: Commerce Without Conscience = Practice Without Prudence

Author Affiliations

From the Department of Psychiatry, Joan and Sanford I. Weill Medical College, Cornell University, White Plains, NY (Dr Tischler); and the Department of Psychiatry, College of Medicine, University of Illinois at Chicago (Dr Astrachan).

Arch Gen Psychiatry. 1999;56(12):1155-1156. doi:10.1001/archpsyc.56.12.1155

We present a day in the life of 3 psychiatrists, members of an American family in 2099. They and their practice are shaped by the world in which they live. The confluence of capitalism triumphant,1 the rapid burgeoning of technology, enhanced access to information and globalism2-4 is reshaping the world, and with it medicine and psychiatry.5 The pace of change seems almost beyond our capacity to absorb. It is a time for medicine and public health to join in a search for complicated answers to complex questions.

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