Dr. Marr's insightful book grew, as he writes in the preface, out of his 2014 essay in Pharos. The book's expanded version is well worth reading by physicians, patients, and those who work in what has become the business of health care. More an analytical essay by an well-read insider than a memoire, Fall from Grace identifies what both patients and physicians lost amidst the great benefits brought by academic medicine and medical technology since the 1950s. The book's strengths include its discussion of the effects of big business entering into health care, a story which Marr carries the story right up to the legal battles over the Affordable Care Act.
"The goal of medicine always has been to care for people; it is now to manage sick people. The former subsumes the latter, but the reverse is not true. The latter is a more limited objective -- more quantifiable, more efficient, and more businesslike.
Marr doesn't offer easy answers to what should be--or should have been--done to mitigate the damage to the doctor-patient relationship, and the book is stronger for avoiding simplistic analysis. Medical care undoubtedly improved in many ways over this time, and patients benefited tremendously. But they, and physicians, lost something as well, and Dr. Marr describes that powerfully.
What a good read! Despite the inherent dryness of a treatment re woes of medicine and the people who have been disenfranchised within it, I found your book a page-turner. Thoroughly enjoyed the well researched topics and information, as I did the frequent sprinkling of the inevitable Marr puckish sense of humor. Wonderful job! The word erudite comes to mind to describe it. I’ll recommend it wherever a conversation about doctors falling from grace comes up in discussion.
A great work coming from a great person. Recommend this book to health care industries.