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$400,000-Debt: Think about debt before becoming a doctor in the "Land of the Free."
How Did Doctors Become
Serfs?
WASHINGTON -- There
is no better key to a culture than language. The lilting poetry of everything uttered in Ireland, for instance, shows a depth
of spirit that punishing hardship never could obliterate. The directness of New Yorkers places a high premium on honesty,
and the indirectness of the French on privacy. The elaborate courtesy of the American South indicates a sense of form and
consideration that sometimes overrides the true intention underneath. Also, it's possible to make extravagant offers in the
South, because people can be counted on not to accept. They, too, are governed by what Thomas Mann called "the discipline
and energy of good manners."
But
something disturbing is happening in the way Americans talk about each other. They seem determined to drain the language of
its essential juices and to rob people of importance. The most egregious example is in the field of medicine. How did doctors
come to be called "health-care providers"? It's a shocking and insulting dismissal of years of training and reservoirs
of authority that patients need to confer upon their physicians. It all grew out of the managed-care
movement and a deliberate effort to undermine doctors in order to pay them less and impose upon them more. Patients were denied
the dignity of the medical practice they had known, and doctors were hounded into other lines of work because that's what
their profession, once respected, had become -- a line of work.
The same thing
is happening now to writers. When Time-Warner merged with AOL, suddenly the scribes became not authors, journalists or playwrights,
but "content providers."
Universities
have become so obsessed with paying their bills and pleasing their benefactors that many of them now refer to their students
as "customers."
The oddest of all is
the designation of prostitutes as "sex workers." This vocabulary flows from the wish of feminists to treat all women with
courtesy and to point out that many sell their bodies out of sheer desperation to support children and keep themselves alive.
It's a worthy sentiment, but should language really try to change the degradation of such circumstances? What is happening
in all these cases (except, of course, the last) is an ascendancy of corporate/entrepreneurial culture that is rendering everything
else secondary and subject to revision. Especially under attack are the professions. Lawyers are among the few to be
spared, but they may well be next. Too many are surrendering too quickly, not understanding that their expertise, their
creativity, their insight, clear and undiluted, are critical to the success of the whole -- business included.
By Jack Anderson and
Douglas Cohn with correspondent-at-large Lee Cullum
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