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Nancy Tomes
Professor of history at Stony Brook University. Author of a perspective article about the history of profit-driven medicine in the United States.
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Aug 6, 2025
• 17min
NEJM Interview: Nancy Tomes on the century-long transition to a corporate business model in U.S. health care.
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Nancy Tomes, a history professor at Stony Brook University, discusses the century-long shift of the U.S. healthcare system toward a corporate model. She highlights how this transition began in the 1920s, changing the dynamics of patient care and physician practices. Tomes delves into the rise of patient-centered office environments and the impact of insurance-based healthcare, including the challenges of surprise billing. She also tackles the corporatization of healthcare, examining its implications for physician autonomy and patient access in today's profit-driven landscape.
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