The life expectancy of British workers rose dramatically during the 19th century. While the rate of illness fell, the length of episodes of disease and injury increased. Instead of dying at relatively young ages, workingmen survived longer and experienced more sickness. This work traces these developments and examines the arrangements made for providing medical care to workers. It explores how societies such as the British Friendly Society provided workingmen with access to doctors and regulated compensation for wages lost due to illness. The author finds in this period the roots of the doctor-patient relationship. In the 1870s, when a small number of patients could choose among a relatively large number of doctors, patients demanded and got frequent and convenient consultations for low fees. But in the 1890s, working people sacrificed their advantage: as the number of patients increased, they began accepting their doctor's excuses for care they previously had rejected as inattentive or deficient. In the 1910s and 1920s, the doctors improved their own organization and used it to seize control of the fee schedule.
Using the claims records of the societies, the author also explores the regional patterns of sickness in Britain from 1870 to 1910 and addresses the question of how policies that promoted lower mortality affected rates and duration of sickness.
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(229mm x 152mm x 28mm)
Johns Hopkins University Press
Publisher: Johns Hopkins University Press
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Author Biography - James C. Riley
James C. Riley is professor of history at Indiana University. His many books include 'The Eighteenth-Century Campaign to Avoid Disease, The Seven Years' War and the Old Regime in France: The Economic and Financial Toll,' and 'Sickness, Recovery, and Death: A Forecast of Ill Health.'