Changes of heart: Debating the role of cardiology and cardiac surgery in India, 1948–1968
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Published:2023-08
Issue:
Volume:
Page:
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ISSN:0141-9889
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Container-title:Sociology of Health & Illness
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language:en
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Short-container-title:Sociology Health & Illness
Author:
Jones David S.12ORCID,
Sivaramakrishnan Kavita34
Affiliation:
1. Faculty of Arts and Sciences Department of the History of Science Harvard University Cambridge Massachusetts USA
2. Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA
3. Department of Sociomedical Sciences Mailman School of Public Health Columbia University New York New York USA
4. Department of History Columbia University New York New York USA
Abstract
AbstractIn 1950, the leaders of independent India celebrated the contributions that surgeons could make to modernising India. Surgeons, however, faced a difficult choice. Some wanted to invest in generalist surgeons to make basic surgical care available to all Indians. Others wanted to invest in specialists to ensure that India participated in cutting‐edge surgical research and care. These debates shaped the emergence of cardiac surgery at two centres: the Christian Medical College in Vellore and the King Edward Memorial Hospital in Bombay. CMC invested in thoracic surgery in the 1940s to offer new treatments for tuberculosis. This gave surgeons the opportunity to explore new techniques of cardiac surgery. Debate quickly emerged about whether investments in cardiology and cardiac surgery made sense. In the end, the specialities were supported in order to attract paying patients. A parallel controversy took place at KEM, where the dean debated the Bombay Municipal Corporation about the role of surgical research at a public hospital. The Rockefeller Foundation influenced both sites, offering financial support if they adopted an American model of full‐time faculty clinician‐researchers. The two case studies reveal how unusual dynamics could contribute to the establishment of new medical specialities in India.
Funder
National Endowment for the Humanities
Subject
Public Health, Environmental and Occupational Health,Health Policy,Health (social science)
Reference149 articles.
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3. Anderson R. K.(1954).Officer’s Diary 12 April Rockefeller Archives Center (Sleepy Hollow New York) Rockefeller Foundation [RAC‐RF] Folder “Volume 1953‐1954” / Box 6 / Series FA118 / Record Group 12.
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