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Medicine
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Medicine
(Latin medicus, "physician"), the science and art of diagnosing,
treating, and preventing disease and injury. Its goals are to help
people live longer, happier, more active lives with less suffering
and disability. Medicine goes beyond the bedside of patients. Medical
scientists engage in a constant search for new drugs, effective treatments,
and more advanced technology. In addition, medicine is a business.
It is part of the health care industry, one of the largest industries
in the United States, and among the leading employers in most communities.
Disease has been one of humanity's greatest enemies. Only during the
last 100 years has medicine developed weapons to fight disease effectively.
Vaccines, better drugs and surgical procedures, new instruments, and
understanding of sanitation and nutrition have had a huge impact on
human well-being. Like detectives, physicians and other health care
professionals use clues to identify, or diagnose, a specific disease
or injury. They check the patient's medical history for past symptoms
or diseases, perform a physical examination, and check the results
of various tests. After making a diagnosis, physicians pick the best
treatment. Some treatments cure a disease. Others are palliative-that
is, they relieve symptoms but do not reverse the underlying disease.
Sometimes no treatment is needed because the disease will get better
by itself.
While
diagnosing disease and choosing the best treatment certainly require
scientific knowledge and technical skills, health care professionals
must apply these abilities in imaginative ways. The same disease
may present very different symptoms in two patients, and a treatment
that cures one patient may not work on another.
At
the turn of the 20th century, many men and women were feeble by
age 40. The average American born in 1900 had a life expectancy
of 47.3 years. Effective treatments for disease were so scarce that
doctors could carry all their drugs and instruments in a small black
bag. By the end of the 20th century, medical advances had caused
life expectancy to increase to 76 years. Modern health care practitioners
can prevent, control, or cure hundreds of diseases. People today
remain independent and physically active into their 80s and 90s.
The fastest-growing age group in the population now consists of
people aged 85 and over.
This
medical progress has been expensive. In 1998 Americans spent $1.1
trillion on health care, an average of $4,094 per person. In the
same year, health care accounted for about 13.5 percent of the gross
domestic product (GDP), about one-seventh of the country's total
output. Spending has grown rapidly from earlier in the century.
In 1940, for instance, the United States spent $4 billion on health
care.
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