PMID: 11619190Apr 1, 1997Paper

Cape Town and 'country' doctors in the Cape Colony during the first half of the nineteenth century

Social History of Medicine : the Journal of the Society for the Social History of Medicine
Harriet Deacon

Abstract

This paper argues that during the 'golden' age of medical reform in the first half of the nineteenth century in the Cape Colony there was significant differentiation within the medical profession which contributed to a slow and uneven process of professionalization in spite of comprehensive and early legal regulation under one licensing body. Differences in permitted practice, settlement patterns, economic and organizational opportunities gave doctors in Cape Town, the colony's biggest and most important city, greater incentives and more scope to develop professional regulation and organization than those in the rest of the colony. A government Ordinance passed in 1807 gave regularly-trained medical practitioners a legal monopoly over medical practice, but did not initially prevent those practising outside Cape Town from selling both medicines and medical advice. Cape Town doctors thus enjoyed greater social differentiation from tradesmen and better legal control over competition from druggists and 'irregulars' than country practitioners. The difference between practitioners in Cape Town and elsewhere remained important even after new regulations removed legal distinctions in 1830. While country practitioners now sought tighter...Continue Reading

Citations

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