The Doctor Who Wasn't There

"The Doctor who wasn't there traces the long arc of enthusiasm for-and skepticism of-electronic media for health and medicine, showing that the same challenges now facing telehealth and the use of electronic medical records can be found in the medical reception of the telephone in the late nineteenth century and the radio, television, and mainframe computer across the twentieth. Wielding a rich trove of archival materials, physician/historian Jeremy Greene explores the role that new electronic media play, for better and for worse, in the past, present, and future of American health. Today's telehealth devices are far more sophisticated than the hook-and-ringer telephones that became widespread by the 1920s, the FM radio technologies used to broadcast health information in the 1940s, the televisions used to pioneer telemedical evaluation in the 1950s, or the first full-scale attempts to establish electronic medical records in the mid-1960s. But the ethical, economic, and logistical concerns they raise are prefigured in these earlier episodes, as are the gaps between what was promised and what was delivered. Each of these platforms produced subtle transformations in health and healthcare that we have learned to forget, displaced by promises of ever newer communications platforms to take their place. When is telemedicine good enough, and when is it not? And how do the uses of telemedical technologies shape patient relationships with health care providers? Who benefits and who suffers when new technologies are adopted? And what do these communication technologies, whose promised revolutions have all failed, bring to our understanding of health and disease?"--