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2, 2005, edited by Ursula Klein. L. West, The Taylors of Lancashire, Bonesetters and Doctors 1750–1890, Printed and published by H. Duffy, Central Printing Works, Harriet Street, Walkden, Worsley, M28 5QA. T. E. Cornish, 1881), pp. 55–7. 7 U. V Pickstone, ‘Medical Botany around 1850: American medicine in industrial Britain,’ in R. ), Studies in the History of Alternative Medicine (Houndmills: Macmillan, 1988), 140–54. J. ), The Church and Healing, Studies in Church History, Vol. 19 (Oxford: Basil Blackwell for the Ecclesiastical History Society, 1992), 165–89.
It would be worth checking how much the new state funding for the NHS and universities boosted British clinical research in the informal John V. Pickstone 29 world rankings. Overall, it seems, America strengthened its world leadership, and visits to America became routine for the would-be elites in several clinical specialities, including orthopaedics. But in some specialisms at least, Britain achieved a certain global presence, and orthopaedics was one of them. Of the surgeons who, before 1945, tried to develop prostheses to replace one or other part of diseased hip joints, the best known were American or French.
They are the points at which the varied expertise of surgeons, metallurgists, engineers, designers, accountants and salesmen are drawn together in powerful new configurations, with or without the backing of parent companies in pharmaceuticals. They work through surgeons, who remain key actors in the development of products and services, but not with the unrivalled authority of the mid-twentieth century. The surgeons’ world is now heavily shaped by companies and also by governments – not just through funding but through safety controls on medical innovations and trials, and through bodies which assess the efficacy and costeffectiveness of devices and treatments.
