Strong Medicine: Doctors Who Signed the Declaration of Independence
Who knows better than a doctor — witness to birth, sickness and death — that all men are created equal? So it is fitting to recall, this Fourth of July, that the signatures of five physicians are scattered among the 56 names at the bottom of the Declaration of Independence.
Here are the basics on the Founding Doctors. Facts not otherwise attributed come from the book Physician Signers of the Declaration of Independence (Yes, there’s really a book with that title, and we were able to get our hands on a copy.)
Benjamin Rush was a Pennsylvania doc who served as a high-ranking surgeon in the Continental Army and was later treasurer of the U.S. Mint in Philadelphia. He is known as the Father of American Psychiatry, and his book Medical Inquiries and Observations upon Diseases of the Mind was the standard psychiatry textbook for much of the 19th century, the NIH says.
Matthew Thornton practiced for years in rural New Hampshire. When he went to Philadelphia for the Continental Congress, he had himself innoculated against smallpox and wrote of the ensuing ordeal. His satire described a Dr. Cash (”we saw no more of him, till I paid his bill of 18 dollars”); Dr. Critical Observer (”told me he would critically observe every stage … came once in two or three days, and stayed about a minute”); and Dr. Experience (”a merchant, who had the Small Pox, visited us every day, and gave a much truer account of the Small Pox, than all the doctors.”)
Josiah Bartlett was a practicing physician who became governor of New Hampshire and was one of the framers of the Constitution. But the practice of medicine remained important to him. In 1793, two years before he died, he wrote a letter to the New Hampshire state medical society (which he helped charter) expressing his hope that the group would crack down on quackery by “discouraging ignorant & bold pretenders from practizing [sic] an Art which they have no knowledge.”
Lyman Hall worked as a minister until, for reasons unknown to history, he was charged with “immoral conduct” and dismissed. He became a doctor, left his native Connecticut and ultimately landed in Georgia, where things seemed to improve for him — in 1783, he became governor of the state.
Oliver Wolcott was the son of a Connecticut governor who trained as a physician and may have practiced briefly, but spent most of his life in public office. For a while, he held the appealing sounding title of “high sheriff” in Litchfield County.
It would be nice to have more physicians in government, to help stem the influence of the corporate world (unless, of course the physician is an integral part of that world, as in Dr. Frist).
Unfortunately, Doctors are too busy learning and taking care of patients, when not battling with insurers, medicare, medicaid, etc. Plus, physicians do not have the financial backing to even run for office….now politics seems to be a professional lifelong pursuit, which begins early, and just wouldn’t gel with a commitment to medicine.
However, it’s nice to see that there were a few docs involved in the groundwork of this great nation.
No, no, no, dreaming…you got it all wrong. Doctors are the bad guys. They are the ones who would take advantage of the patients by referring them to centers and clinics that they have an interest in. They are the ones who are trying to PROFIT from providing a necessity of life. They are the ones who contribute to the problem. Evil! Evil! EVIL!!!
Since when is “PROFIT” profit considered “EVIL”?
What would the founding fathers think about that?
Broad accusations that label all physicians (or candlestick-makers) the same are not rational or helpful.
Don’t like doctors or health care?
Do it yourself - plenty of textbooks out there (hey, it’s really pretty easy, isn’t it?). And, if you can’t trust yourself, who can you trust.
Then it would be free too, except you might have to pay for a textbook…don’t think publishers accept insurance, medicare, medicaid or any entitlements for that matter…
Most Docs I know still want to help people. I think that Docs tend to be idealistic and would like to see a fairer health care system. These ideals are consistent with the founding of this great country.
Hospital pawn. Wow.
A little example for you. When I started practice 35 yrs ago. Doctors were far better taken care of in society. Noone would speak the way you do first of all. Then, what you did was considered a blessing. You were paid better. Now those like you feel it is your right and not your privilege. Somehow you feel my time, my knowledge and my effort are your right. Hmmm.
I never realised investing and succeeding in it are wrong. By your reckoning Warren Buffet might be a huge crook. I always thought that was the american way.
I am nearing 70 yrs. I see patients today because I choose to do so. I really do not need the money. My investments in real estate, stocks, a small business and land (and none of it directly in health related fields such clinics you mentioned) make me multiples of my practice income, actually 6-7 times last year. I do it for it is my trade, it is what I do best and it is what I am mostly appreciated for by my patients. Of course there are a few like you, I typically try to end our relationship in a friendly manner with them, since I feel our philosophies will never match and they sow as they reap. For those that respect and treat me well, I repay them with respect, kindness, compassion and my commitment night and day. Medicine is a social contract. None of us owe the other a darn thing.
The reason for me mentioning all this is, I was fortunate, to be born in a time and a place where society took care if its doctors, and the doctors were committed night and day as well to their patients. I invested my money wisely and am in an enviable position financially today.
My financial independence was your(patients) strength. I never took BS from anyone in defending a patients interest, for the reason simply that I never had to. I sadly don’t see such an opportunity for todays younger generation of doctors. There is a definite breakdown emerging here. Nowadays doctors with 200K in debt and facing monstrous payment policies of Insurers and exploitative employers and thankless and litigenous patients sometimes can’t even advocate for their patients the way they ought to be able to. I see that as society’s loss as much as that of the Doctor.
As society devalues them so too will their will, their commitment, their desire to serve and we as a society will pay the price for it.
Certainly excesses need to be stamped out, however I have always felt we ought to treat and pay our doctors like they are in the top Centile of our society. They deserve it. If not them who?
If not someone who tops their class in school, works their rear off in college to get into medical school, to then undergo arguably the most arduous and lengthy training process with atleast 80hr week residency programs and then who undertakes to work well above the mean hours weekly,
then who? Who else a role model for our kids? Surely not these Hollywood jokers you leftists worship?
So understand what you wish for you just might get it.
My son is a well trained surgeon. We have had these discussions often. I’m just glad he has the financial backing (through me) to be able to do as he pleases, even if that means retiring early. I definitely don’t see him practicing at my age. Whose loss? You figure it out.
Josiah Bartlett — wasn’t he president on the West Wing?
Physician organizations have failed to represent their interests and those of their patients. Physicians need to take back control to restore the doctor-patient relationship and the ability to provide appropriate care without the intrusion of special interests. They need to have a real and active dialogue with their patients who are being cheated by the insurance industry.
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It’s time for Congress to examine whether the extra payments to Medicare Advantage plans are the best use of tax-payers dollars for the beneficiaries the program is designed to serve. These payments could be used to provide better benefits, like filling in the doughnut hole and reduce out-of-pocket costs for seniors and the disabled, as well as to create a viable alternative to the ineffective sustainable growth rate mechanism currently used to determine the physician payment update.
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Traditional Medicare needs to be able to compete on a level playing field with private plans, which requires the elimination of these extra payments. Pay medical oncologists and other specialists more for talking to and listening to patients, and less for very expensive drugs and procedures.
I took the time to read all of the comments. My experience, albeit from the industry-side, consists of 19 years being around doctors, has to side with the very well expressed views of the 70 yr-old doc. My daughter aspires to be a surgeon, despite some of my sobering attempts to paint her the unfortunate dismal healthcare system and environment she might some day practice in that, in my opinion, makes it rather impossible to be true to the oath or time, effort, cost, and commitment that it requires.
I wonder if many physicians are aware of this presence and influence that doctors had in the founding of our country. They were forward and open minded thinkers for their time. Perhaps this will serve as a inspiration to doctors to become directly involved in government and policy to help correct not only disparities in health care but in many areas of society. We could use a dose critical thinking and compassion in American society today.
It would be great to have more doctors in politics.
As one of the few physicians to have worked on the staff of a Member of Congress (not as a one-year fellow), I find the comments very interesting and amusing. Overall, I believe that physicians, like any large group of more than 600,000 people are as varied and diverse in their personal (and interpersonal) perspectives, motives and abilities as any other large professional group - including politicians. There are some good ones, some bad ones, some that are indifferent and others that are very self-sacrificing. Having said all that, I do think it would be good to have more people with direct clinical training (nurses, social workers, etc. rather than just physicians) involved in the political and policy making processes…..yes, they are very different.
Its too bad they failed to incorporate absolute immunity from lawsuits for themselves. These great men lived during the time when to even question them was forbidden. During their time, people knew they were dedicated and simply did their best, and if a bad outcome happened, well it was just Gods will. We need to return to a time when doctors are not questioned about their treatment, patients are thankful that a doctor even sees them, and no lawsuits existed to impair a doctors ability to help others. To learn more about how to pass legislation making health care providers immune from lawsuits, contact your representative at the United States Chamber of Commerce. God Bless America!
The U.S. for-profit health care fundamentalism has the most de facto rationing, higher rates of uninsured, exclusions for pre-existing conditions, excessive deductibles and copayments, and shorter hospital stays and physician visits. It also has the most waste on administration, billing, marketing, profit, executive compensation, and risk selection.
I can’t add much to these previous comments. Dr Anonymous really gets to the nitty gritty.
Things were different as recently as 1968 when I graduated from med school. There are lots of reasons some a reflection of what has happened in our society overall. I wish I had invested better and earlier in my career. Fortunately I love what I do, and will be a physician until I fall over.
There’s no question that physicians and the medical profession have changed - mostly for the worse - over the years. Doctors should be respected and paid fairly for their knowledge and skills. What’s unfortunate is that many physicians don’t recognize that the state of medicine today is largely the result of the physician community accepting and even pushing the commoditization of health care. You’ve been hoisted on your own pitard, doc. Now, what are you going to do about it?
SW,
You give us too much credit. I’m not sure doctors had any say in the commoditization of health care.
The rise of managed care and the health insurance industry is as a direct consequence of employer efforts to rein in increasing healthcare costs.
That they have been an abysmal failure and through their administrative costs added another layer to the problem is well known, however to say doctors wanted it this way is not correct.
Employers pay the bills, and until they wise up and rebel against the insurance industry and their practices, I am afraid these trends will not stop.
Of course there are other reasons involved, shifting demographics, patient attitudes, the medico-legal climate and the decline of the unions amongst them.
All said, this is a dangerous trend left unchecked and the results won’t be pretty and the repair won’t be easy either.
A doctor in government: Howard Dean. Nuff said.

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