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English
This article develops and applies an analytical framework which shows how the political forces at work in the triangular relationship between medicine, society and the State interact to guide and constrain change in medicine's system of governance. Under pressure from society and the State, the medical profession is now obliged to reform itself and accept a higher degree of public accountability. This article explores the dimensions of the changes required, their likely impact on the political benefits which historically have sustained the triangular relationship, and hence the complex politics which must inevitably accompany such reforms.

AbstractA joyless irony of our time is that, just as Marxism as political doctrine has been declared dead, Marxist economics has never been better argued and empirically defended. Bob Brenner's The Economics of Global Turbulence is a good example. As an overview of the global economy from World War Two to the present it is unequalled. Here is the historian at work, leaving few stones unturned and the exhaustive treatment makes for daunting reading. But an exploration of fifty years of global economy is not a stroll through the daisies and the serious reader comes prepared for a long hike.