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ReThink History: The Physician to Soldier Pipeline cover
LET'S RETHINK HISTORY

ReThink History: The Physician to Soldier Pipeline

For a hundred and sixty years the United States has needed doctors in uniform, and it has never once had a plan ready. In 1861 the Regular Army had about a hundred and fifteen medical officers, and in the Army's own words, a medical degree was not a prerequisite to service. In May 1917 six American university hospitals crossed the Atlantic in seventeen days and took over British general hospitals in France — and by 1939 that machinery had disintegrated so completely the Surgeon General had to ask the War Department for permission to build it again. In 1943 a federal committee could forbid a physician to take a commission and had no power to make one serve. In 1950 the Army raised its mobile surgical hospitals on temporary paperwork, which is why they carry four-digit numbers, staffed them with residents pulled out of teaching hospitals, and sent them to a theater that held exactly one board-certified general surgeon. The series follows the improvisations — the examining board, the Army Medical School, the base hospital, the Navy's V-12, the Army Specialized Training Program, the Doctor Draft, the Berry Plan, the scholarship, and finally a military medical school the Pentagon spent thirty years refusing to build — and asks one question of each: was it built for the war in front of it, or the one that had just ended? Along the way: the Civil War surgeon who spent thirty-eight years in Broadmoor writing definitions for the Oxford English Dictionary, and the battlefield he was almost certainly nowhere near. Fifty thousand cases of jaundice from a contaminated vaccine, and the research culture that accident built. A twenty-four-year-old who finished medical school as an Army private in 1944 and came home to put his name on the rubella vaccine still in the MMR shot. The escape hatch into the laboratories of the National Institutes of Health that produced ten Nobel laureates and, in eighteen years, admitted four women. A woman given the Medal of Honor in 1865 and stripped of it in 1917 by an Army that had refused to commission her. And the anesthesiologist who listened to wounded men at Anzio insist they were not in pain, and ended up writing the rules for experiments on human beings. Compiled by a retired physician who volunteered for the Navy Medical Corps after he was fully trained and had paid for his own education. Part of ReThink History. Narrated by AI hosts from research dossiers built on the Army's own medical histories, the Statutes at Large, the National Library of Medicine, and the government audits nobody reads.

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Episodes

  1. Ep 1 — A Medical Degree Was Not a Prerequisite

    In the spring of 1861 the United States Army had roughly 115 medical officers.

  2. Ep 2 — The Man Who Wasn't at the Wilderness

    William Chester Minor took a Yale medical degree in 1863 and served the Union as a contract surgeon.

  3. Ep 3 — Thirty Years Late

    The Army Medical School opened on 24 June 1893 — thirty years after a Surgeon General asked for one and was refused. George Miller Sternberg founded it with no money, out of three institutions the Army already owned, and hired no faculty: he gave the men on his payroll students.

  4. Ep 4 — Base Hospital

    When the United States declared war on 6 April 1917, the Army had 491 doctors on active duty.

  5. Ep 5 — Available

    The Procurement and Assignment Service could forbid an American doctor to take a commission.

  6. Ep 6 — The University Goes to War

    In March 1943 a University of Pennsylvania hospital got off a train at Ledo, in Assam, and was shown a polo field with nothing built on it, said to go under water in the monsoon. Fifty-nine specialists, a hundred and twenty nurses and six hundred enlisted men built it: two thousand beds within sixteen months, 289 buildings and 162 tents, and 2,562 patients on a single day in August 1944.

  7. Ep 7 — Fifty Thousand Cases of Jaundice

    In February 1942 the Army began finding jaundiced soldiers in Hawaii, Alaska, Iceland, England and half the training camps in the United States, all at the same time. Those garrisons shared no water, no food chain, no insects and no weather.

  8. Ep 8 — From a Barracks Ward to a Vaccine

    Dr.

  9. Ep 9 — Meatball Surgery

    Five mobile army surgical hospitals existed on paper before July 1950.

  10. Ep 10 — Greeting, Doctor

    On 9 September 1950 the President signed Public Law 779 — a second draft, aimed at one profession, with its own registration, its own age bracket and its own expiry clock. A bill to do this had died in 1948 because the American Medical Association was against it.

  11. Ep 11 — The Yellow Berets

    Between 1953 and 1973 the National Institutes of Health took a few hundred newly qualified physicians a year, put them in laboratories in Bethesda, and commissioned them into the Public Health Service — which discharged their liability under a draft written for doctors. The nickname was an insult before it was a badge.

  12. Ep 12 — The Door That Opens Only in a Shortage

    In 1865 the United States gave Mary Edwards Walker the Medal of Honor, noting in the citation that it could not give her an officer's rank because she was not a commissioned officer.

  13. Ep 13 — Wide Awake

    In 1938 and 1939 the American Board of Anesthesiology examined its first diplomates.

  14. Ep 14 — West Point for Doctors

    In 1972 a Senate committee found that retention among military physicians with at least two years of service was approximately one percent. Congress authorized a federal medical school near Washington, created a scholarship at civilian medical schools, and raised specialist pay.

Explore further

Part of the listening path Inside American Medicine (stop 2 of 6) — next: The Payor of Last Resort.

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