What goes around, comes around: John Gregory, MD, and the profession of medicine

Each generation of physicians believes the problems they face are unique. History shows that very few situations are new to medicine. Some appear to have been around for centuries (medical institutions' "cherry-picking" of patients, third-party interference in medical care), while others have been around for millennia (competition among physicians, competition between physicians and nonphysicians). This article describes problems of medicine faced by 18th-century medicine and the solutions to those problems proposed by Dr. John Gregory in the latter part of that century. Both the problems and his solutions seem surprisingly modern.