There is a possibility that medicine is facing a change as radical as the industrial revolution. We all think of the harnessing of energy and the subsequent industrial revolution as marking the end of cottage industry. Cottage industry died because working with machines greatly increases a man's productivity. On the whole, the fruits of this increase in productivity are valued more highly by society than the pride of doing the work unaided by machines. Not only can more items be produced, but much can be done that would otherwise be impossible.
Strange as it may seem, the United States is gradually returning to a form of cottage industry. The percentage of the gross national product accounted for by services has been steadily increasing and is now greater than half. Fewer and fewer people are required to maintain production on our farms and in our factories. Manufacturing is moving