Playing Doctor: Television, Storytelling, and Medical Power. Joseph Turow. Ann Arbor: University of Michigan Press, 2010. 451 pp. $37.50 pbk.The heroic has long been a staple part of U.S. popular culture, with memorable characters like Dr. Kildare, Hawkeye Pierce, and Gregory House, among others. In this and expanded 2010 update of the 1989 book of the same title, Joseph Turow of the University of Pennsylvania thoroughly examines seventy years of television's representations of the medical profession, heavily influenced by institutional and intertextual contexts. Turow weaves together a rich history of these portrayals, using interviews with television producers, writers, and others involved with production, popular press articles, and detailed examples from medical dramas and other genres that portray doctors. His comprehensive book is valuable, not just for fans or television scholars studying medical dramas, but for anyone interested in the use of entertainment media as a prosocial tool, and in the relationship between media and institutions.Playing Doctor begins with an updated introduction, in which Turow provides a detailed explanation of the television production process, emphasizing that an array of external factors, including the medical institutions in America, health care policies, and medical organizations, indirectly and directly influence the characters, story lines, and other elements of a doctor show, which work together to create a reality that is far from an accurate mirror of American health care. At the same time, the stories told by these programs mark moments in cultural history that change and evolve-for example, the eternally optimistic 1960s Marcus Welby, M.D. differed greatly from the much darker St. Elsewhere, although both share some generic components.Turow explains the rise of the heroic as a figure in popular culture by outlining the shiftin medicine from a trade in the late 1800s to an esteemed profession. He then begins his impressive history of representations of medicine, starting not with the first television doctors of the 1950s, but with Dr. Kildare and other film characters of the 1930s and 1940s, demonstrating how these depictions originated the formulas replicated over the next seventy years. The chapters that follow move chronologically through each decade, addressing even failed (and therefore extremely obscure) fictional medical programs, as Turow takes us through the medical archetypes established in early dramas, controversies about bringing humor into the operating room in M*A*S*H, the new cynicism of St. Elsewhere, and other themes that emerged as this genre evolved. Throughout, Turow skillfully situates all of the fictionalized stories to the people, organizations, and formulaic constraints that helped create them.This updated 2010 version includes two additional chapters on contemporary entertainment medical programming, beginning in the 1990s with the failed Clinton health care plan. He discusses the influence of ER and, to a lesser extent, Chicago Hope on transforming the medical drama genre. …
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