What ever happened to the good old days when doctors came to your home with their little black bags and the wisdom of the ages? Well, this podcast talks about how and why that ended, at least for the most part. In the process I will talk about the influence of Germ Theory on medical training, the growth of specialization, the evolution of hospitals from free care for the needy to the large complex operations they are today, and the development of medical insurance in the United States.