I do not insist that I am right: I merely think so. - William Hardy McNeill

Communication always involves slippage, and intellectual discourse is particularly liable to being twisted since a recipient can only accommodate novelty by fitting it into a preexisting structure of ideas.

Before the eighteenth century the demographic impact of the profession of medicine remained negligible. Relatively few persons could afford to pay a doctor for his often very expensive services; and for every case in which the doctor's attendance really made a difference between life and death, there were other instances in which even the best available professional services made little difference to the course of the disease, or actually hindered recovery. ...Only with the eighteenth century did the situation begin to change; and it was not until after 1850 or so that the practice of medicine and the organization of medical services begin to make large-scale differences in human survival rates and population growth.

I am old enough to remember well the depression years of the middle 1930s, when economists were quite unable to agree on what public policy should be, and when President Hoover, in need of advice, turned by preference to sociologists to study and illuminate recent social trends. The circumstances of the 1980s seem similar; perhaps contemporary confusions and dismay will mark the dethronement of economics from its privileged place among the social sciences — but perhaps not.