It has been said that families go “from overalls to overalls in three generations.” It has taken doctors a little longer than that. During the time of the Romans, doctors were of the slave class. At the time of the Industrial Revolution, as portrayed in George Eliot’s novel Middlemarch, doctors took their orders from the bankers and town councils. How far are we from that today? We are being referred to now, not as doctors, but as “health care providers,” a classification which also includes bedpan salesmen.