Medical Pioneers in Chile: A Tale of Change and Progress

Between 1840 and 1870, the province of Coquimbo saw a significant transformation in its medical practices. This shift was driven by the arrival of attending physicians at the San Juan de Dios Hospital in La Serena. These doctors brought with them the idea of modernizing local healthcare. One of the key changes they introduced was the implementation of sanitary taxation. This meant that the community had to contribute financially to support healthcare services. Why was this change necessary? Well, during this period, the region was experiencing a mining export boom. This economic growth meant that there was a greater need for improved healthcare infrastructure to support the growing population and ensure their well-being. Interestingly, the political authorities and the hospital's physicians had a shared goal: to control and eventually eliminate the informal practice of medicine and pharmacology. This was crucial for creating a reliable and orderly public healthcare system. The methodology used to study this transformation involved direct research into documents from the National Historical Archive of Chile. This approach provided valuable insights into the motivations and strategies behind the modernization of healthcare in Coquimbo. Ultimately, the arrival of these attending physicians marked a turning point in the healthcare system of the province. It laid the foundation for a more structured and effective public healthcare system that would serve the community for years to come.