William Schwartz (physician)
Encyclopedia
William Benjamin Schwartz (May 16, 1922 – March 15, 2009) was a pioneering nephrologist who identified rising costs of health care as an incipient problem as early as the 1980s.

Schwartz attended Duke University
Duke University
Duke University is a private research university located in Durham, North Carolina, United States. Founded by Methodists and Quakers in the present day town of Trinity in 1838, the school moved to Durham in 1892. In 1924, tobacco industrialist James B...

 after serving in the Army
United States Army
The United States Army is the main branch of the United States Armed Forces responsible for land-based military operations. It is the largest and oldest established branch of the U.S. military, and is one of seven U.S. uniformed services...

 in World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

, earning undergraduate and medical
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

 degrees.

Early in his career, he joined what is now Tufts Medical Center
Tufts Medical Center
Tufts Medical Center is a medical institution in Boston, Massachusetts occupying space between Chinatown and the Theater District....

, and founded its Division of Nephrology in 1950. He served as its head until 1971, following which he became the Chairman of Medicine and chief physician at Tufts, positions he held until 1976. Then, he left his administrative position at the medical center, becoming the Vannevar Bush University Professor at Tufts University School of Medicine
Tufts University School of Medicine
The Tufts University School of Medicine is one of the eight schools that constitute Tufts University. Located on the university's health sciences campus in the Chinatown district of Boston, Massachusetts, the medical school has clinical affiliations with thousands of doctors and researchers in the...

 and Professor of Medicine until joining the faculty of the University of Southern California Medical School in 1992.

Beginning in the 1970s, Schwartz developed an interest in medical decision-making, and was an early researcher into artificial intelligence
Artificial intelligence
Artificial intelligence is the intelligence of machines and the branch of computer science that aims to create it. AI textbooks define the field as "the study and design of intelligent agents" where an intelligent agent is a system that perceives its environment and takes actions that maximize its...

 applications to medicine. Later in his career, he focused on the US medical system more broadly, and investigated issues such as costs, possible rationing of health care, availability of specialist care, and malpractice insurance. With economist Henry Aaron, he co-authored The Painful Prescription: Rationing Hospital Care in 1984. Further advancements in medicine—such as widespread availability of transplant surgery
Organ transplant
Organ transplantation is the moving of an organ from one body to another or from a donor site on the patient's own body, for the purpose of replacing the recipient's damaged or absent organ. The emerging field of regenerative medicine is allowing scientists and engineers to create organs to be...

, Cardiac surgery
Cardiac surgery
Cardiovascular surgery is surgery on the heart or great vessels performed by cardiac surgeons. Frequently, it is done to treat complications of ischemic heart disease , correct congenital heart disease, or treat valvular heart disease from various causes including endocarditis, rheumatic heart...

, and MRIs strengthened his views of the need to contain spiraling costs through some form of rationing.

The syndrome Schwartz-Bartter's syndrome is named after him, along with Frederic Bartter
Frederic Bartter
Frederic Crosby Bartter was an American endocrinologist best known for his work on hormones affecting the kidney and his discovery of syndrome of inappropriate antidiuretic hormone‎ and Bartter syndrome...

.
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