Adam’s Heart Surgery Team: Expertise and Dickheadery

by Hannah Forsyth on February 3, 2025

If, like me, you follow Ones and Tooze, you will know that Adam recently had heart surgery.

It was a big deal. Luckily, America has some of the best surgeons in the world, to whom only a small handful of Americans have access – but Adam Tooze is one of them. In the episode dedicated to the expensive American healthcare system/Adam’s heart surgery, he talks with great (and deserved) admiration about ‘his team’, the ones who will do the surgery.

We really want these surgeons to be good at what they do. The considerable advances in medicine, medical technologies and surgical techniques is what will (we trust) Save Adam’s life, as indeed they did. We want experts.

But we don’t want them to be dickheads about their expertise – meaning, we’d like them to be ‘our team’ who work with us, acknowledging our agency. And not arrogant, bossy, or taking control of our lives.

See, Adam is not only among America’s privileged (as he acknowledges), but he is also a member of the same professional class as his surgical team. As we all know, this doesn’t guarantee an absence of dickheads.

However, chances are higher that we can see other professionals as members of ‘our team’. By recognizing one another as members of the same class, encountering other members of the PMC helps confirm one’s own values and expertise.

What this also shows is that it is possible to be a niche expert but honour other people’s self-determination, our ability to make choices about our own lives.

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The M in the PMC

by Hannah Forsyth on February 3, 2025

The other day I received an email from what might be one the few colleagues still checking into Twitter (most seem to have moved to Bluesky, as have I). The email was just a link with the subject title Did you see? I hadn’t.

Gosh, I wrote in response (which I gather they found a little understated).

My colleague was pointing to this tweet, where Adam Tooze described my fairly recently published book, Virtue Capitalists: The Rise and Fall of the Professional Class in the Anglophone World 1870-2008 as ‘the sort of book that changes how you see the world’.

I mean. Well. Gosh.

Adam Tooze tweet describing Virtue Capitalists as 'the sort of book that changes how you see the world'

https://x.com/adam_tooze/status/1864041896005267954 The link is to Chartbook where Adam quotes from Claire EF Wright’s review of Virtue Capitalists in The Economic History Review.

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