Eyal Press brings ups the issues of moral injury when physicians work under a system of corporate takeover of medicine. She cites the situation of Emergency Room's at hospitals where the service is outsourced to private groups working only with profits in mind. Sociologist Paul Starr in his book The Social Transformation of American Medicine said that about 50 years ago this was not the prevailing practice in America, when physicians earned the public's trust by being "above the market and pure commercialism." The trend now is to form unions such as the one at Stanford University for medical professionals, as this provides a balance when dealing with corporate interests. A 30 year old resident at Stanford is cited, who says the prestige of the profession of medicine does not any more prevent the degradation that is being experienced by workers in other sectors of todays economy. With its excesses in one direction away from the values of the past. Physicians he sees as moving to the category of "laborers," like other workers in such an economy, that is far removed from what existed in America 50 years ago. ...