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to what we might term class differentiation . Class differentiation The inclusion of middle-class patients fell far short of heralding the advent of some version of social democratic citizenship in the hospital wards. As early as the 1870s, Burdett sought to legitimise middle-class treatment by separating it from that for the sick poor. He proposed separate private hospitals, beds or wards, operating on a commercial basis

in Payment and philanthropy in British healthcare, 1918–48

corrective to the present autonomy and internal politicking of the scientific community’.24 Dixon also sought to reassure scientists by dwelling on the possible benefits of ‘greater democracy in decision-making about science and technology’.25 He predicted that while ‘some research projects would probably be killed, and rightly so’, another consequence ‘of a wider public debate might be to demand more science, not less’.26 Dixon argued that exposing 68 The making of British bioethics science to ‘wider democratic influence’ would increase public confidence by ensuring

in The making of British bioethics