German medicine has been the object of much national pride and popular concern. German medical sciences reigned supreme in the late nineteenth and early twentieth centuries, with many brilliant discoveries which have laid the foundations of modem medicine. But health and medicine were not just the concerns of a scientific elite. There is a popular politics of health, of antiestablishment beliefs against medical interventionism (like the anti-vaccination movement), and a range of therapeutic or democratically inspired alternatives. I Changes in personal hygiene, in nutrition, and in the development of welfare have been the product of a complex range of economic and political factors. Levels of health and of the incidence of disease provide a sensitive index of social inequalities.There has already been a generation of historical research inspired by the Annales approach to the study of mentalities, behaviour, sexuality and the universals of birth, childhood, marriage, disease and death. My aim here will be to indicate some trends in the research on the problems of health and medicine in the modernization of German society. A process of the extension of rational, scientific values in medicine to a wide range of social activities ('medicalization') has been linked to professionalization, bureaucratization and in the final analysis to industrialization. It is necessary to ask whether the construction ofwhat amounts to a new historical sociology of the role of death and disease in social change still omits dimensions of the social impact of diseases and disabilities and the experiences of patients.That the understanding of social factors in health and disease has been obscured has itself historical causes, associated with the interaction of scientific advance and industrialization in the nineteenth century. Military and state authorities increasingly supported scientific medical research and hygiene. These were to alleviate ill-health which was an indicator of social inequality and aggravated political conflicts. Socialists demanded free state medical services, and the state supported the extension of public health measures on the basis of the new science of bacteriology. Medicine in this sense became part of a technocratic strategy of curing social ills. Great discoveries