The Over-Supervised Expert

Physical therapists fought a fifty-year war to achieve doctoral-level education, direct access in all fifty states, and full clinical autonomy. Then they reported for work Monday morning and got handed a productivity spreadsheet. In The Oversupervised Expert, Stephen Young argues that the rehabilitation profession is trapped inside a management hierarchy built for 1918 reconstruction aides — and that corporate healthcare has deliberately refused to update it. Drawing on the history of the profession from World War I through the modern private equity clinic, this book diagnoses the architecture of suppression, names the psychological toll it extracts from clinicians, and presents a concrete blueprint for dismantling the system. This is not a self-help book. It is a manifesto.