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This paper traces the main lines of evolution of the organization of professional work. The argument is illustrated with material on the case of doctors and hospitals. While market and hierarchy principles have become progressively more salient in professional work, we argue that, in parallel, the community principle has been growing more influential, too. We further argue that professional community is mutating from a Gemeinschaft, craft guild form, via Gesellschaft forms, toward a new, collaborative form. This evolution, however, is a difficult one, and the outcome is uncertain. We identify some implications for future research.