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August 30, 1958

Nationalizations—Ten Years Later

JAMA. 1958;167(18):2254-2255. doi:10.1001/jama.1958.02990350092021

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This pamphlet is by the author of the previously published "Compulsory Medical Care and the Welfare State." In discussing the wave of nationalization that began sweeping over Europe about 10 years ago, the booklet emphasizes the failure to celebrate the 10th anniversary of collectivism by those who have subjected themselves to this type of rule. There is a special chapter on socialized medicine that demonstrates how the total cost of medical services kept growing while the services a patient received in return suffered from the socalled something-for-nothing philosophy. The cost of government medicine in England is now three times more than originally estimated and amounts to more than 10% of the national budget. More important, it is pointed out how the doctor-patient connivance that socialized medicine engenders has turned out to be a prime source of reduced labor productivity by way of enhanced absenteeism. All that is required from the

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