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August 29, 1936


JAMA. 1936;107(9):731. doi:10.1001/jama.1936.02770350099024

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To the Editor:—  It is to be regretted that the words "health insurance" have been so widely applied to plans that have had nothing to do with health and insure little except against monetary risks of unemployment produced by disease or accident. The real insurance of health to the individual and the community is something entirely different from the balancing of probabilities by the statistics of the actuary, to get a profit for the promoters of a special productive scheme for insurance, who embark in speculation by writing "insurance" on the chances of human death or disability. The report on the "costs of medical care" was more clearly a movement in the field of finance. It was an exploration to find whether some of the income of the medical profession might be diverted to the profit of a new business enterprise offering "medical care" to a larger number of customers.

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