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January 6, 1940


JAMA. 1940;114(1):45-62. doi:10.1001/jama.1940.02810010047014

MEDICAL CARE FOR MIGRATORY WORKERS  R. G. LELAND, M.D.Director, Bureau of Medical Economics, American Medical Association CHICAGOMigration, in a broad sense, has characterized the development of the United States from its beginning. Untouched natural resources kindled the hopes, imagination and pioneering spirit of the early generations to leave benefits incident to the more settled communities for the anticipated fruits of vast unexploited fields. These pioneers exhibited daring, courage and vision; they were willing to undergo hardship to demonstrate the opportunities which awaited in a new country. Until recently these opportunities for individual improvement were realistic. Gradually this type of migration, so necessary in the pioneering development of a new country, extended to practically every remaining frontier; but with the exploration and utilization of land and natural resources, migration was not to cease—it was to assume a very different form with the coming generations.Migrants move nowadays because of

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