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January 20, 1940


JAMA. 1940;114(3):253-261. doi:10.1001/jama.1940.02810030053017

A PLAN TO PROVIDE MEDICAL CARE FOR PERSONS ON RELIEF  SCOTT LORD SMITH, M.D. POUGHKEEPSIE, N. Y.This plan, which has been in use in Dutchess County, N. Y., for four years, is made possible by a gentlemen's agreement between the county medical society and the welfare departments of Dutchess County and the city of Poughkeepsie. It is not the outcome of a critical survey of the county's resources and needs but has resulted directly from the necessity of furnishing medical care to relief clients and the inability of the individual doctor to provide this care without some remuneration and the demand of the taxpayer to keep as low, as consistent with adequate medical care, the costs to the community.Dutchess County is a farming and residential, or distant suburban, community of 806 square miles and a population of 105,000. It contains two cities of 45,000 and 12,000 and twenty

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