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July 21, 1923


JAMA. 1923;81(3):228-230. doi:10.1001/jama.1923.02650030052024

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A Crisis in the Vienna Medical Organization  The profession in this city has within the last few years succeeded in holding its own economically by means of a well established organization called the "Wirtschaftliche Organisation," which comprised nearly 95 per cent, of all physicians and was ably managed. Its chief aim was to obtain all possible advantage for practitioners by negotiating with others on the lines of the trade unions. In fact, it could be regarded as a "medical trade union." The similarity went so far that once a "strike" was proclaimed for a period of four hours. The organization achieved really useful results by enforcing the system of free choice of physician for three large health insurance clubs—the "Krankenkasse" of civil service officers, of state railways, and of municipal officers—that is to say, for the bulk of the former lower middle classes, who would be unable now to pay

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