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July 26, 1930


JAMA. 1930;95(4):243-246. doi:10.1001/jama.1930.02720040001001

I would invite attention to the importance, in our conception of the causes and cure of certain acute medical economic problems of today, of thinking of them from a broad point of view, with due regard to collateral facts which seem often to be missed by the telescopic method of investigation. Among these problems are the cost of medical care, the relation of clinics to the community and to the physician, the alleged passing of the family doctor, the decrease of physicians in rural communities, attempts to apply principles of mass production to the practice of medicine, the extension of governmental agencies further into the field of medical practice, and the problems of state medicine which, in some European states, have already made the practice of medicine a function of a political bureaucracy tending toward a deadly leveling of individual effort.

These problems concern the public quite as much as

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