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December 13, 1930


JAMA. 1930;95(24):1844-1845. doi:10.1001/jama.1930.02720240054022

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Medicine and the State: Chief Health Officer's Apologia for Medical Socialism  At a public health conference held in London, Sir Arthur Newsholme, late principal medical officer of the local government board—now the ministry of health, gave an address on medicine and the state. He said that the public was constantly being reminded of the excessive expenditure on the social services, but on the medical side not a single service could be stopped without national injury. What was needed was critical examination of the extravagant and wasteful expenditure on these services. There were vices of incoordination, overlapping, hiatus. The defects of the national health insurance act were the absence of consultative, including pathologic, services, failure to provide hospital treatment, and the exclusion of the wife and dependents. He could not avoid "the burning question" of medical certification, which had involved the moral degradation of individual physicians who had certified without thorough

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