It was inevitable that during the centuries while medicine was becoming integrated from meaningless bits of folk-ways, mysterious superstitions and primitive incantations into an orderly array of logical demonstrable truths, little should be recorded as to the cost of obtaining the information necessary to qualify one as a physician. Moreover, there is consistency in the finding that search for and interpretation of facts
bearing on vital processes have been uppermost in the minds of the great teachers and investigators.
There is reason to hope that those qualities which characterized our medical ancestors as indomitable searchers for truths may forever be perpetuated. But in a world of increasing social and economic complexities it is no longer possible to disregard cost. Honesty of purpose and integrity of action will always be high values in character, but there must be a limit to which any educational process should be carried for the individual
LELAND RG. THE COSTS OF MEDICAL EDUCATIONSTUDENTS' EXPENDITURES. JAMA. 1931;96(9):682–690. doi:10.1001/jama.1931.27220350003011