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ALAMEDA COUNTY (CALIF.) PLAN
Before any plan was adopted, the Alameda County Medical Association undertook a study to determine the best method of providing medical care for three classes of the population: (1) the indigent, (2) the individual of moderate means, and (3) those who can properly finance their medical care.Various clinics and other institutions supplying medical care were already operating in Alameda County with little cooperation and no coordinating body. In 1917 the county board of supervisors established the Alameda County Institutions Commission for the purpose of taking entire charge of all county institutions wholly supported by county funds and designed for the care of the indigent sick.In 1930, when the problems of medical care became more acute, another survey was made. The report of this survey recommended that all indigents be referred to clinics operated by the County Institutions Commission, or to county physicians, who were
Medical Economics. JAMA. 1934;103(13):997-998. doi:10.1001/jama.1934.02750390041016