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May 2, 1931


JAMA. 1931;96(18):1518-1519. doi:10.1001/jama.1931.02720440066019

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The Trend of Medical Practice  In an address to the London Jewish Hospital Medical Society, Mr. Somerville Hastings, M.P., surgeon to the ear and throat department of the Middlesex Hospital, pointed out the tendency of the state to take many branches of medicine out of the hands of the family physician and control them in an organization of its own. Examples were public health, infectious diseases, lunacy, venereal diseases, tuberculosis, maternity and child welfare. The exigencies of research were demanding further centralization in the campaigns against cancer, rheumatism and maternal mortality, and in the grouping of orthopedic cases. This process was bound to continue, partly because it tended to greater efficiency and had contributed much to improving the general standard of health, and partly because the spirit of the age demanded collective action in meeting its needs. It was being recognized that the team and not the individual was the

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