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Article
October 30, 1943

DOES AMERICAN MEDICINE NEED A DICTATOR?

JAMA. 1943;123(9):564. doi:10.1001/jama.1943.02840440046014

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Abstract

THE WAGNER-MURRAY-DINGELL BILL: III  Revolutions often produce dictators who rise by force of personality or leadership but usually only after the revolution has run much of its course. The Wagner-Murray-Dingell Bill proposes to supply the dictator for American medicine even before the revolution begins. Compulsory sickness insurance produces the least evils when control of the actual practice of medicine is placed under the democratic management of medical associations. The quality of the medical service under such systems deteriorates least in proportion to the extent to which the establishment and maintenance of standards and quality of medical practice are confided to medical organizations. The authors of S. 1161 have overlooked this lesson as they have many others in the field of medical practice. But they had little apparent medical aid in formulating their blueprint for American medicine.In the Netherlands and Norway the medical profession resisted the attempts of Nazidom to

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