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November 7, 1936

Medical Economics

JAMA. 1936;107(19):1565-1568. doi:10.1001/jama.1936.02770450049018

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A Government Problem as Met in the City of Rochester, N. Y.  S. J. APPELBAUM, M.D.Rochester, N. Y.Medical care of the indigent as a government obligation in the past few years has become an increasingly greater problem. This is due to two factors: (1) the large increase in the numbers who are not able to purchase their medical needs, and (2) the increasing inability of private agencies to supply the necessary medical needs.The old state Poor Law, which was in effect until 1930, was rather vague with reference to medical care. Medical care, while implied in the old Poor Law, was not definitely mandatory. The Public Welfare Law of 1930 under article IX, section 77, however, definitely states that "It shall be the duty of public welfare officials, insofar as funds are available for that purpose, to provide adequately for

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