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March 27, 1937

ORGANIZATION SECTION of the Journal of the American Medical AssociationDevoted to the Organizational, Business, Economic and Social Aspects of Medical Practice

JAMA. 1937;108(13):57B-64B. doi:10.1001/jama.1937.02780130177038
Abstract

For Whose Benefit?  Every proposal for change in medicine should be tested with the question "For whose benefit?" Unless the change will help, either directly or indirectly, in the fight against disease and death, it cannot be justified. The fact that it may increase the income of physicians, help pay the interest on hospital investment, or provide salaries for a body of administrators, unless it will also improve medical service, is no justification. This is a simple test, but applied strictly to many of the proposals for medical changes before the public at the present time it would elicit a verdict of condemnation.

How Many Need Help?  Within a small margin of error, about 50 per cent of the population goes through the year without any illness. Fifty per cent of the illnesses of the other half are not disabling. One half of the remainder, or about 12 1/2 per

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