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July 17, 1937

Foreign Letters

JAMA. 1937;109(3):218-222. doi:10.1001/jama.1937.02780290040016

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LONDON  (From Our Regular Correspondent)June 19, 1937.

The Capitation Fee  The Insurance Acts Committee of the British Medical Association made a claim that the changes which have taken place since 1924, when the present capitation fee of 9 shillings (about $2) per insured person was awarded, justify an increase of about a third. The Ministry of Health did not agree and a court of inquiry was appointed, at which lengthy arguments were brought forward on both sides. For the association it was pointed out that there had been "a reorientation of medical thought and a widening of the basis of medical practice," which now seeks not only to remove disease conditions but to promote health. The advance of medical science had increased the complexity of diagnosis and treatment. Since 1924 the average number of attendances per insured person had increased from 3.75 to 5.02. The proportion of elderly persons

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