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March 19, 1938


JAMA. 1938;110(12):880-884. doi:10.1001/jama.1938.02790120022005

In the present intensive study of medical economics, economy in medication must not be overlooked. This is especially important in hospitals. In such large institutions as the Cook County Hospital, the saving resulting from cooperation between prescribing physician and dispensing pharmacist might easily run into such a huge sum that I hesitate to name it. Even in private practice it pays to economize in medication. Some physicians are nothing less than spendthrifts and wasters when it comes to prescribing. The difficulty a doctor finds in collecting bills may sometimes be due to the fact that the patient's family, after paying for expensive medicines, may have nothing left with which to pay the doctor.

Of course by economy in medication is not meant the use of inferior remedies, for the first principle of economy in prescribing is that the most efficient remedy is likely to be the cheapest. The second principle

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