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April 13, 1946


JAMA. 1946;130(15):1016-1017. doi:10.1001/jama.1946.02870150034009

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New Zealand has been experimenting with a government controlled system of medical care. The New Zealand Social Security Act of 1938 inaugurated a wide range of health and medical benefits which commenced on April 1, 1940 and gradually increased. Under the capitation system a doctor is paid a social security fee for every "head" on his list of patients for the year. A "salaried service system" is a special arrangement of limited extent designed for remote country districts, in which the doctor receives a fixed annual salary. Under the "fee-for-service system" the patient signs a declaration saying he has been treated by a doctor who countersigns the form and makes the claim on the Government Health Department for full settlement of his fee. A "refund system," which is the only one of these methods officially approved by the British Medical Association, provides for full payment of the fee by the

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