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