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There is no "Health Organization" in the United States; there are many "health organizations." This little guide puts each of these organizations in its place relative to the others. At no point does it suggest that there should be a single Health Organization.
The authors look at national health from the point of view of the national government; this tends to suggest the usefulness of a single, all-inclusive agency at the national level "to do things right." This suggestion the authors have avoided, and they give their reasons:
When the general scheme of health organization is first explained, the visitor or casual observer often is amazed that it works at all. But it does work, even though at times the process may seem cumbersome and inefficient. Its high performance is well demonstrated by rather obvious and tangible results. The people of the continental United States now enjoy a level of
Guide to Health Organization in the United States. JAMA. 1948;136(7):507. doi:10.1001/jama.1948.02890240073029