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March 10, 1917

Compulsory Health Insurance

Author Affiliations

Rochester, N. Y.

JAMA. 1917;LXVIII(10):797. doi:10.1001/jama.1917.04270030129025

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To the Editor:  —The educational campaign of the advocates of compulsory health insurance has aroused much thought and discussion. Contrary to the course of events in European countries, the medical profession has been aroused in American before any measure has been placed on the statute books. This is fortunate, for the working of any health insurance scheme falls directly on the physicians and tends to change the fundamental basis of the practice of medicine from a personal relation to a corporate or commercial one. Whether this is a desirable change should not be decided hastily.Wherever health insurance is in operation, the quality of the medical insurance work tends to become poorer, owing to an overworked and underpaid profession. Nothing has yet been brought forward which proves conclusively that the same thing will not happen in the United States. Figures of any kind in regard to medical fees under the

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