April 27, 1907


JAMA. 1907;XLVIII(17):1438. doi:10.1001/jama.1907.02520430050009

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St. Louis is presenting a gratifying spectacle of a united profession attacking one of the important medico-political problems, that of hospital management, and endeavoring to free the municipal hospitals from the interference and domination of practical politicians. In 1905, according to the St. Louis Medical Review, the eleven medical societies of St. Louis, embracing all branches of medicine and all therapeutic creeds, formed a joint medical council for the purpose of effecting reforms in public medical matters. The first subject chosen was hospital management, and the council found certain defects which it traces to the fact that under the present system all appointees, from the hospital superintendent down to the most humble employé, are subjects of political patronage. The results, which are unsatisfactory under a good administration, become chaos when the administration is a bad one. To remedy these conditions the council proposes: 1, separation of the health department from

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