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It seems that the evil of commissions and division of fees is not confined to this country. They have it abroad, in Belgium, for example, where it has recently been brought before the Council of the College of Physicians, though they give it a name which seems a little pedantic. They call it dichotomy, perhaps with the idea of making it less likely to attract public attention. Here we are not so careful as we might be in this regard. Whatever scandal we have is made public from its beginning—to some extent to our disadvantage. The official decree promulgated by the Council is that a physician may not charge a commission of a surgeon to whom he sends a case and no surgeon may allow such a fee. The attending physician may only charge for his own work and his assistance that he has given in the surgical operation. Of
DICHOTOMY, OR THE DIVISION OF FEES.. JAMA. 1903;XL(9):590. doi:10.1001/jama.1903.02490090038009