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June 6, 1936

Medical Economics

JAMA. 1936;106(23):1991-1992. doi:10.1001/jama.1936.02770230033017

FREEDOM OF CHOICE OF PHYSICIAN IN INDUSTRIAL MEDICINE  M. S. BLOOM, M.D. Binghamton, N. Y.For nearly four years a plan of industrial medicine which provides complete freedom of choice of physicians has worked out successfully in Binghamton, N. Y. This plan, referred to widely as the "Spaulding plan," originated with Spaulding Bakeries, Inc., manufacturers of bakery products. It represents an industrial prepayment medical plan offering complete freedom of choice of physicians. Some facts concerning the plan, the philosophy back of its inception, and the procedure by which its principles are achieved, have been the subjects of previous articles published in The Journal.1Since the publication of my last article, experience with the new plan in the business organizations now sponsoring it has been one of continued progress. There has been an increased accumulation of reserve funds, indicating the financial soundness of the basic principles on which it is