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September 12, 1936

Medical Economics

JAMA. 1936;107(11):881. doi:10.1001/jama.1936.02770370045014

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MUTUAL TRUST BETWEEN PHYSICIAN AND PATIENT IN MEDICINE  The patient who distrusts his physician will not and cannot tell him the whole truth and nothing but the truth. The patient who subconsciously doubts his physician may censor facts at the expense of his recovery. The physician who lacks the confidence of a patient will try to fill the gaps in his knowledge with guesses and laboratory gadgets or else take refuge in a "look and a bottle." This has happened whenever government, contracts or other arrangements in the distribution of medical service have disturbed or destroyed continuous, confidential, personal relations between patient and physician. In some systems of insurance and workmen's compensation, medical associations—usually after years of struggle—have restored some sort of freedom of choice and mutual confidence. The result has always been an improvement in the service. Is it necessary to introduce systems that destroy these essential features of

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