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To the Editor:
—Two features of the high cost of medical care have been too much neglected in past discussions: unnecessary hospitalization of patients by physicians, and unduly high cost of hospital construction.During the past two decades there has been a growing tendency to send patients into hospitals for study and treatment, usually involving extensive chemical and physical laboratory aids which have added much to the already high hospital costs. With diabetes, in particular, the cost of medical care has been rendered excessive by this unnecessary use of hospitals and laboratories. I say unnecessary here because I am convinced that, with a due regard for the patient's purse and a willingness to give a maximum of personal service, this and many other conditions could be handled largely at home or in the office as effectively as in the hospital. Physicians may have felt a responsibility toward financial support of
Mills CA. HOSPITALIZATION AND THE COST OF MEDICAL CARE. JAMA. 1933;100(14):1128–1129. doi:10.1001/jama.1933.02740140052028
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