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April 29, 1933

The Purchase of Medical Care Through Fixed Periodic Payment.

JAMA. 1933;100(17):1365. doi:10.1001/jama.1933.02740170063041

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This is a compilation of the methods used, chiefly by railroads and various lumber and mining industries, to provide medical care for employees at fixed periodic payments. It is useful as showing the extent to which contract practice has been carried in many sections of the United States. Although the author makes specific reference to many organizations using various types of contract practice methods, he omits specific reference in many places where they would be most helpful. No reference is made to the quality of medical care given the employees or members of contract covered groups. The general tone of the report leads the reader to assume that there is no question as to the quality of medical service. The organization and administration of these fixed payment plans is described in a very favorable tone and omits any criticism or analysis of the dangerous and undesirable features. The general tone

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