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May 20, 1933


Author Affiliations

New York. Director, Twentieth Century Fund, Inc.

JAMA. 1933;100(20):1625-1626. doi:10.1001/jama.1933.02740200059028

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To the Editor:  —Several misstatements appear in the review of "How to Budget Health," in The Journal, April 1.The reviewer says that "the methods used to recruit members [of medical guilds] are by paid advertisements, by direct mail promotion and by personal solicitation—methods that are contrary to recognized ethical ideas."I specifically opposed the use of paid advertisements in promoting medical guilds. "This form of promotion," the book states, "is most vulnerable on ethical grounds and should probably not be resorted to" (p. 194). The only direct mail promotion advocated is in the form of announcements sent to their patients by doctors who join the staff of a guild, or announcements of the adoption of the guild plan by an existing medical institution (p. 195). As for personal solicitation, the only kind advocated in the book is "by the word of mouth of satisfied patrons," who would naturally, without

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