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July 15, 1933


JAMA. 1933;101(3):220-221. doi:10.1001/jama.1933.02740280040022

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Is Health Insurance Becoming a Dole?  In his presidential address to the Section of Preventive Medicine, Sir Henry Brackenbury, chairman of the council of the British Medical Association, asked: "Is it possible that the national health insurance scheme is becoming not primarily a method of securing medical advice for the insured but primarily a machine for doling out to them small sums of money week by week or month by month?" "Today, more than ever," said Sir Henry, "I find public attention concentrated on the cash benefits which may be claimed rather than on the medical attention. To a not inconsiderable degree the national health insurance system is in danger of becoming a gigantic machine for the distribution of shillings and only secondarily a beneficent medical service. I suggest that it is necessary and that it is time that these two aspects of the scheme should be separated." The insurance

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