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August 5, 1933

National Health Insurance.

JAMA. 1933;101(6):472. doi:10.1001/jama.1933.02740310056038

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This is an authoritative factual study of health insurance. The brief historical chapters give an excellent, compact view of the origins of such insurance and its tendency to expand in coverage and extent of benefits within each country and to more and more nations. "At first the chief object of insurance was to compensate the disabled worker for loss of wages.... The modern tendency is to regard sickness insurance as a means of restoring the disabled worker to health and working capacity." Therefore it becomes rather a medical service, but operated by institutions organized for the earlier purposes. As the medical services increase in importance, conflicts between the physicians and the lay institutions grow sharper. In the more recently established systems of England, France, Norway and some other countries the medical organizations have been able to do away with many of the causes of friction and secure more power in

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