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December 23, 1933


JAMA. 1933;101(26):2053. doi:10.1001/jama.1933.02740510045014

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The depression has placed a serious additional burden on hospitals and clinics that minister to the poor. The poor have increased in number;funds to meet the costs of their care have decreased. What were the hospitals to do? There were two alternatives. They must either increase their revenues or cut their costs. The former has been in most instances impossible. To reduce costs without thereby curtailing the quantity of service affordedngering its quality has been extremely difficuldifficult.anced hospital budgets and depleted unrestricted endowment funds mark the efforts of hospitals to meet the situation, various other means have also been tried. Most hospitals have lowered salaries and wages, not once but two or three times. They have done this not because hospital because tees have felt that their employees were overpaid but because this was an immediately effective way effective way ingsts. Thus, hospital employees have had to bear more than

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