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November 29, 1941


Author Affiliations

New York. Medical Director, Medical Administration Service.

JAMA. 1941;117(22):1911. doi:10.1001/jama.1941.02820480077029

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To the Editor:—  I wish to comment on an item under current comments on page 1269 of The Journal October 11.The part which quotes the last paragraph of "Health and the Doctors," is excellent. This is the exact attitude that I have always hoped organized medicine would take. The use of "the technic of scientific experimentation to determine the actual values before general adoption" is clearly indicated.During the past five years, I have tried to study at first hand the various forms of payment plans—both those which offer indemnification in cash and those which offer indemnification in service. Naturally I have formed certain opinions as to the effectiveness of various patterns. I am convinced that there is one very important major consideration, as yet neglected, that the "technic of scientific experimentation" will uncover, namely that payment plans will not assume major scientific and social importance until they become

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