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May 23, 1931

The Public's Investment in Hospitals.

JAMA. 1931;96(21):1825. doi:10.1001/jama.1931.02720470079046

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The material presented in this volume is associated with the work of the Committee on the Costs of Medical Care. The book presents valuable data relative to the 7,000 hospitals in the United States having to do with the amount and distribution of the capital investment, the capital valuation and accounting, and the relationship of the public to the facts that are developed. It seems to be necessary to invest at least $5,000 a bed for the hospitalization of patients suffering with acute diseases, which means $500,000 for a hospital of 100 beds. The costs of hospital care have usually required community support, and the history of hospitalization explains why physicians have not done well as owners of hospitals. It explains also why hospitals seldom, if ever, are money-making institutions. The number of proprietary hospitals is steadily decreasing. The author estimates that maintenance of the hospital will demand $1 per

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