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July 29, 1944

A National Health Service

JAMA. 1944;125(13):940. doi:10.1001/jama.1944.02850310060034

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This is the so-called medical white paper—a statement by the minister of health of Great Britain, Mr. Willink, on his proposals for a national health service. This has been well described in the London letter in previous issues of The Journal. British physicians themselves have indicated that the white paper deals a little largely with generalities and somewhat too little with the necessary details on which the proposed service may fall. Essentially the white paper encourages the establishment of districts in which medical service would be rendered by a hospital, a group of physicians practicing as a group, a health center and general practitioners who would be feeders to the practicing units. One finds here a great deal of the jargon of propaganda for social medicine. The system is referred to consistently as "free," whereas of course it is merely provided by a system of taxation whereby the government spends

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