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September 1, 1945

Public Medical Care: Principles and Problems

JAMA. 1945;129(1):97. doi:10.1001/jama.1945.02860350099037

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Abstract

The author discusses the development of hospitals, medical centers and plans for the care of the indigent. He considers finally programs of planning for expansion of medical institutions and services, inclining actually toward a complete system of state medicine but being willing apparently to concede that physicians are people. He states that there are three ways to solve the problem of medical care: (1) centralization of both power and function, (2) decentralization of both power and function and (3) centralization of power, complete or limited, along with decentralization of function or certain types of function. The approach of Dr. Goldmann, although he is a physician, is distinctly that of the economist and social worker. There seems to be nothing in his point of view which would mark it particularly as that of the man trained in the American tradition of democracy.

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