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March 19, 1932


JAMA. 1932;98(12):1007-1008. doi:10.1001/jama.1932.02730380075027

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Scheme for Medical Service for the Middle Class  Conditions of medical practice and especially of public hospital service in Australia are fast reaching an impasse. Owing to the financial depression, patients are attending in increasing numbers at the public hospitals, which, to make matters worse, have suffered a reduction of income consequent on the decrease in private subscriptions and the reduction of government grants. Hospital managing boards are desperately striving to make up their deficiencies. Contributory schemes whereby, for 6d a week, subscribers receive free hospital and medical service are attractive to hospital managements, but they have the grave disadvantage that no payment is made to the medical men for services rendered. At present, the combined overdrafts of seven public hospitals in Melbourne amount to £196,000. It is felt quite definitely that the public hospitals for the present must revert to that service for which they were originally created—a service

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