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April 29, 1939


JAMA. 1939;112(17):1730-1733. doi:10.1001/jama.1939.02800170076019

"ECONOMICAL ADMINISTRATION OF HEALTH INSURANCE BENEFITS"  Nothing more illustrative of the dominance of financial considerations over medical science in the administration of sickness insurance has appeared than this report of the International Labour Office.1 Like most of the publications of this office, it is the result of the work of several commissions of experts. The material has been finally arranged by Walter Pryll, social medical officer of the International Labour Office and for many years active in the administration of sickness insurance institutions in Germany. This domination of financial considerations and the economy which it enforces cannot well be criticized once the system of sickness insurance comes into existence, but its very necessity involves such restrictions on the development of medical science and its application to the large section of the population covered by insurance as to constitute in itself an indictment of the entire principle of sickness insurance.