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March 18, 1950

Social Security Services in New Zealand: What We May Learn From Them

JAMA. 1950;142(11):857. doi:10.1001/jama.1950.02910290085036

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The author writes on the basis of an eight week visit to New Zealand to study the social security services. Much of his report is written in the form of comparison to the British system, and the pamphlet provides an interesting and informative over-all survey.

In tracing the history and development of the medical services program in New Zealand, Mr. Maples gives particular attention to the stand of the British Medical Association, explaining its objections, criticisms and suggestions.

On the whole, he finds the New Zealand program unsatisfactory and shows evidence that ethical standards and quality of medical care have been seriously lowered. The method of paying doctors is such that general practice is the only profitable area, and there is absolutely no inducement to become a specialist, professor or member of a hospital staff.

It is simple for patients, doctors and pharmacists to exploit the system, and there has

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