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October 18, 1947


Author Affiliations

San Francisco.

JAMA. 1947;135(7):451. doi:10.1001/jama.1947.02890070053023

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To the Editor:—  With the continued agitation for state medicine it might be of interest to show how it works out elsewhere. The following account on panel practice is from a recent letter received from an eye physician in a large city in southern Germany in the American zone of occupation:"Conditions regarding income from practice were still regular here till the beginning of this year. These have now become catastrophic through restrictions in the panel practice. In the first quarter of 1947 I treated 1,904 panel patients, for which I formerly received a flat rate of about 4 marks; therefore, about 8,000 marks. Now there is staggering in favor of the physicians with a smaller practice, especially the refugee physicians, which is as follows: For the first 500 cases I receive as heretofore 4 marks (2,000 marks); for the sixth, seventh, eighth and ninth hundreds I receive 3.60, 3.00,

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