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October 21, 1950


Author Affiliations

Erie, Pa.

From the Department of Urology, St. Vincent's Hospital.

JAMA. 1950;144(8):601-605. doi:10.1001/jama.1950.02920080003002

The message which we wish to convey here may someday be looked on as a quaint survival into the latter part of the twentieth century of a medical philosophy which vanished with the home delivery and the two dollar office call. It would certainly have no place in the streamlined tax-paid medical mill of a welfare state. It is incompatible with three minute per patient sessions at the home or office. It will be economically indefensible when the bills, made out in quintuplicate, are paid from the public till and the patient consults his general practitioner as a routing station on his way to receive that acme of medical care which is his just due—the services of a specialist, alleged, assumed or actual. When every sprain requires the services of an orthopedist, when every headache is neurological in domain and when every bleeding hemorrhoid is the sacred sphere of the

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