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January 3, 1948


Author Affiliations

Secretary, Surgical Care, Inc. Kansas City, Mo.

JAMA. 1948;136(1):57-58. doi:10.1001/jama.1948.72890180018023

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Even until recently many physicians refused to admit the existence of a social problem in medical care. Today, however, most of them recognize and admit that the distribution of medical care is faulty.

Physicians must recognize the moral implication always associated with any social problem. The responsibility for the solution of this social and moral problem must be accepted by the members of the medical profession, and the acceptance must be made by physicians at the local level. Failure to provide the solution is fraught with grave implications, the nature of which has been suggested by two ugly words— regimentation and socialization. Social and moral problems are not solved negatively. The effective solution must be positive. A plan must be developed whereby adequate medical, surgical and hospital care is made available to the people at reasonable cost. Practically, the best plan thus far evolved seems to be one that operates

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