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March 27, 1948

Private Enterprise or Government in Medicine

JAMA. 1948;136(13):905. doi:10.1001/jama.1948.02890300055021

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"Private Enterprise or Government in Medicine" is a thoughtful presentation of the strengths and deficiencies of our present system of medical care. The author has carefully analyzed the growth of government in medicine and public health. Sickness insurance programs are briefly traced from their earliest inception in Germany through England, Russia, Sweden and other foreign nations With this background the compulsory sickness insurance movement in the United States is exposed for its true worth

The earliest moves relative to compulsory sickness insurance in the United States date back to 1910 and 1911. Yet "little was heard of the subject until after the report of the Committee on the Costs of Medical Care in 1932." This report together with the National Health Survey (1933) and the National Health Conference (1938) have been the primary sources of data for those interested in promoting a compulsory sickness insurance program. Dr. Bauer concludes that

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