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January 31, 1885

Instability of Medical Interests Dependent on Municipal or County Politics.

JAMA. 1885;IV(5):130. doi:10.1001/jama.1885.02390800018006

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—The Cook County Hospital, which is the legal receptacle for the sick poor of Chicago and Cook Co., is under the direct control and management of the Board of County Commissioners, a certain proportion of whom are elected annually.

The Board appears to have adopted the rule of electing the members of the medical and surgical staff of the Hospital at the commencement of each year, and of allowing each Commissioner to name one member of the staff. While this affords an admirable opportunity for each Commissioner to reward, with an appointment, either his own family physician or such other medical man as may have rendered him most aid in securing his own election, it destroys entirely the stability of the medical staff of the Hospital, and greatly impairs its usefulness for clinical instruction. At a recent meeting of the Board of Commissioners, when each Commissioner had named his member

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