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To the Editor:
—There is no fixed rule governing the charge for surgical operations; but it is an accepted principle that it should depend on three factors, namely:The social and financial standing of the patient.The gravity of the operation, and sometimes its result.The experience and skill of the surgeon.There is a general rule, however, often adopted by the best operators of broad ethical ideas, that the maximum charge for a major operation should be about one month's gross income of the patient; that is, if the person for whom the service is performed has a salary of $12,000 a year, or an income from business, after paying actual expenses of the business, of a similar amount, the fee should be about $1,000. This does not take into consideration the patient's living-expenses. There are, however, many considerations that may reduce the charge and a very few that
The social and financial standing of the patient.
The gravity of the operation, and sometimes its result.
The experience and skill of the surgeon.
I. F. E.. Surgical Charges. JAMA. 1914;LXIII(3):262. doi:10.1001/jama.1914.02570030056024
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