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March 11, 1911


JAMA. 1911;LVI(10):725-727. doi:10.1001/jama.1911.02560100017005

There seems to me to be a greater need to discuss one of the ethical questions agitating the surgical world to-day, than to add another scientific paper. It has seemed to me that specialism, with all the advantages and benefits which it has brought to mankind, enabling specialists to render such distinct service to humanity, and thereby enhancing public confidence and esteem, has not been an unmixed blessing to the professional body. The new conditions, changed relations, variable rewards, and readjustments in the relationships of patient, family physician and specialist, together with new economic conditions, as developed by our numerous public and private hospitals, dispensaries, laboratories, corporation work, indemnity insurance, lodge and society practice, have brought problems for solution by the profession in general, and our specialty in particular. The commercial spirit, with which the present age is now credited, has added another factor, the control of which we, with

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