The views expressed in this paper will be found ultra in the extreme, but as I have given over ten years earnest study to the subject of State Medicine, not only in books, but practically in other countries than our own, and as they are the result of such study and honest conviction, I trust they will receive the attention which the subject at least deserves.
The careful student of the medical institutions of the United States must most certainly admit that there is much to be desired, and much rottenness to be rooted out before they can become what they should be, and worthy of so wealthy a country and so energetic and practical a people. But in speaking of the "Medical Institutions" of a country it must not be thought that the Schools alone are to be the subject of consideration. They form one unit among many, but
BILLINGS FS. STATE MEDICINE. JAMA. 1885;V(12):309–315. doi:10.1001/jama.1885.02391110001001
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