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August 29, 1896

A DEPARTMENT OF HEALTH, OR A BUREAU: WHICH?

Author Affiliations

SAN FRANCISCO.

JAMA. 1896;XXVII(9):464-465. doi:10.1001/jama.1896.02430870012001e

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Abstract

It is assumed that the American Medical Association substantially agree that the time has come for some permanent branch of our national government to promote and administer the interests of public health. There is, however, a variety of plans of organization, each of which has its merits and defects, the most prominent of which may be designated a board of health, a department, a bureau, and the continuance of the present method as administered by the Marine-Hospital Service.

The plan of a board of health has been tried, with such want of success that, in my opinion, it would be unwise to experiment again. It is needless now to consider where the fault chiefly lay; and there are too many yet living and active, who participated in the controversy, safely to risk the danger of its revival. The plan most favored by the American Medical Association has been to create

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