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December 3, 1898

The Commission Evil.

JAMA. 1898;XXXI(23):1376. doi:10.1001/jama.1898.02450230048010

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St. Paul, Minn., Nov. 28, 1898.

To the Editor:  —In your issue dated November 26 Dr. Robert T. Morris writes to inquire whether your editorial condemning the purchase and sale of cases is founded upon a knowledge of specific instances of this sort.I can not answer for the Journal, but can assure Dr. Morris that I know of at least a half dozen surgeons and physicians of excellent standing in the profession who in a subterranean way carry on this traffic.As an internalist I can not say that I have ever felt such competition, nor indeed do I know of any stricely medical man who pays commissions, but I have personal knowledge of a score of surgical cases in which fees have been paid or demanded.It has given me great pleasure to know that my protest against this indefensible practice, contained in a letter to the N.

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