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December 31, 1898

The Commission Evil.

JAMA. 1898;XXXI(27):1581. doi:10.1001/jama.1898.02450270033009

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New York City, Dec. 19, 1898.

To the Editor:  —In response to my request for specific information about instances in which the specialist has paid commission to the general practitioner for referred cases, I have received several communications which indicate that the practice is not uncommon in a section of our country which is renowned for its "hustling" spirit. Personal inquiry among representative members of the profession in New York convinces me that my first impression was right, and that a division of the fee is never likely to become a practice here, excepting in instances where the patient agrees to pay a definite sum for the entire management of the case. This is rare, and would be an openly conducted transaction. I am in a position to see two sides of the matter. I have dropped from my practice everything excepting operative surgery, but during the year a good

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