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May 13, 1899


Author Affiliations


JAMA. 1899;XXXII(19):1032-1038. doi:10.1001/jama.1899.92450460014001h

In the last several months there has been much discussion pro and con of the commission evil, i. e., the mutual arrangement between the general practitioner and the specialist for a division of fees accruing from work which has been referred from one to the other. It would seem that this discussion followed an article in the Colorado Medical Journal, last July, by Dr. Melville Black, a specialist of Denver, Colo., who under certain conditions advocated the payment by the specialist to the practitioner of a portion of the fees obtained by him from patients referred.

Feeling that this society is representative and should not be behindhand in anything pertaining to our work, I thought it fit to bring this matter up for discussion to-night. If any of us are guilty of these practices, the free discussion of them may do us good in causing us to see the error

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