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The matter of the payment of commissions by consultants to general practitioners who send them cases has already been severely condemned in these columns, but evidence that certain members of the profession are endeavoring to permanently engraft this debasing custom on us compels further reference to this excessively displeasing subject. Specialists are daily receiving importuning letters from general physicians, asking, "what inducements do you offer for operative cases?" There can and must be no compromise in this vital matter. The physician who gives or receives a commission in this manner thereby writes himself down a veritable quack; no other conclusion is possible. The profession must rapidly ascertain who are the men engaged in exploiting this execrable practice, and put them explicitly beyond the pale of decent association. Nothing more subversive of the honor of the profession than this business of commissions has ever been proposed. This rank weed, if allowed
COMMISSIONS. JAMA. 1899;XXXIII(19):1173–1174. doi:10.1001/jama.1899.02450710055014
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