JAMA. 1923;80(20):1456-1457. doi:10.1001/jama.1923.02640470034015.
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The United States is not the only country in which a lack of physicians threatens in rural communities. England has a similar problem,1 the reasons being quite parallel to those in this country. A generation or two ago, a capable physician could make a fair living in a country district, provide the essential comforts, and lay aside something for the future. At the present time, however, no matter how energetic or persevering the physician may be, country practice presents unusual difficulties. Formerly, the country physician attended all classes of people in the community, the rich man and his family as well as his servants and dependents; at present, however, with the greatly improved means of transportation, the wealthy country people have fallen into the habit of going to cities for their various necessities, and in case of illness go to the city physician or are sent to the hospital


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