June 11, 1923.
The Crisis in the Panel Service
As stated in a previous letter, the approaching revision of the terms of service of physicians under the National Insurance Act has given rise to a crisis. On the one side, some representatives of the friendly societies and a section of the press have denounced the service as perfunctory and inadequate, and demanded its reform and even its abolition. The position is complicated by the fact that the government has refused to continue an annual subsidy of about 50 cents to the capitation fee, granted in consequence of the increased cost of living due to the war, and that the representatives of the insured are unwilling to pay it. Hence the panel physicians face a possible reduction in the capitation fee, and are organizing to resist it, mainly by the mechanism of the British Medical Association. The Insurance Acts Committee of