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JAMA. 1931;96(3):205-207. doi:10.1001/jama.1931.02720290049020.
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ABSTRACT

Why the Profession Is Restless in South Africa  All hospitals in the Union of South Africa are state supported institutions. All physicians are mulcted by the government in special taxes before they are privileged to carry on their profession, a yearly tax of £10 being levied on all who practice. This tax is demanded before the end of January, and physicians who are a day in default with the payment are heavily fined by having to pay interest which amounts to almost 600 per cent. It is no wonder that the profession has lately become rather restless and that voices have been raised proposing that medical men should no longer give their services free for the treatment of pauper patients in hospitals. It is argued that such patients are a charge on the state and that, as the state admits such a charge and pays for everything that it requires

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