In the organization section in this issue of The Journal appears a discussion of cooperatives. Dr. James Peter Warbasse, president of the Cooperative League of the United States, has set forth his ideas of how cooperation may be applied to the provision of medical service, in a pamphlet published by the league under the title "Cooperative Medicine." It is difficult for him or for any one else to reconcile cooperative principles with any proposal to furnish medical service. He concludes that, since medical colleges and hospitals had low standards when they were owned and operated by physicians, consumer control would improve these standards; the medical profession, however, raised the standards, not any lay organizations or the government.
Dr. Warbasse suggests that the "cooperative method" requires a "group of 150 to 500 families, who should unite to employ a physician full time." Then he throws away the cooperative principle of equality