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JAMA. 1938;111(12):1104. doi:10.1001/jama.1938.02790380046015.
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THE UNCARED-FOR MILLIONS  The Statistical Bulletin of the Metropolitan Life Insurance Company, basing its figures on reports from millions of industrial policyholders, is regarded as a prompt and reliable indicator of trends in public health, morbidity and mortality. Census Bureau final figures are necessarily delayed. Even the provisional death rates published annually by the United States Public Health Service are not available until some months have elapsed. The current figures published in the life insurance company's bulletin, therefore, afford interesting indications. Over a period of years they are found to parallel closely the final figures published later. Just now it is popular in certain circles to refer to the millions of Americans who are unable to procure medical care because of inability to pay for it. The low income groups, it is said, fare worse than the frankly indigent, because the latter get for nothing what the former are unable

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