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September 30, 1939, Vol 113, No. 14 >

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Other Articles | September 30, 1939

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JAMA. 1939;113(14):1331-1337. doi:10.1001/jama.1939.02800390053019.
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ABSTRACT

MEDICAL FEES FOR OBSTETRIC SERVICE  R. G. LELAND, M.D.Director, Bureau of Medical Economics, American Medical Association CHICAGOEmoluments received from the practice of medicine do not involve the transfer of a tangible material commodity. A physician's professional relations with the public are classified by economists as personal service. They are not subject to resale; therefore they have no basic exchange value. These personal services differ in many ways from those furnished by the other professions. The attorney, in civil cases for instance, is concerned with tangible values, subject to legal action. Even in the majority of criminal cases he can bargain in advance for his fees, and he can secure himself in almost any professional transaction by a retainer fee. The architect or engineer is concerned with structures subject to a lien or other legal action. But it is not customary for the physician to pledge himself by the

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