JAMA. 1948;137(8):667-670. doi:10.1001/jama.1948.02890420001001.
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"It is apparent that the United States under its voluntary system of medical care has made greater progress in the application of medical and sanitary science than any other country. This progress is now reflected in low mortality and morbidity rates of infectious diseases and in increased life expectancy. There is every reason to believe that these trends will continue unabated under our present system of medical care.'

This paragraph is taken from the conclusions of the report from a study by the Brookings Institution made at the request of Senator [ill] Alexander Smith, Chairman of the Subcommittee on Labor and Public Welfare.

The conclusion from an objective and unbiased authority commands respect. Since medicine attained this high position in America, let us consider how we have maintained this superior service. I shall endeavor briefly to set forth my analysis of the factors


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