We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |


Elmer Hess, M.D.
JAMA. 1958;166(5):472-476. doi:10.1001/jama.1958.02990050042008.
Text Size: A A A
Published online


The advantages of a comprehensive plan for medical insurance are illustrated by the experience of a company with 315,000 employees. More than 98% of the employees participate in the plan, which involves dependents to a total of about three-quarters of a million people. Outstanding features of the plan are the wide coverage of expenses incidental to sickness, accident, and disability, the administrative economy affected by a $25-deductible provision, and the enlistment of the patient's personal economic interest in the amount and cost of the care he receives by having him pay 15% of the excess of certain types of expenses above $225. The policies automatically take into account the normal variations of geography, complications, and so on which inevitably affect what physicians, hospitals, nurses, or druggists must charge, and the philosophy back of this plan continues to reflect the principles of free enterprise. It deserves study as illustrating the possibility of meeting the nation's health needs by voluntary cooperation of patients, physicians, and all others involved, and is presented for the information of the profession.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.