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Goodpasture's Dilemma

Joseph M. Merrill, MD
JAMA. 1985;254(7):911-912. doi:10.1001/jama.1985.03360070049019.
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To the Editor.—  On Jan 7, 1949, Ernst W. Goodpasture, dean of Vanderbilt University's School of Medicine, recommended to the University's chancellor that the program in undergraduate medical education be abandoned and that funds saved be used to expand medical research and graduate and postgraduate education, including "the most advanced medical training."1What led Goodpasture to articulate what many must have considered unthinkable?Goodpasture had noted the waning enthusiasm and spirit of the faculty following the decision by the university seven months earlier to stop subsidizing free hospital care for the poor, which it had supported for 21 years at an expenditure of $6 million of its endowment income. He concluded


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