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The Ever Present Question of Dispensary Abuse

M. M. Savage, M.D.
JAMA. 1916;LXVII(5):385-386. doi:10.1001/jama.1916.02590050063024.
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To the Editor:  —Dr. J. Whitridge Williams, in his address published in The Journal, June 17, 1916, p. 1902, dwelt at some length on the question of dispensary abuse. He advocated the "socialization of medicine" for the cure of many evils now connected with the practice of medicine. Some such system as the Krankenkassen of Germany, or the national health insurance law of England, which requires employer and employee, as well as the state to contribute, ought to be adopted in this country. Under this system the patient contributes toward the doctors' and hospital fees, with the result that it raises the man of moderate means above the level of a charity recipient, and does not place all the burden of the medical care of the indigent sick on the physician, who is often compelled to earn a living for himself and dependents. That there is a possibility of the


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