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John C. Silliman, M.D.
JAMA. 1917;LXIX(12):1024. doi:10.1001/jama.1917.02590390074031.
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To the Editor:  —The communication from Dr. Edward von Adelung, The Journal, Sept. 8, 1917, p. 843, stressing the equal or greater financial sacrifice of the small income practitioner as opposed to the very large income practitioner in responding to the call to the colors is interesting and correctly estimates the situation. However, is a financial sacrifice the great sacrifice made?The medical man who closes his office, abandons his local practice, and thus automatically stops all local revenue, in many instances with certain unavoidable "overhead" expenses still going on, makes a patriotic sacrifice for his country. This hardship can be measured in dollars and cents.The very great obstacle to the medical man is this financial uncertainty; here comes about the impasse in his mind that accounts for the hesitation in volunteering. Can both ends meet under the proposed régime? The very great sacrifice, however, that he makes cannot


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