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JAMA. 1904;XLII(7):470. doi:10.1001/jama.1904.02490520060009.
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The abuses of club practice are rather emphatically shown by a communication in the British Medical Journal, January 16, signed "One of the Crushed Doctors." In the community in which the correspondent lives, we are told that a medical man can not even afford a horse, much less leave his practice for a holiday. The amount of medical and surgical work he has to do for nothing is appalling, and if he airs his grievances to the workingman he becomes a monster in that man's sight. Educated people respect the doctor and consider him a gentleman, but the working class, which makes up the larger portion, gives an ignorant nod and familiarly calls the doctor "Jones" or "Smith." If ones tries to collect his bills in court, he receives only the sneers of the crowd and the gibes of the judge for his time, worry, anxiety and loss of sleep,


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