Bismarck, N. D., Dec. 20, 1901.
To the Editor:
—In The Journal of the 14th inst. you comment on what you evidently consider an undesirable innovation in medical practice in England, viz., the dividing of the fee, in obstetric cases, with the nurse. This is not by any means a new custom in England, nor is it attended by the evil results that might be anticipated; and if it could be carried out in some localities in this country many a practitioner would be glad to practice a system that would save any "booking" of obstetric fees.Over twenty years ago I was an assistant to a general practitioner in the east end of London, and a large part of his practice consisted of obstetric work, in a rather poor part of the city. The usual fee for such cases was one guinea, 21 shillings, and it was the custom