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Group Practice & Prepayment of Medical Care

James E. C. Walker, MD, MS
JAMA. 1967;199(12):950-951. doi:10.1001/jama.1967.03120120138047.
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An important subject of increasingly timely concern is addressed with candor, clarity, and undisguised bias. Dr. MacColl, approaching his subject with a conviction born of broad experience and personal commitment to the group health movement, writes with a style which begins with hackneyed polemics and cacophony (chapter 1), and concludes with eloquently phrased, meaningful remarks (chapter 12). Much of what comes between is well worth the reading: chapter 2 provides valuable perspective through a historical review of the tribulations and successes of the group practice and prepayment movement. Chapter 5 is a quite complete and frank view of the advantages and disadvantages of group practice; although the author's bias is not labeled, it is clearly discernible. The remaining chapters are devoted to "how to do it" and in a simplified cookbook fashion provide useful views to those contemplating group practice associated with a prepayment plan.

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