RT Journal A1 Foster NB T1 "A registration fee for physicians" JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1919 FD January 25 VO 72 IS 4 SP 299 OP 299 DO 10.1001/jama.1919.02610040064030 UL http://dx.doi.org/10.1001/jama.1919.02610040064030 AB To the Editor:  —The paper of Mr. Francis W. Shepardson (The Journal, Nov. 16, 1918, p. 1629) touches on matters of vital importance to every public spirited citizen as much as to physicians. While a lamentable state exists in the presence of charlatans in the community, the significance of this is not likely to be fully appreciated.To go to the root of the matter requires a delicate discrimination, because criticism as usually made strikes as hard at the man as it does at his professional attainments. This sort of criticism is not only unjust but is useless. Medicine, in the last analysis, is what the country as a whole makes it. It is the barometer of progress. Going even farther: in communities the kind of medical service received depends largely on demand. If the demand is for a high degree of professional attainment, this demand is usually met. It