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480 NORTH CAROLINA MEDICAL JOURNAL September, 1950 ;r criticized our national leadership. We did not blame that clique of men who were running the county medical society; we demanded that the national organization solve all of our problems. Just about the time we were condemning our national leaders for doing nothing, we became involved in a situation with the professional politicians in the national capital. These men began to pick a quarrel with the medical profession. They knew that their political ambitions could be furthered if they could sell socialized medicine or the federal control of the medical profession to the rank and file of the people. As this struggle at the national level became more acute and as the threat of socialized medicine became more imminent, we demanded of our national leadership increased action. It would be difficult to fight with a united front unless the differences among doctors and between doctors and their allies, the hospitals, were resolved. We knew that there were differences between Blue Cross, Blue Shield, and the House of Delegates of the A.M.A. Many of these differences seemed irreconcilable. We also knew that there was much ado about hospital-physician relationships, physician-physician relationships, and physician-hospital-public relationships — and again we demanded that the A.M.A. do something about it. The Responsibility of the American Medical Association Several years ago, as this struggle seemed to be entering into a catastrophic phase, the Board of Trustees of the American Medical Association created a special committee to study the problems of physician-physician, physician-hospital, and physician-hospital-public relations. They hoped that such a committee, giving a great deal of time to this subject, might come up with some answers that would tend to unify us against the politicians who would destroy us. I was chosen to be chairman of that committee. I would like to report to you some of the findings of that committee. After a careful study of all of the resolutions that had been passed over the years by the House of Delegates concerning the practice of medicine by hospitals, and after careful study of a great many of the situations where physicians had signed contracts for full-time service in hospitals and industry, the committee realized that no definite conclusions could be drawn until after it found out definitely what the law had to say about the subject. That there were many grave differences of opinion goes without saying. The first thing your committee did was to request the Legal Department of the American Medical Association to make a survey of the laws of every state in the union concerning the practice of medicine and to find out whether opinions had been rendered by any of the courts concerning the corporate practice of medicine. It took more than a year to do this job. The results of this survey have been published by your committee and by the A.M.A. One fact became clear—namely, that the corporate practice of medicine was illegal in most states in the union, except with certain modifications. It then became evident to your committee that the average medical man in the United States knows very little about the laws under which he practices, or about the authority of the American Medical Association. We were told by professional men from all over the country that the A.M.A. could approve or disapprove hospitals for intern training; that if the A.M.A. could destroy a great many medical schools that did not meet the requirements for medical education, and could control the Pure Food and Drug Act, there was no reason why it could not immediately put a stop to the corporate practice of medicine by industries, hospitals, and other institutions. A word of explanation about those three things is in order. The American Medical Association, as legally constituted, is a confederation of state medical societies. At the national level, it can only make policy. It has no legal authority. A number of years ago, when a great many of the medical schools were simply diploma mills, the A.M.A. enunciated the policy that only Class A medical schools should exist; and by an educational program, it was able to bring about a complete reform in medical education. Virtually all medical colleges except those which met the minimum standards for the education of the medical student closed their doors. The fight for the pure food and drug laws was conducted in identically the same manner, with very bitter opposition. However, the A.M.A. itself had no authority. Through an educational program, it convinced the national legislators that such legislation was necessary; it only sponsored the legislation and fought for it.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1950 |
Identifier | NCHH-17-011 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 11 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-011.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-011 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 480 |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1950 |
Identifier | NCHH-17-011-0486 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolina111950medi_0486.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 11 |
Issue Number | 9 |
Page Number | 480 |
Health Discipline | Medicine |
Full Text | 480 NORTH CAROLINA MEDICAL JOURNAL September, 1950 ;r criticized our national leadership. We did not blame that clique of men who were running the county medical society; we demanded that the national organization solve all of our problems. Just about the time we were condemning our national leaders for doing nothing, we became involved in a situation with the professional politicians in the national capital. These men began to pick a quarrel with the medical profession. They knew that their political ambitions could be furthered if they could sell socialized medicine or the federal control of the medical profession to the rank and file of the people. As this struggle at the national level became more acute and as the threat of socialized medicine became more imminent, we demanded of our national leadership increased action. It would be difficult to fight with a united front unless the differences among doctors and between doctors and their allies, the hospitals, were resolved. We knew that there were differences between Blue Cross, Blue Shield, and the House of Delegates of the A.M.A. Many of these differences seemed irreconcilable. We also knew that there was much ado about hospital-physician relationships, physician-physician relationships, and physician-hospital-public relationships — and again we demanded that the A.M.A. do something about it. The Responsibility of the American Medical Association Several years ago, as this struggle seemed to be entering into a catastrophic phase, the Board of Trustees of the American Medical Association created a special committee to study the problems of physician-physician, physician-hospital, and physician-hospital-public relations. They hoped that such a committee, giving a great deal of time to this subject, might come up with some answers that would tend to unify us against the politicians who would destroy us. I was chosen to be chairman of that committee. I would like to report to you some of the findings of that committee. After a careful study of all of the resolutions that had been passed over the years by the House of Delegates concerning the practice of medicine by hospitals, and after careful study of a great many of the situations where physicians had signed contracts for full-time service in hospitals and industry, the committee realized that no definite conclusions could be drawn until after it found out definitely what the law had to say about the subject. That there were many grave differences of opinion goes without saying. The first thing your committee did was to request the Legal Department of the American Medical Association to make a survey of the laws of every state in the union concerning the practice of medicine and to find out whether opinions had been rendered by any of the courts concerning the corporate practice of medicine. It took more than a year to do this job. The results of this survey have been published by your committee and by the A.M.A. One fact became clear—namely, that the corporate practice of medicine was illegal in most states in the union, except with certain modifications. It then became evident to your committee that the average medical man in the United States knows very little about the laws under which he practices, or about the authority of the American Medical Association. We were told by professional men from all over the country that the A.M.A. could approve or disapprove hospitals for intern training; that if the A.M.A. could destroy a great many medical schools that did not meet the requirements for medical education, and could control the Pure Food and Drug Act, there was no reason why it could not immediately put a stop to the corporate practice of medicine by industries, hospitals, and other institutions. A word of explanation about those three things is in order. The American Medical Association, as legally constituted, is a confederation of state medical societies. At the national level, it can only make policy. It has no legal authority. A number of years ago, when a great many of the medical schools were simply diploma mills, the A.M.A. enunciated the policy that only Class A medical schools should exist; and by an educational program, it was able to bring about a complete reform in medical education. Virtually all medical colleges except those which met the minimum standards for the education of the medical student closed their doors. The fight for the pure food and drug laws was conducted in identically the same manner, with very bitter opposition. However, the A.M.A. itself had no authority. Through an educational program, it convinced the national legislators that such legislation was necessary; it only sponsored the legislation and fought for it. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-011.pdf |
Document Sort | all; nchh-17 |
Article Title | Physician - Hospital Relations |
Article Author | Elmer Hess |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-011 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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