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Phase IV and Medicine

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Department of Community Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Ann Intern Med. 1973;79(4):595-597. doi:10.7326/0003-4819-79-4-595
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Conflicts over prices are not new in medical care. In the midnineteenth century, particularly in Europe, there were major conflicts between physicians and groups of citizens banded together in "sick funds." More recently in France, which has a fee-for-service scheme, there has been a running battle between the physician and government over the fee. In America any conflict of this kind has been low key and the physician has been able to set prices. In the 1940's and 1950's the physician-fee index of the consumer price-index lagged behind the general consumer index; the gap was rather large throughout the fifties.


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