The Waterbury Democrat., 1932-11-29

family, to neglect of health and of illness, to inadequate Expenditures for n1edicaE care, and often to incapable remuneration of practi- tioners.
 Satisfactory Medical Program q The following basic essentials are laid down in the report for in the formulation of a plan for the proyslion of medical service:
 I. The plan must safeguard the Z. quality of medical service and preserve the essential personal re- Z lation between patient and physi- i, clan.
 2. It must provide for tho fu- tures development of preventive and curative services in such kinds and amounts as will meet tho needs of substantially all the peo- pie and not merely their present effective demands.
 3. It must provide services on { financial terms which the people !. can and will meet, without undue { hardship, either through individual or collective resources. z 4. The program must include, Z not only medical care of the in- Z diivdual and the family, but also q well-orgapized and adequately { supported public health program that will apply all existing I knowledge to the prevention of disease and permeate all medical practice with the concept of pre- vention.
 g.. It should include provisions { for assisting and guiding patients in the selection of competent 1. practitioners and suitable faciii- ! ties for medical care. 6. 1t must provide adequate and insured payment to the in-
 dividuals and agencies furnishing
 the care. That this could be
 provided by comparatively small individual payments from those
 receiving such care is indicated in E, another part of the report, in which 1t is estimated that all
 needed medical care of the kind
 customarily purchased individual ly could be provided, excluding
 capital charges, for from $20 to
 $40 per capita per annum, which
 equals 40 to so cents per week.
 This estimate is based upon the [ actual experience of various or- ganizations that are now proyid- Ting complete or nearly complete
 service for weekly or monthly
 fees or without direct charge to
 the beneficiary.
 Lines of Approach Indicated
 After discussion of each of the six foregoing "essentiais,' the re- port specifies the following three "major lines of<approach" in ob- taining satisfactory medical ser- vice which will meet these essen- tidls: 1. The development of types
 of organized or group practice that will more, effectively and Economically meet the commun-
 minity's medical needs.
 2. The distribution, over q
 period of time and over a group
 of families or individuals. of the
 costs of service.
 { 3. Provision for the planning and coordination, on a local and
 regional basis, of all health and
 medical services.
 Among other data Included in the report is . discussion of the kinds of organization and admin istration that are deemed most likely to translate it's objectives in- to action. This is followed by q resume of the most significant plans and experiments now under way in which the advantages and disadvantages of each are briefly summarized.
 The report then considers the five recommendation outlined above in detail. and this Is fol- lowed by U chapter pointing out the need for action and suggesting some practical immediate stcpN
 COMMITTEE IsECoMMENDA-
 TIONS
 Z |.
 Tho committee recommends
 that medical service, both pre-.
 ventiye and therapeutic, should $ be furnished largely by organ
 ized groups Of physiciana, den-
 tists, nurses, pharmacists, and
 other associated personei. Such z groups should be organized, pre-
 ferably around q hospital for
 rendering complete home, office.
 and hospital care. Tho form of Z ssOr9nutzotiou Ghould ExlcouFAxe