Evening star., 1938-12-20

Ing its approval Of . Washington
makes q member Of the at
tending or regular medical staff Of
that hospital who continues to serve
on such staff subject to disciplinary
action by said defendant society,
expulsion from said So
ciety. Simultaneous withdrawal Of
the members Of its regular or at
tending stan from q Washington
hospital, in order to obtain COM
pliance by that hospital with the
wishes and policies Of the defendant
the Medical Society of the District
of Columbia, would deprive the hos
pital of services essential to 1t,
would cause 1t a loss Of prestige, and
would thereby seriously injure the
said hospital.
Carries Out Policies.
%. Defendant Washington Acad-
emy Of Surgery makes recommended
tions to some Of the Washington
hospitals with respect to appoint
ments to their courtesy stats. In
making such recommendations, de-
fendant Washington Academy OF
Surgery can and does carry out the
policies and wishes of defendant the
Medical Society of the District OF
Columbia. The recommendations OF
defendant Washington Academy OF
Surgery with respect to such ap-
pointments are ordinarily followed
by the regular or attending staff OF
the Washington hospitals in making
recommendations to the governing
bodies Of such hospitals with respec!
to applications for such appoint
ments.
g. Medical students and doctors
receiving postgraduate training in
hospitals, ordinarily known as "in-
terms and residents" render val
liable services to the hospitals with
out substantial compensation. De-
fendant American Medical Associa
ton. by means of periodic inspec-
tions, determines and declares what
hospitals in the United States it be-
lieves are suitable for postgraduate
training of interns and residents
No other public or private agency
rates hospitals for this purpose. In
order to obtain credit generally
throughout the medical profession
for postgraduate training in hospi-
tails, and frequently in order to OBJ
tain a medical degree or a license
to practice, it is necessary for medi-
cal students and doctors to take such
training in hospitals which 6efend-
ant American Medical Association
has approved for that purpose. Loss
OF approval by defendant American
Medical Association therefore moi
only causes loss Of prestige to q
hospital, but also ordinarily prevent.
q hospital from obtaining interns
and residents. Inability to obtair
interns and residents ordinarily
compels hospital to employ house
doctors, at substantial expense.
Only Member Doctors.
30. Defendant American Medica
Association has adopted the policy
that hospitals approved by it 70,
intern and resident training shoulc
have on their medical stats onl,
doctors who are members of de.
fendant American Medical Associa
ton.
81. Each Washington hospital /,
approved by defendant American
American Medical Association TO,
the training Of interns or of resi-.
dents or of both. The power of de.
fendant American Medical Associa.
ton to withdraw such approva
gives defendant American Medica
Association power to enforce com.
pliance by Washington hospital.
with the policies and wishes of de.
fendant the Medical Society of the
District of Columbia and Of de.
fendant American Medical Associa.
ton.
80. Principally for the reasons
hereinabove alleged, defendant.
American Medical Association. thu
Medical Society OF the District O,
Columbia, and Washington Academy
OF Surgery possess power to expel OF
exclude q doctor, disapproved b,
them solely because he has engaged
in group medical practice on a risk.
sharing prepayment basis, from at.
tending and treating his patients ir
the Washington hospitals, the sale
Washington hospitals, including al
the hospitals in the District of Co.
lumbia in which private patient.
may be treated by doctors.
w.. The Conspiracy.
SO. Group Health Association
Inc. was incorporated on Februar,
10, 1887, and authorized to do busi.
ness under and by virtue of the law,
of Congress for the District of Co.
lumbia. Said corporation is a non.
profit, cooperative association Of
employees of certain departments ir
the executive branch Of the United
States Government employed in thu
District of Columbia. Most mem.
bers Of Group Health Association
Inc, are embraced within the Low
income group. over 30 per cent oi
them earning annual incomes of no,
more than $1,000. Said corporation
Is engaged in the District OF Colum,
bia in the business of arrangine
for the provision Of medical carl
and disqualification to its member.
and their dependents on . risk.
sharing prepayment basis. Sale
corporation collects monthly pay.
ments in the form of dues from it,
members. Medical care is provided
by a medical stan consisting of sal.
aried general practitioners and spe.
cialists engaged In group practices
under the sole direction Of q medi.
cal director. Said corporation pay
adequate salaries to the doctors or
its medical stan and provides thu
medical sta6 with q modern, vel
equipped clinic, which was opened
on November l, 1887. Said corpora
ton also defrays. within limits, thi
expenses of disqualification Of "a
members and their dependents. Til
personal relationship ordinarily ex.
tsting between doctor and patien,
obtains between the doctors on ths
medical staff of Gro,lp Health Al.