Large Fees and How to Get Them: A book for the private use of physiciansHarmon, Albert V.
Science
Large Fees and How to Get Them: A book for the private use of physicians
Harmon, Albert V.
Medical fees
In the case of our fraternal societies the examiner’s
fees are pitifully low, so low that a busy man cannot do
the work save at a great loss of time. There are some
extenuating circumstances in the case of the co-operative
societies. In the case of both old line and co-operative
insurance, however, only the overcrowded and generally
poverty-stricken condition of the medical profession can
possibly explain the fact that good men are to be had so
cheaply.
Railroad and manufacturing corporations have no
difficulty in securing doctors to look after their interests
at a rate so low as to reflect on the respectability of the
profession at large. There are, for example, instances
in which doctors are rendering for $300 a year services
that should bring several thousand dollars at very ordinary
fees. In addition to this direct cheapening of professional
values, the company or corporation surgeon is
expected to go on the stand as an expert and prevaricate
in the interests of his employers. As a corollary, he is
190expected to testify against the interests of the poor
fellow who, perhaps, as the result of the company’s wilful
neglect, has only the wreck of a once vigorous manhood
with which to oppose the company’s immense
capital. And this the doctor does in an uncomfortable
proportion of cases.
When the charge is made that he “prevaricates” it is
correct. It would be pitiful, indeed, if the expert opinions
rendered by some corporation doctors were the
result of ignorance. The corporation expert does not
always prevaricate. The truth may be the best card to
play. He had better not let the corporation catch him
telling the truth, however, when said truth is prejudicial
to its interests. There is an ax, my brethren, an ax that
is ever ready.
Speaking of corporation surgeons reminds me of the
fact that practice in the neighborhood of our large factories
is rather poor picking for everybody. There is
plenty of work to be done, and there would be considerable
income derived therefrom, but the corporation
surgeon gets it all, and receives a mere pittance therefor.
The corporation claims to employ a surgeon for humanity’s
sake. This is pure hypocrisy—the doctor is employed
for its own protection. Every doctor knows of
cases in which, by the co-operation of the claim agent
and the surgeon, an injured employee has been induced
to sign away his manifest rights. He is usually denied
the right to select his own surgeon. To the non-partisan
medical observer, the bitter opposition of the average
juryman to corporations is in no wise remarkable. It
will be argued that there are plenty of honest corporation
191doctors. Grant you that, but it is hard to see how
they hold their jobs.
Public-domain text, read in full here on John Shaqi.
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