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
Truly, a generous corporation, the public would
argue. It not only looks after its sick and injured without
charge to the unfortunate, but it gives them the
benefit of the best medical and surgical talent obtainable.
But the corporations did not do this from philanthropic
motives. Not much. It was a matter of business.
Sickness and accident among a large force of employees
costs money. The quicker it can be overcome the
better off the company will be. But, the reputation for
188philanthropy once established, the corporations began to
economize in their outlay for medical expenses. For
this the doctors and surgeons were largely at fault themselves.
The plum was too tempting and there was a
keen competition for it, with the result that prices took
a sharp tumble.
Physicians with a small practice who heard of other
doctors getting $5,000 a year to look after the sick and
injured employees of a corporation argued that they
would like to do the work for $2,000. It would ensure
living expenses, and what they could pick up on the side
in regular practice would be profit. They didn’t know,
until too late that the demands on their time would be
such that they would have little opportunity for outside
practice, and that the $2,000 they received from the corporation
would cover their entire income. So they began
bidding and wire-pulling against one another, and
the corporations, wise unto their day and generation,
took advantage of the unseemly competition.
In no one line of corporate endeavor is this competition
more keen and noticeable than in life insurance. It
is not so very long ago that the position of medical examiner
for a good company was a respectable, lucrative
position. What is it now? It is safe to say that there
is hardly a company in the field to-day that pays a
decent sum for its medical examinations. The doctor is
the watchdog of the company’s treasury. He stands between
it and great financial loss. He protects it against
fraud. A slight error or the least degree of negligence
on his part may cost the company thousands and thousands
of dollars. The issuance of a policy is a very important
189business transaction. The doctor stands in the
same relation to it as does the lawyer who examines the
abstract in a real estate deal. Contrast the fee allowed
the medical examiner in a case involving the issuance of
a $100,000 life insurance policy and that received by the
lawyer who examines the abstract in a real estate transfer
involving $5,000, and my argument is complete.
Some companies expect to secure all of an expert examiner’s
time—and actually get it—for $2,000 to $3,000 a
year. It might be well to contrast, also, the commission
received by the agent who writes the policy, with the
medical examiner’s fee.
Public-domain text, read in full here on John Shaqi.
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