The Hospital Bulletin, Vol. V, No. 2, April 15, 1909Various
Philosophy
The Hospital Bulletin, Vol. V, No. 2, April 15, 1909
Various
Medical colleges -- Alumni and alumnae -- Maryland -- Baltimore -- Periodicals; Medicine -- Periodicals
bases his charges upon this feeling of respect for himself and his
profession. This axiom should be held in mind in arranging any fee
table, and should be insisted upon in our settlements with those who
think a doctor's bill should be discounted from one-quarter to one-half.
I have often wondered how this right to a discount in a doctor's bill
ever got such a firm hold in the public mind. Perhaps the city man
cannot appreciate this fact like his country brother. The poor, honest
old farmer, part of the bone and sinew of the land, expects the highest
cash price for everything that he sells. If anybody has ever heard of
one who when ten barrels of corn at $3.50 per barrel comes to $35,
offering to take $25 for his bill, he should corral and cage this rara
avis. But hundreds of us from the rural districts have been deemed mean
and close-fisted and extortionate because we gently insist that $35
worth of professional services rendered are worth $35 and not $25.
This is largely our own fault, for so many of us present a bill in one
hand and an apology in the other. We collect our bills not as if they
were our just dues, but with a half-hearted insistence, inducing our
debtor to believe that we have scruples ourselves as to the value of our
services, and that a liberal discount from the face of the bill will
about bring us to a fair settlement. It will be better for all--for
patient as well as physician--to realize that the "science of human
duty" implies a duty to oneself as well as a duty to the public, and
that a small proportion of the charity of our profession should begin at
home. To the young men I would especially give this advice: Having
settled on a fair and honest fee for your services, do not depart from
this fee. With us, as a rule, prosperity in the form of a numerous
clientage comes sooner than to the other professions. You will not long
have opened your office before you will be surprised at the number who
demand your services. There will be no doubt of the demand, for those
who pay the least invariably demand the most. Don't turn them away, for
if you properly employ your time, you will gain in experience and
occasionally a dollar or two. You will soon be enlightened as to your
popularity, for the first pay day will send most of them to another and
it is presumed easier man. Many of those who stick will tell you that
Dr. ---- never charged but 50 cents a visit, when the regular fee is
$1.00. Dr. ---- will vigorously deny this and produce his books to prove
his truth. Here is everything plain before you. Every visit is listed at
the established figure. You will rarely see his cash book, for then the
whole transaction would be plain, and you would discover the simple
manner by which in every community some supposedly ethical man is
supplanting his truly ethical brother by charging full fees and settling
for half.
Public-domain text, read in full here on John Shaqi.
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