7. Give dates of treatment at your office 8. Give dates of treatment at patient's home 9. Is this person under your direct medical treatment at present time? If not, when released? 10. Is this person totally disabled at the present time from performing any and every duty of his occupation? If not, explain If so, 11. Is disability due to any injury or sickness arising out of and during the course of your patient's employment? explain 12. Is patient confined to his house? treatment while working? If not, can patient receive 13. When should patient be able to resume any part of his work? Remarks Date Telephone number Signature M. D. TABLE 1.-Population and income, 1943, mortality rates and medical-care facilities for specified periods, and education of persons 25 years and over, 1940, by State · Iowa.. Kansas. Michigan Minnesota. Footnotes at end of table. J TABLE 1.-Population and income, 1943, mortality rates and medical-care facilities for specified periods, and education of persons 25 years and over, 1940, by State-Continued 15, 694 1 Regions as defined by Bureau of the Census. Under this grouping, the South includes Delaware, the District of Columbia, Maryland, and West Virginia, which were not in cluded among the Southern States discussed in the special article What Social Security Can Mean to the South, by Mrs. Ellen Woodward, in the Social Security Bulletin for July 1945. 4 Per 1,000 live births. 5 Puerperal deaths per 1,000 live births. 6 Per 100,000 population. 7 Rejection rates per 100 registrants examined at local boards and induction stations February-August 1943. 8 Excludes physicians in the armed forces. Based on estimated population as of Nov. 1, 1943. 10 Number of beds in general and special hospitals registered by the American Medical Association in 1941 per 1,000 population in 1940. 11 Based on 1940 census data for persons 25 years and over. Source: Social Security Board, Bureau of Research and Statistics, Division of Coordination Studies, Sept. 14, 1945 2 Estimated by Bureau of the Census. 3 Estimated by Social Security Board. The CHAIRMAN. Doctor, will you give your full name and the organization that you represent. STATEMENT OF DR. LAWRENCE JACQUES, CIVIC MEDICAL CENTER, CHICAGO, ILL. Dr. JACQUES. Yes, sir, I am Dr. Lawrence Jacques. I am a physician. My practice is limited to general surgery. I am a member of the executive Committee of the Civic Medical Center and the surgeon of the Civic Medical Center. The CHAIRMAN. And you are located in Chicago? Dr. JACQUES. 20 East Jackson Boulevard, in Chicago. The CHAIRMAN You have a prepared statement, have you, Doctor? Dr. JACQUES. I have; yes. The CHAIRMAN. You may proceed with your statement. Dr. JACQUES. May I say a word as to my background? The CHAIRMAN. Yes. Dr. JACQUES. I am a graduate of the University of Chicago and of Rush Medical College, class of 1924. I interned at Cook County Hospital in Chicago. I spent 2 years after that doing investigative work in the field of physiology and pathology and became a full-time assistant of a Chicago surgeon. I spent most of the year 1928 in Europe, doing postgraduate work in surgery. I was formerly on the surgical staff of the Cook County Hospital, Michael Rees Hospital, and Wesley Hospital, and I taught surgery in the department of surgery at Northwestern University Medical School for about 8 years. I may say that I am the son of a doctor; that I was reared in the atmosphere of medical practice since infancy. The CHAIRMAN. Are you a member of the American Medical Association? Dr. JACQUES. I am not, sir. The following statement in support of the national health bill is submitted to the Committee on Education and Labor at the request of, and with the endorsement of, the Chicago Citizens' Committee to Extend Medical Care. It is offered as a case history of an early effort in voluntary group practice and prepayment and to illustrate the difficulties and complications encountered by such a project under present conditions. It is based on the 11-year experience of the Civic Medical Center of Chicago with group practice and prepaid medical care. During this period the writer has been surgeon and a member of the executive committee of that organization. Our experience has demonstrated two points relevant to the considerations involved in the national health bill: 1. We have found that while the prepayment principle is practicable and works clearly to the advantage of both physican and patient, a private voluntary organization under existing conditions cannot apply this principle on an adequate scale. 2. "The record of our dealings with organized medicine, as represented by the Chicago Medical Society, raises some question as to the readiness of the society to set up voluntary plans of its own. |