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• W4235959413 abstract "HomeRadiologyVol. 41, No. 5 PreviousNext Medical Practice and the Blue CrossPublished Online:Nov 1 1943https://doi.org/10.1148/41.5.495MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractPer ardua ad astra was the motto of many knights in the days when chivalry was in flower and did battle with the infidel. Per ardua ad radiologia scientifica might be the motto of many physicians and laymen today, men who have been battling the inclusion of diagnostic medical services in group hospitalization plans for almost a decade. These men realize that if a hospital can sell a radiologist's services today, it can sell a surgeon's tomorrow—and, in a short time, can become an advertising, competing corporation selling all branches of medical service. When competition becomes keen, the first thing which can and will be cut will be the quality of medical service. The profession will not dictate the changes; the corporation will.The trend in government is toward centralization and regimentation. The trend in hospital practice is toward increased control of physicians and increased dictation as to the type of equipment they shall use and even the fees they shall charge. Neither government nor hospital corporation appears to grasp the inevitable results of these trends, which must be the elimination of the personal interest of the physician in his patient and the personal urge for scientific progress.The new proposed uniform national contract of the Blue Cross Commission specifies the inclusion of radiological services as a part of hospital care. We have no quarrel whatsoever with Blue Cross plans which provide for strictly hospital services in their benefits, but when they attempt to encompass medical services, such as diagnostic radiology, we have a great and keen interest indeed. If the Blue Cross Plan Commission of the American Hospital Association would revise the wording of its contract, and arrange for the provision of hospital services only, it would comply with the considered recommendations of the organized medical profession and eliminate with one stroke a grave source of friction between the profession and the hospital organizations.We as radiologists are keenly aware of this problem, but are our colleagues in other branches of medicine? Do they realize that if some branches of medicine are allowed to slip into permanent hospital domination today, almost all branches of medical practice must follow? What can be done about the situation?First, awaken your colleagues to the current state of affairs. Show them the editorials in the Journal of the American Medical Association for July 31, 1943 (The Practice of Radiology and Hospital Service Plans), in the Westchester County Medical Society Bulletin for August 1943 (Hospital Practice and the Public Interest), and in the San Francisco County Medical Society Bulletin for October 1943 (Hospital Control of Medicine).Second, develop the identification of your own practice in your hospital. Your colleagues know that you are trained and skilled in radiology. When they themselves want to have a stomach examination, a “lumbosacral,” or a sinus study, they come to you as a radiologist.Article HistoryPublished in print: Nov 1943 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 41, No. 5 Metrics Altmetric Score PDF download" @default.
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