Abstract
For some years past, rumblings have been heard about undesirable inequalities in the distribution of physicians. At this time the symptoms of the disease have plainly reached an acute stage. The present occasion is, I take it, somewhat in the nature of a consultation over the case, with a view of making in the first instance an accurate diagnosis of the etiologic factors concerned, and then if possible suggesting some sort of remedial treatment. Owing to the fact that the physician is, in most instances at least, under the necessity of earning his living by the practice of his profession, it inevitably, if unfortunately, results that he becomes a part of, and hence subject to all the restrictive laws consequent on the economic structure of society. The effects of competition, the law of diminishing returns, burdensome taxes, and all the other somewhat sad and tawdry aspects of economics vex him

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