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The "Lodge Practice Evil" Reconsidered: Medical Care through Fraternal Societies, 1900-1930

Beito, David T

Journal of Urban History, July 1997, Vol.23(5), pp.569-600 [Periódico revisado por pares]

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  • Título:
    The "Lodge Practice Evil" Reconsidered: Medical Care through Fraternal Societies, 1900-1930
  • Autor: Beito, David T
  • Assuntos: Sociology & Social History ; History & Archaeology
  • É parte de: Journal of Urban History, July 1997, Vol.23(5), pp.569-600
  • Descrição: Examines lodge medical practice -- annual contracts made between physicians & fraternal lodges to provide basic medical care for members in exchange for a salary -- 1900-1930. Lodge practices expanded greatly in the beginning of the 20th century, & enabled working-class lodge members to obtain medical care that would otherwise have been unaffordable. Lodge practice also served to give patients increased bargaining power in their selection of medical care. The practice was strongly opposed by organized physician groups, who claimed it would decrease physicians' salaries as well as quality of care, & that it promoted irresponsible behavior by patients. By the 1920s, lodge practice was on the decline due to physician opposition, regulatory restrictions, decreased physician supply, shifting tastes, actuarial instability, & the development of insurance & of private social welfare suppliers. It is concluded that the decline of lodge practice meant the loss of affordable & accessible health care for many segments of the working-class population. 6 Figures. M. Nichols-Wagner
  • Idioma: Inglês

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