THE MICHIGAN DAILY
nds That P! ysicians Discuss Policies For Hospital Here Three St1


Harry Newman Leads Midwest
Squad In Game At World's Fair

0

nas erve iu sevea ways tou arou
criticism, in some quarters quite i
tense, and active protest on the pa
of the medical profession. At t
same time it has been heartily a
cepted by various governmental uni
for the treatment of indigent cas
and by many citizens who felt th
could not pay for the services th
required. Action on the part of t
physicians has resulted in represe
tations before the Board of.Regen
of the University with regardt
;teaching and administrative polcie
and protest to the State Legislatu
in an effort to change the lawss
that more of the indigent patien
of the state would be treated in the
counties.
The reasons for the antipathyc
the ^medical profession as set fort
by the committee are:
1. The fear that the institutio
might serve in a very definite wa
to lay the foundation for state med:
cine.
2. Objection to the direct financi
competition of the professors at th
hospital with private practice in th
state.
3. A feeling on the part of man
physicians out in the state tha
members of the hospital staff exhib
an air of superiority over other prac
ticing physicians in the state befor
patients in the hospital.
With regard to the first cause o
complaint, the subcommittee make
no comment. It merely states tha
the hospital plan is regarded b:
many as an entering wedge for
state system of medical care. Th
complaints of this group, the com
mittee says, are directed at individ
uals of the staff for their advocac
of various types of state medicine.
The second group of complaints
reads the report, deals with -the hos
pital as a business competitor. "It i
asserted," the report explains, "tha
the prestige given the clinicians by
their positions attracts to them pri
vate patients who pay them money
'which should be spent with home
doctors.' The validity of this com-
plaint is questionable since it is at-
tached to that, at present, debatable
question concerning the quality of
medical service. One of the most
important complaints in this group
is that many patients, well able to
pay, present affidavits which are ac-
cepted without question." The re-
port holds, however, that admission
figures for the hospital appear part-
ly to disprove this contention, but,
reads the report, in view of the dis-
satisfaction among p h y s i c i a n s
throughout the state, the University
Hospital should make a special effort
to emphasize the investigation of
all affidavits presented.""
- "Less Respect for. Home Doctors"
With regard to the third cause
for complaint, the subcommittee
writes, "Patients who go to the hos-
pital are said to return with a les-
sened respect for the home physician.
This is developed in them by the
general air of superiority of the place
and 'in some cases by implied or
even direct criticism of the outside
physician, who himself is, in many
instances, a graduate of the Univer-
sity of Michigan.' "
The problems underlying the poli-
cies of operation of the University
Hospital are involved in two ques-
tions pertaining to functions. Is its
function that of a teaching ,hospital,
asks the committee, or should it serve
a second valuable purpose, that of
caring for the indigent sick of the
state? -
If it is the single function of the
University Hospital to serve as a
teaching hospital, then, one group in
the medical profession contends that
only 400 beds would be necessary.
Another group feels that 600 beds
would be sufficient to serve as ex-
perience for the 130 seniors and 103
juniors in the School of Medicine. To
this latter figure the subcommittee
subscribes. It is evident, it declares,
that with the expense added to the

costs of the care, many cases can
be treated more economically in the
counties than-in Ann Arbor. In or-
der to ascertain the proper teaching
valie of each of the inlying cases,
a county committee, or group of "dif-
ferentiators" could select certain

At the same time, pressure is bei
.rt brought to. bear for more hospit
he beds for. the. care of the insane a
c- tubercular. After all, the conceptic
ts that the University Hospital shou
es serve only such patients as are nee
ey ed for teaching purposes iay 1
ey correct. In case such a decision we:
he reached, the requisite number of be
n- could be set aside for teaching pu:
ts poses and the remainder could I
to used for tubercular and insane pat
es ents. It is felt that a capacity c
re 600 beds would provide suitab
so teaching material."
ts Another problem of operation polic
ir with which the medical professic
has concerned itself is with regard I
of full-time professorships at the Scho4
h of Medicine and the building up c
a pay-clinic to finance :the plan,.
n Advocates of full-time teachin
y (Hugh Cabot, for instance, forme
i- dean of the School of Medicine), de
lares the committee, contend th
al a man so engaged has a single allegi
ie ance, can do better work when the
e is no thought of private practice out
side of this teaching, and that h
y can direct research investigation
it without being distracted by competi
it tion for financial gains. Theoretical
ly, says the committee, this argumen
e is good, but practically the best clin
ical teachers have always been thos
f who maintained contact with th
s profession by engaging in privat
t consultation practice in addition t
y their academic work. Past experi
a ence, the report continues, wouli
e seem to indicate that full-time teach
- ing is not without its drawbacks an
- that while there may be a place fo:
Y certain full-time men, the plan. a
a whole is not practicable.
Pay-Clinic Opposed
- As to the second point, that of th
S pay-clinic, the medical profession
t writes the committee, is almost un-
Y animous in ist opposition to such a
- form of medical practice. "With the
Y prestige of a university professorship
and practice in one of the larges
and best equipped general hospitals
in the state, the University man ha
an advantage over an equally intelli-
gent, equally experienced, and equal-
ly skillful man without such prestige.
For the state to set up a pay-clinic
to compete with the very students
they are sending out to private prac-
tice is quite another matter. If full-
time professorship is in any way
dependent upon such a form of med-
ical practice, the plan is to be con-
demned."
The report cites statistics of the
University Hospital registrations and
admissions from 1926 to 1932. The
report shows that there. were on an
average of 20,245 admissions and
29,138 registrations per year between
1928 to 1932. Since 1928 when the
Michigan State Medical Society rec-
ommended the adoption of certain
policies which would keep the hospi-
tal functioning primarily as a teach-
ing institution, only three of the
eight groups, under which patients
are classified, have increased. These
are the state patients, the county
patients, and the patients coming
from doctors and families of doctors,
nurses, hospital staff, and employees.
The groups which have decreased
are students, persons bringing letters
from their regular medical attend-
ants, persons who sign affidavits that
they are unable to pay the minimum
fee of the practicing physician, pati-
ents who are able to pay, and emer-
gency cases.
- The next article of this series will
,deal with the report on Public
Health.
The "Irish" potato is native to the
western plateau of South America.

d How much swimming are you do-
d ing this summer? Can you save'
r your own life or that of another?
s Do -you wish that you could learn
to dive? With the facilities offered
by the department of physical edu-
cation for women at the University
there should be no non-swimmers on
campus this summer. Recreational
and instructional classes are being
j held in Barbour pool Tuesday, Wed-
t nesday, and Thursday at 3, 4, and 5
p. in., in the Union pool Mondays,
s Wednesdays and Fridays at 10 a. m.,
and Tuesdays and Thursdays from I
7:30 to 9:30 p. m., and in the Intra-
mural pool Wednesdays at 6 p. m.
Which one are you attending? '
Surely there is no more glorious
feeling than that of slipping through1
cool water at the end of a long day
of study. You owe yourself a little
recreation during a busy summer andt
swimming is educational as well asi
recreational. It develops determina-
tion, courage, good posture, and re-.t
laxation. From a physiological stand-f
point, swimming is one of the mostI
healthful exercises for developinga
the body symetrically, for by 9
strengthening the entire system itr
tends gradually to establish normalt
proportions.
Well co-ordinated movements in
swimming contribute toward relaxa-
tion and power while in diving gracer
and poise are fostered. Through this 9
activity the lung capacity is in-v
creased, the circulation stimulated,a
and digestion improved. It is one ofs
the best activities for bringing spon-v
taneous joy to the individual, for it
can be engaged in by all ages of men,
women, and children alike. It is by
far the most pleasant and agreeable
form of exercise for these warm sum-
mer days.
-f+
TEACH RABBIT RAISING d
FONTANA, Cal.-(P)--The United N
States rabbit experiment station here 9
is offering a 10 weeks' course in rab- e
bit raising. It is believed to be the n
first course organized to teach the n
raising of rabbits. The classes are
for boys and girls between the ages h
of 14 and 20 years. .

CHICAGO, Jub' 7.-(P)-American
college football hasn't "progressed a
century" as yet, but the progress it
hasemade in the 64 years since that
historic first R u t g e r s - Princeton
match will be well expounded by the
group of all-stars booked to "ex-
hibit" it at the World's Fair.
A Midwest-Coast battle, involving
the most glittering'stars of these re-
spective sections. in recent seasons,
is slated for 41ldier Field the night
of Aug. 24 with two decidedly repre-
sentative coaches-Howard Harding
Jones of Southern California and
Dick Hanley of Northwestern-as the
"master minds."
Visitors to the Fair from foreign
lands, who choose to witness what
has been. called the "most typically
American" sport, will not have to
watch any second raters go through
the motions.
Names that have held their share
of big sport-page headlines abound
in the 22-man rosters of each squad,
and the. growing midwest-coast sec-
tional rivalry should guarantee an
abundance of "the old college try."
The midwest outfit, judging from
early recruits, will be impressive-at
least "on. paper." Harry Newman,
"Michigan's brilliant game-winner of
last fall, heads a list of notable ball-
advancers which includes Jim Purvis
1and Roy Horstmann of Purdue, Pug
Rentner of Northwestern; Gil Berry,
Illinois' greatest back since Grange;
Lew * Hinchman of Ohio State and
Jack Manders of Minnesota.
These stars will operate behind an
"ideal". line bulwarked by such
tackles as Jack Riley of Northwest-
ern, Marshall Wells of Minnesota
and Joe Kurth of Notre Dame;
pivoted by Lawrence Ely, Nebraska's
giant center, and with John Keckich
of Indiana and Clarence Munn of
Minnesota at guards and Brad Rob-
inson of Minnesota and Dick Fencl
of Northwestern at the ends. And
there will be more than these when
Hanley's list is completed.
Seven Pacific coast schools will be
represented on Coach Jones' squad,
headed by a nine-man group from
Jones' own workshop, Southern Cali-
fornia. The Trojans who will play
are: Capt. Tay Brown and Ernie
Smith, famous tackle combination
of last fall; Gaius Shaver, quarter-
back in 1931; Garrett Arbelbide, end
in '31; Johnny Baker, guard in '31
whose field goal won that famous
16-14 game with Notre Dame; Mor-
ley Drury, quarterback in '27; Ray
Sparling, end who finished last fall;
Stan Williamson, captain and cen-
ter in '31, and Howard Tipton, guard
in '31.
The University of California con-
tributes three stars, all - from last
fall's Golden Bear eleven: Capt.
Dick Tozer, tackle; Sam Gill, guard,
and Harry Schaldach, halfback.
Three University of Washington
players listed are Dave Nisbet, end,
William O'Brien, guard, and Paul
Schwegler, tackle.
Frank Christensen, fullback, and
Jack Johnson, 216-pound tackle, will
represent Utah. Pete Heiser, giant
guard, of Stanford; "Hands" Sla-
vich, towering end from Santa Clara,
and Bill Beasley, St. Mary's out-
standing halfback, complete the
western contingent.
Two Americans Tie In
British Open Tourney
ST. ANDREWS, Scotland, July 7.
-(P)-Two youthful American pro-
fessionals, Densmore Shute, of Phila-
delphia, and Craig Wood, of Deal,
N. J., today tieA for the British Open
golf championship with totals of 292
ach for the 72 holes in one of the
most spectacular finishes in the tour-
nament's history.
Shute and Wood will play off at 36
doles Saturday for the title lost by
Gene Sarazen by a single stroke.

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