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In 1923, the French writer Jules Romains addressed this issue in his comedy, "Knock, ou le Triomphe de la Medecine."2 Dr. Knock purchased the unprofitable practice of a country physician. He then diagnosed almost everyone in the village with an illness and prescribed cures whose costs were matched to the incomes of his patients. Dr. Knock's thesis was entitled, "Sur les Pretendus Etats de Sante" (On the Supposed Condition of Good Health). The epigraph of the
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