Abstract
This paper uses the Metropolitan Life Insurance Company Visiting Nurse Service (1909‐1953) as a case study to illustrate that the balance of cost and care issues is a recurring theme in nursing. Hoping to decrease mortality rates, Metropolitan Life Insurance Company joined with trained nurses from the Henry Street Settlement House to provide home care and health teaching to industrial insurance policyholders. From the onset in 1909, nursing and business shared a faith in the humanitarian spirit of the project. Despite this mutuality of good intentions, the values of nursing and business differed. When values and priorities clashed, conflict erupted over patient care policy.
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