THERE has long been a need for more adequate data concerning the medical care activities of full-time health departments. In response to many requests for information, the Subcommittee on Medical Care of the American Public Health Association instructed its staff to undertake an inquiry into the extent to which health departments provide therapeutic services in their specialized health programs, the degree to which they administer general medical care services and the type and extent of health department relationships with hospitals.* A review of the functions of federal and state health agencies indicates that they have substantial responsibilities for the provision of medical care. The U. S. Public Health Service operates a network of 24 marine hospitals, 18 dispensaries, and 96 medical relief stations for merchant seamen, members of the U. S. Coast Guard and their dependents, federal employee compensation cases, and other beneficiaries. The Public Health Service also operates 2 hospitals for drug addicts and mental patients, provides medical service for 27 federal penal and correctional institutions, and is administratively responsible for Freedmen's Hospital in Washington, D. C. In addition, the Public Health Service
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