Think of this as Volume 17, Number 33 of the newsletter I have written weekly since March, 1997. Enjoy.
Turns out their answer lay in the words of a man who has been dead for over 100 years.
In his “Autobiography,” the first part of which was finally published last year, Mark Twain wrote this:
“Consider the wisdom and righteousness of the old-time custom – the paying of the physician by the year. Consider what a safeguard it was, for both the physician's livelihood and self-respect, and the family's health. The physician had a regular and assured income, and that was an advantage to him; the family were safe from his invasions when nothing was the matter, and goodness knows that was an advantage to the family.”