A physician should not dispose of his services under terms or conditions which tend to interfere with or impair the free and complete exercise of his medical judgement and skill or tend to cause a deterioration of the quality of medical care.1 Patient care in local governmental hospitals continues to be woefully inadequate in spite of declarations regarding medical care as a right rather than a privilege. Periodic exposés of conditions in municipal and county hospitals produce transient and superficial improvements against a background of erosion of the spirits of hospital workers and of increasing distrust of the system by . . .