 In 1933, the American artist Joseph Tomanek painted a version of the painting making small changes to the composition.In 1947 it was reproduced on a United States postage stamp for the centenary of the American Medical Association, which in 1949 used it in their campaign against nationalised medical care as proposed by President Harry S. Truman.The image was printed on 65,000 posters and brochures with the slogan, "Keep Politics Out of this Picture".