Medicine -- Anecdotes; Physicians -- Great Britain
To give prescriptions to the very poor, unaccompanied with the means
of getting them dispensed, is of little use. Sir Astley Cooper used to
see in the vicinity of his residence the slips of paper, marked with
his pen, which it was his wont to distribute gratuitously to indigent
applicants. The fact was, the poor people, finding it beyond their
means to pay the druggist for dispensing them, threw them away in
disgust. It was just the same in 1687. The poor folk carried their
prescriptions to the apothecaries, to learn that the trade charge for
dispensing them was beyond their means. The physicians asserted that
the demands of the drug-venders were extortionate, and were not
reduced to meet the finances of the applicants, to the end that the
undertakings of benevolence might prove abortive. This was of course
absurd. The apothecaries knew their own interests better than so to
oppose a system which at least rendered drug-consuming fashionable
with the lower orders. Perhaps they regarded the poor as their
peculiar field of practice, and felt insulted at having the same
humble people--for whom they had pompously prescribed and put up
boluses at two-pence apiece--now entering their shops with papers
dictating what the two-penny bolus was to be composed of. But the
charge preferred against them was groundless. Indeed, a numerous body
of the apothecaries expressly offered to sell medicines "to the poor
within their respective parishes, at such rates as the committee of
physicians should think reasonable."
But this would not suit the game of the physicians. "A proposal was
started by a committee of the College, that the College should furnish
the medicines of the poor, and perfect alone that charity which the
apothecaries refused to concur in; and after divers methods
ineffectually tried, and much time wasted in endeavouring to bring the
Apothecaries to terms of reason in relation to the poor, an instrument
was subscribed by divers charitably disposed members of the College,
now in number about fifty, wherein they obliged themselves to pay ten
pounds apiece towards the preparing and delivering medicines at their
intrinsic value." Such was the version of the affair given by the
College apologists. The plan was acted upon; and a dispensary was
eventually established (some nine years after the vote of 1687) in the
College of Physicians, Warwick Lane, where medicines were vended to
the poor at cost price.
Public-domain text, read in full here on John Shaqi.
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