Economists -- Great Britain -- Biography; Smith, Adam, 1723-1790
In boroughs, monopoly had made work bad and dear; in universities, it
had led to quackery, imposture, and exorbitant fees. One remedy for the
inconveniences of town corporations had been found in the outgrowth of
manufacturing villages; and, in a similar way, the private interest of
some poor professors of physic had done something to check the
exorbitance of rich universities, which made a course of eleven or even
sixteen years necessary before a student could become a Doctor of Law,
Physic, or Divinity. The poor universities could not stipulate for
residence, and sold their degrees to any one who would buy them, often
without even a decent examination. “The less trouble they gave, the more
money they got, and I certainly do not pretend to vindicate so dirty a
practice.” Nevertheless these cheap degrees, though extremely
disagreeable to graduates whose degrees had cost much time and expense,
were of advantage to the public in that they multiplied doctors, and so
sunk fees. “Had the Universities of Oxford and Cambridge been able to
maintain themselves in the exclusive privilege of graduating all the
doctors who could practise in England, the price of feeling a pulse
might by this time have risen from two and three guineas, the price
which it has now happily arrived at, to double or triple that sum; and
English physicians might, and probably would, have been at the same time
the most ignorant and quackish in the world.”[28]
This trenchant reasoning seems to have prevailed. At any rate, the idea
of obtaining governmental interference was dropped. Some time
afterwards, however, Dr. Cullen took an opportunity of pointing out that
there is a good deal more to be said for the corporate regulation of
medicine than for ordinary trade guilds. Adam Smith probably pushed his
argument for free trade in medical degrees to this extreme mainly from
anxiety to prevent the interference of an unwise Government in his
favourite universities, though partly no doubt because he thought
fraudulent competition better than none, partly again for love of
maintaining a paradox. A more spacious handling of this theme is found
in the _Wealth of Nations_, more especially in the famous tenth chapter
of the first book, with its account of “Inequalities occasioned by the
Policy of Europe,” and in a later criticism of universities.
Public-domain text, read in full here on John Shaqi.
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