Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
History
Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
Medicine, Military; Military hospitals; World War, 1914-1918 -- Veterans -- Medical care -- United States
I have wondered whether or not our present system of compensation to
that type of individual was the best, or whether the system of Canada or
England would be better. In other words, they do not put a premium on a
man to go to a hospital. If I am correct, a man gets less money when he
goes into a hospital than when he is out. It is my meagre opinion that
in that type of neurosis, he would tend to fight harder as an individual
to put himself back into a financial, gainful pursuit; and with the
advantages the Government offers him now, especially through
rehabilitation, I feel he could be put on a much better adjustment than
he was before.
Another point which has recently come to the attention of us locally is
the question of guardianship; and I am going to ask Dr. Guthrie if it is
a known fact that two men in the same hospital, with the same
disease—that one will draw his compensation without a guardian, the
other is required to have one.
DR. GUTHRIE: It was our understanding that a man who is a psychotic by
reason of service should at least have a guardian. If that is not true,
I suggest to the Hospital Committee that it is a point for
consideration, as it puts the man in the field between the devil and the
deep, blue sea.
DR. W. A. WHITE: I think the man who has a guardian has one usually because
his people have applied for such. I believe the Bureau never
relinquishes the right to control of the funds, and is not obliged to
pay the funds to the guardian. Legally the patient can be paid if he is
competent.
DR. CHRONQUEST: In looking over histories of cases that come to West Roxbury
and information received, I believe that a point that would be of help
to the service as a whole is the getting of accurate histories. We find
patients being transferred to N.P. hospitals, who have a diagnosis which
is not correct according to the past histories taken, due to the fact
that careful search has not been made in gathering the facts of the
men’s disabilities. At times it may be the fault of the examining
physician. It may be the fault of the social service department. Again,
it may be the fault of the individual, or of the family itself in trying
to protect the patient in question. I believe that those errors, which
are seen every once in a while, should be overcome; and I feel that all
of us, whether Neuro-psychiatrists or not, who have anything to do with
either neuroses or psychoses, should be extremely careful of the
histories and get them complete, detailed and accurate.
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