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
This meeting, itself, is the result of the creation of one of these
coordinating agencies by Executive Order. And what is involved in this
meeting?
Suppose a private corporation was spending, apart from the interest it
paid on its debts, about one-fourth of all its expenditures along one
certain line of activity. That is what this Government is doing through
the Boards represented here,—Army, Navy, Veterans’ Bureau, etc.
Supposing that business had run along for a hundred years and somebody
would come in and say to the head of the business, “How much money are
you spending on this particular activity?”
“Well, so much, one-fourth of all we spend.”
“Have you ever had a meeting of the heads of the agencies for the
expenditure?”
“No.”
“Well, how do you know you are not duplicating facilities? How do you
know there is any coordination between the establishments you are
building in the securing of supplies, in the hiring of men?”
“We don’t know. We never have had, in this business organization, even a
meeting to discuss the question of proper expenditure of money upon the
standpoint of one corporation as distinguished from five separate
departments of a corporation.”
Now what a ridiculous situation that is and yet that is what has
pertained from the beginning of Government. We have forty-one
independent governmental departments and establishments and each of them
has been going on its own way and the result has been chaos in business,
absolute chaos. It is a remarkable thing that here for the first time in
the history of the Government you have got together the elements to
determine the proper administration of this most important matter of the
care of the sick and the disabled among the veterans of the war. For the
first time it is possible, by this juxtaposition, to properly consider
policies to prevent duplication, to devise ways and means and it is a
comment upon the terrible conditions under which the business of this
Government has been transacted, and that is the first instance where you
could get them all together to discuss a coordinated policy. That has
been so with everything. The meeting never would have gotten together,
you never could have gotten together physically in connection with this
thing unless you had been ordered together by the use of the Executive
power of the President of the United States. Now don’t get that out of
your head,—that underneath this reorganization of government, which is
not to be effected, but which has been effected in this routine
business, there is the idea of force, and if the idea of force was not
there we would not have gotten anywhere in connection with the securing
of these results, which small as they are, represent an immense advance
upon the old situation. I speak now from the standpoint of the
accomplishment of these coordinating boards,—not as predicting something
that is going to be done, but of the result of that which has been done
Public-domain text, read in full here on John Shaqi.
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