Great Britain. Royal Commission on Poor Laws and Relief of Distress; Poor -- Great Britain; Poor laws -- Great Britain
We do not find that the Principle of Curative Treatment has been
deliberately applied to the other classes of paupers. To the aged,
curative treatment is, indeed, scarcely applicable, but it is
interesting to trace, in the policy of expressly directing the grant of
adequate outdoor relief to the deserving aged, combined with the
statutory requirement that a friendly society allowance is not to be
taken into account in such grant, a sort of Principle of Greater
Eligibility. With regard to the able-bodied, there is a certain
premonition of the Principle of Curative Treatment in the farm colony as
well as in the "mental instructor" sanctioned for the able-bodied ward
of the workhouse. Indeed, there is only one class of paupers to which
the Central Authority has rigidly refused to apply this new principle.
From the casual ward every trace of curative treatment has been
eliminated, and the Principle of Less Eligibility rigidly adhered to.
(ii.) _The Principle of Universal Provision_
But what is most strikingly new since 1834 in the policy of the Central
Authority is the Principle of Universal Provision, that is, the
provision by the State of particular services for all who will accept
them, irrespective of "destitution" or inability to provide the services
independently. We see this principle in most municipal action, but it
impinges on the work of the Poor Law authorities most directly in such
services as vaccination, sanitation, and education. From the standpoint
of the Poor Law critic, this principle avoids the characteristic Poor
Law dilemma, and escapes alike the horn of making the condition of the
patient so bad as to be injurious to him, and that of making it better
than the lot of the lowest grade of independent labourer. In providing
vaccination, sanitation, and education--to say nothing of parks,
museums, and libraries--indiscriminately for every one who is ready to
accept them,[842] the State does nothing to diminish the inequality of
condition between the thrifty and the unthrifty--for it is a simple
axiom that the addition of equals to unequals produces unequals--whilst
it raises the standard of living of all. The most thrifty of artisans
who discovers a public elementary school freely provided for his own
children, does not find his advantage over his unthrifty neighbour
thereby in the smallest degree diminished. It is this consideration
which justifies the provision of municipal hospitals, and which,
presumably, led the Central Authority of 1870 (under Mr. Goschen) to
dwell upon the expediency of "free medicine to the poorer classes
generally, as distinguished from actual paupers, and perfect
accessibility to medical advice at all times under thorough
organisation."[843] It is this principle that lies at the base of all
schemes of non-contributory pensions to be given to persons on reaching
a certain age. The controlling limits of the application of this
Principle of Universal Provision in the mind of the Central Authority
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