Large Fees and How to Get Them: A book for the private use of physiciansHarmon, Albert V.
Science
Large Fees and How to Get Them: A book for the private use of physicians
Harmon, Albert V.
Medical fees
There is nothing in all this that is illegal, but it is
opposed to the best interests of the profession. At first
sight it appears an evidence of imbecility to send prescriptions
180to be compounded by a competitor. Yet you
send them to the druggist, who is your most active competitor.
Not only is he one directly, but he is often the
agent of some other doctor or doctors whose merits he
glibly contracts with your demerits, for the edification
of the patient. You tell him, time and again, not to
repeat your prescriptions, but to no purpose. In some
cases you know that he is giving commissions to one set
of doctors, while his clerks are getting commissions
from practice sent to others, yet you stick to him.
Now, there’s but one solution of the problem. Every
doctor who can should dispense his own medicines. The
people like it, and the profession will soon learn to like
it. The doctor can furnish medicines cheaply and still
make a profit. The patient pays a bill for services and
medicines much more cheerfully than one for services
alone.
Not the least of the good things that would result
from the doctor doing his own dispensing would be the
familiarity with his working tools thus acquired. Most
men enter practice without the least knowledge of the
physical qualities of the drugs they expect to use. Many
a man has prescribed, over and over again, remedies he
never saw, smelt or tasted. The best doctor is he who
is most familiar with his curative agents. Another desirable
result would be the doctor’s renunciation of
polypharmacy. He would soon learn that the number
of serviceable drugs is by no means legion. Where a
number of doctors occupy an office, they should have
their own dispensary.
When neither plan suggested is feasible, the doctor
181should endeavor to find a druggist who, in consideration
of having practically a monopoly of the prescriptions of
that particular physician, will dispense his prescriptions
on cipher and never without an order. It is possible to
find such druggists. Self-interest is likely to induce
them to treat the doctor fairly, when all other arguments
fail. There is a peculiar advantage in this system
in the fact that the doctors’ favorite formulæ can be kept
in quantities already prepared, thus saving time and
assuring uniformity in dispensing. Under such an
arrangement, too, the druggist is able to be much more
reasonable in his prices. He is also likely to keep such
special preparations as the doctor may request, thus
avoiding the temptation to substitute.
One thing is certain in the relations of doctor and
druggist, viz., the time is not far distant when the
doctor will either dispense his own drugs or will boycott
every druggist who counter-prescribes or sells patent
medicines. The profession will not go blindly on forever,
carrying grist to the other fellow’s mill.
Public-domain text, read in full here on John Shaqi.
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