Education, Medical -- Massachusetts -- 19th century; Homeopathy; Libraries, Medical -- Massachusetts -- 19th century; Medicine
The practice of making a profit on the medicine ordered has been held up
to reprobation by one at least of the orators who have preceded me. That
the effect of this has been ruinous in English practice I cannot
doubt, and that in this country the standard of practice was in former
generations lowered through the same agency is not unlikely. I have seen
an old account-book in which the physician charged an extra price for
gilding his rich patients' pills. If all medicine were very costly,
and the expense of it always came out of the physician's fee, it
would really be a less objectionable arrangement than this other most
pernicious one. He would naturally think twice before he gave an emetic
or cathartic which evacuated his own pocket, and be sparing of the
cholagogues that emptied the biliary ducts of his own wallet, unless he
were sure they were needed. If there is any temptation, it should not be
in favor of giving noxious agents, as it clearly must be in the case of
English druggists and “General Practitioners.” The complaint against
the other course is a very old one. Pliny, inspired with as truly Roman
horror of quackery as the elder Cato,--who declared that the Greek
doctors had sworn to exterminate all barbarians, including the Romans,
with their drugs, but is said to have physicked his own wife to death,
notwithstanding,--Pliny says, in so many words, that the cerates and
cataplasms, plasters, collyria, and antidotes, so abundant in his time,
as in more recent days, were mere tricks to make money.
A pretty strong eddy, then, or rather many eddies, setting constantly
back from the current of sober observation of nature, in the direction
of old superstitions and fancies, of exploded theories, of old ways of
making money, which are very slow to pass out of fashion.
Public-domain text, read in full here on John Shaqi.
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