Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
On the other side, it was contended, that by several orders of the
college, its members were enjoined to give their advice to the poor
_gratis_; and that not only to such as could come to them for it; but
every physician, in his neighbourhood, was obliged to visit the sick
poor, at their own lodgings; and therefore the objection, that, if the
apothecaries could not administer physic but by the prescript of a
physician, the poorer sort of people would be lost for want of proper
remedies, had not the least foundation. And, when these orders were
observed not to have their full intended effect, on account of the high
prices which the apothecaries generally demanded for the remedies
prescribed, whereby the poor were deterred from consulting the
physician, for fear of the charge of the physic; the college, by a joint
stock, erected several dispensaries in town, where, after the physicians
had given their advice _gratis_, the patients might have the physic
prescribed, for a third, and generally less, of what the apothecaries
used to exact for it; by which expedient, many hundred persons of mean
condition, received their cures at a very small expense, and without one
farthing profit arising to the physicians. That in cases of sudden and
immediate necessity, not only apothecaries, but any other person, might
do his best to relieve his neighbour, without incurring the penalty of
the law; but there was no reason why the apothecaries, under that
pretence, should be permitted to undertake, at leisure, all dangerous
diseases; and especially where, as in this city at least, a skilful
physician may be as soon had as an apothecary. That, in common or
trifling indispositions, the patients themselves were generally their
own physicians; and would of course, send for any medicine, of which
there had been common experience, for their cure, and which the
apothecary might lawfully make up and sell; but, for the apothecary to
be permitted to judge of diseases in their beginning, whether slight or
not, and to order medicines for the same, would prove both dangerous,
and more chargeable. _Dangerous_, because the most malignant distempers
usually begin with apparently inconsiderable symptoms, and are many days
before they appear in their proper colours; and, as apothecaries are not
bred to have suitable skill, the management thereof ought not to be left
to their judgment. And _more chargeable_, because, be the disease ever
so slight, the apothecary will be sure to prescribe largely enough; and
should he chance to mistake, then that distemper, which, by the discreet
advice of a physician, might, by one proper medicine, have been
eradicated at the beginning, runs out into great length, to the extreme
hazard and great expense of the patient.
Public-domain text, read in full here on John Shaqi.
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