189. There are few things which the public are less able to judge of than the quality of drugs; and when these are compounded into medicines it is scarcely possible, even for medical men, to decide whether pure or adulterated ingredients have been employed. This circumstance, concurring with the present injudicious mode of paying for medical assistance, has produced a curious effect on the price of medicines. Apothecaries, instead of being paid for their services and skill, are remunerated by being allowed to place a high charge upon their medicines, which are confessedly of very small pecuniary value. The effect of such a system is an inducement to prescribe more medicine than is necessary; and in fact, even with the present charges, the apothecary, in ninety-nine cases out of a hundred, cannot be fairly remunerated unless the patient either takes, or pays for, more physic than he really requires. The apparent extravagance of the charge of eighteen pence for a two-ounce phial(1*) of medicine, is obvious to many who do not reflect on the fact that a great part of the charge is, in reality, payment for the exercise of professional skill. As the same charge is made by the apothecary, whether he attends the patient or merely prepares the prescription of a physician, the chemist and druggist soon offered to furnish the same commodity at a greatly diminished price. But the eighteen pence charged by the apothecary might have been fairly divided into two parts, three pence for medicine and bottle, and fifteen pence for attendance. The chemist, therefore, who never attends his customers, if he charges only a shilling for the same medicine, realizes a profit of 200 or 300 per cent upon its value. This enormous profit has called into existence a multitude of competitors; and in this instance the impossibility of verifying has, in a great measure, counteracted the beneficial effects of competition. The general adulteration of drugs, even at the extremely high price at which they are retailed as medicine, enables those who are supposed to sell them in an unadulterated state to make large profits, whilst the same evil frequently disappoints the expectation, and defeats the skill, of the most eminent physician.