Peru as It Is, Volume 1 (of 2): A Residence in Lima, and Other Parts of the Peruvian Republic, Comprising an Account of the Social and Physical Features of That CountrySmith, Archibald
History
Peru as It Is, Volume 1 (of 2): A Residence in Lima, and Other Parts of the Peruvian Republic, Comprising an Account of the Social and Physical Features of That Country
Smith, Archibald
Peru -- Description and travel
No active measures have yet been adopted to suppress the flagrant
abuses of the Mata-sanos, who infest the interior villages of Peru;
where, we regret to say, even the regular practitioner is a kind of
public extortioner, who, persuaded that the price of his services is
never to be paid after pain and the sense of danger are removed from
the sick, is accustomed to make his bargain, and withhold his remedy
till he secures beforehand his fee: and the bargain is usually screwed
up to the utmost when the patient is known to be rich, and believes
his own life in danger. In consideration of the medical destitution of
the interior of the republic, and the crying evil thus entailed on the
community, it was suggested to the legitimate government in the year
1835, that, from every prefectorate of the republic, a certain number of
disciples should be sent to be educated at the common expense, in the
medical college at Lima; and that after these young men had completed
their studies, and were found duly qualified to exercise the medical
profession, they should be made to return as practitioners to their
respective provinces. This proposal would probably have been carried
into effect, had the country been left to enjoy public tranquillity;
and it is obvious how easily, under such an arrangement, villages and
districts of several thousand inhabitants could, by contributing an
average annual sum of only a few reals from each individual, procure
for themselves a salaried medical adviser, from the midst of their own
Indian or mixed population, in every way the most fitted to pass his time
usefully and agreeably among his native hills. But, as things are at
present, it is almost impossible, even at great expense to individuals,
to procure proper medical attendance in the time of need; for the
variable climate and temperature of the interior changing from hill to
dingle, and frequently from league to league, is peculiarly unfavourable
and disagreeable to the constitution and habits of the medical gentlemen
of the coast, (among whom there are some highly respectable and able
men,) who are commonly of various gradations of caste, from the black
through all the tints between this colour and white or European; so
that we need not be surprised at the reluctance of these individuals to
undertake the practice, or expose themselves to the privations of the
frigid regions of the interior. But the people of the Sierra, or upland
of Peru, being unprovided with medical teachers of their own, can only
rely on the capital and coast (where there is no scarcity of doctors,
both native and foreign,) for the supply of such regularly educated
physicians or surgeons as are here and there found in the interior; and
even these are not always stationary in one town or province, but often
ambulate backwards and forwards as their interest or inclination happen
to dictate. But, whether settled permanently in one locality or not,
Public-domain text, read in full here on John Shaqi.
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