Public health and insurance: American addressesNewsholme, Arthur, Sir
History
Public health and insurance: American addresses
Newsholme, Arthur, Sir
Health insurance -- Great Britain; Public health; Public health -- Great Britain
But in each committee it is the direct representatives of the
public who decide points of policy and settle the main outlines of
administration. There is growing up a tendency to appoint local
advisory committees, consisting of special groups representing
professional or trade interests. Thus a medical committee may
be consulted on medical proposals, and so on. This is still
in the experimental stage. It will probably prove permanently
useful, as voicing the occupational aspect of any proposed work
of the municipality; but it will need to be kept to its strictly
consultative limitations, and the responsibility of the Council as
representing the combined wisdom or unwisdom of the entire community
must be maintained.
All substitutes for government of the people by the representatives
of the whole population are open to objection. They do not contain
within them the elements of permanence. If there is a corrupt
council, the remedy is not its supersession by an independent
executive. Such an executive is the abrogation of popular government.
“Good and efficient government is possible under almost any form
of organization. More depends upon men than devices.... But ... if
we believe that the functions of deliberation or determination of
municipal policy and of administration or the execution or carrying
out of that policy should be kept distinct, we cannot avoid the
conclusion that a city council is a necessary part of the municipal
organization.”[8]
Each committee of the local Council is advised by the County Clerk
or Town Clerk on legal and administrative matters; and the medical
officer of health and other expert officers, like the legal adviser,
in nearly every instance, hold office during good behaviour. Under
the above arrangements the elected members and the officials are
kept in touch with each other. The latter’s recommendations and
actual work must be approved by the former; and this works well under
the system of determination of policy by committees, subject to
confirmation and control by the entire Council. The motive power is
public opinion. Good work cannot for any prolonged period go beyond
what the public demand, and the work of officials is one of constant
education of their masters and of the public.
_The Training and Tenure of Office of Health Officers_
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