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
The record in curative medicine, especially on its surgical side,
is one of increasing triumph over serious disease and injury, in
which the discovery of anaesthetics and of Listerism have borne an
essential part.
None of us can, however, be satisfied with the success already
obtained, and I have elsewhere given reasons for concluding that at
least one-half of the mortality and disablement still occurring at
ages below 70 can be obviated by the application of medical knowledge
already in our possession.
The Great War has shown both in Great Britain and in America the
extent to which defects and disease exist in would-be recruits to
our armies. In the United Kingdom only two-fifths of a large section
of recruits could be placed in the first grade; and among American
recruits out of two and one-quarter million men measured and examined
physically at local boards 29.1 per cent. were rejected on physical
grounds; though in the introduction to the Official Bulletin (No.
11, March, 1919) it is pointed out that many of the disabilities
have little importance in civil life, and that these considerations
possibly “reduce to 15 per cent. the proportion of males 20 to 30
years old who carry a serious handicap against normal activity in
civil occupations.”
These figures, whatever doubt may attach to their exact arithmetical
value, signify the existence in the community of a large amount of
physical disability which must greatly reduce the sum of national
efficiency and happiness. The records of our medical examinations
of school children bring out the same fact, and emphasize the
necessity not only for school clinics on an immensely larger scale
than at present, but also for additional medical and nursing care in
connection with child-bearing and during the pre-school period, which
would discover defects and disease at an earlier stage, and would
secure the provision not only of early preventive treatment, but
also of more systematic improvement of the sanitary environment of
maternity and childhood.
_Present Extent of Socialization of Medicine_
Public-domain text, read in full here on John Shaqi.
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