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
Many medical practitioners already fulfill this ideal. It would
oftener be realized were it not for the excessive work which many
are obliged to undertake. In the early history of public health in
England poor law medical officers, attending the impoverished in
their dwellings and familiar with their home conditions, became
part-time medical officers of health. But the attempt to combine
prevention and treatment proved unsuccessful, because these officers
visited only a small proportion of the dwellings of the poor, because
they were not trained in preventive work, and because the good seed
of preventive work was choked by the increasing demands of lucrative
private practice. In connection with the future general medical
service, curative as well as preventive, it is not beyond the range
of human ingenuity to provide schemes for district medical officers
(health and clinical) adequately trained in public health work, and
linked up closely with the hospital and dispensary unit for their
area.
This will cost money. But sound health is our greatest personal and
national asset, and disease is always more expensive than health.
“Who winds up days with toil, and nights with sleep” has “the
forehand and vantage of the king,” if the latter suffers in body or
mind. The real wealth of a nation does not consist in its money, in
the volume of its trade, or in the extent of its dominion. These are
only valuable insofar as they help to maintain a population—and not
only a portion of it—of the right quality; men, women and children
possessing bodily vigor, alert mind, firm character, courage and
self-control. This ideal can never be realized unless and until the
medical men of the future train themselves for and devote themselves
to their essential share in its fulfillment, and while keeping this
ideal in view see to it that every step taken is one which will be
consistent with the complete scheme of the future.
We are all concerned in the efficiency of every member of the
community, from an economic as well as from a humanitarian
standpoint. Can we be satisfied while a large proportion of the
population do not obtain medical and ancillary assistance to the
extent of their needs? Does such a state of things conduce to
the settlement of social unrest? Is it consistent with Christian
principles?
If communal provision has been recognized as a duty for police
protection, for sanitation, for elementary education, should it not
likewise be admitted for the more subtle and maleficent enemies of
health which have been recognized, but which in no community have
hitherto been completely combatted?
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