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 national anti-tuberculosis arrangements which were made in
connection with the National Insurance Act had scarcely been fully
organized when the war began. At an early stage it had become plain
that in essentials non-insured must be provided for as well as
insured, and Government grants of half the approved expenditure on
the treatment of tuberculosis in the general population endorsed this
principle. There was no reason, therefore, for the continued separate
existence of the “Sanatorium Benefit”; and had it not been for
political considerations the treatment of tuberculosis would probably
already have been handed over to public health authorities, while
leaving intact the general provisions of the National Insurance Act
as to monetary payments and benefits. The same transference should
apply also to the treatment of any disease undertaken at the public
expense. The treatment of disease, especially in its more difficult
specialist and institutional branches, should become a matter of
communal provision, to which every person would be entitled as he is
to the common provision under our system of elementary education, or
to the common use of free libraries and of drinking water.
There is needed a widely extended propaganda against tuberculosis.
The public as well as the medical profession need to be educated,
the latter in the carrying out of complete and prompt notification
of cases of the disease, and in the use of all facilities provided
for aiding diagnosis; the former in the risks of industrial
and other dust infections, of indiscriminate expectoration, of
alcoholism, of imperfect nutrition, of bad housing, and so on.
We all need to learn the folly of imperfect measures against
tuberculosis. Complete success can only be attained if we assume
responsibility for the whole course of the life of the consumptive.
Not only must educational sanatoria be provided—and, still more
important—hospital treatment for all the emergencies of the disease
and in advanced disease; but in the quiescent intervals assistance
must be forthcoming to cover the margin between a living wage and the
earning capacity of the ex-patient, and economic assistance must be
provided for protecting the patient, and still more his family, from
defective nutrition and from infection. To stop short of this is to
be extravagantly parsimonious; to do this is to economize in sickness
and to secure increased efficiency in future generations. What better
work can be thought of for Red Cross volunteers than in supplementing
the work already carried out by anti-tuberculosis organizations and
in extending and systematizing these agencies. Is not such peace work
equal in importance with the war work which Red Cross workers have
already accomplished?
_Venereal Diseases_
Public-domain text, read in full here on John Shaqi.
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