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 problems of industrialism in relation to health cannot be
adequately discussed apart from a consideration of the remuneration
for work, which necessarily depends on the power of the worker to
strike a satisfactory bargain with his employer, and the extent to
which he can ensure regular employment. If these conditions cannot
be fulfilled, or if the breadwinner is dead or disabled, poverty
results, using this word here in the sense of inability to provide
for the personal and family essentials of health. And here we are at
once faced with the problem of relation of population to means of
subsistence. Malthus in 1798 advanced the pessimistic hypothesis that
poverty is the inevitable result of increase of population, which
entitles him to be characterised as the Schopenhauer of Political
Economy, as Schopenhauer was the Malthus of Philosophy. Without
attempting detailed discussion of Malthus’s hypothesis, it is clear
that the wealth of the population depends upon
1. The amount of food produced,
2. The amount of materials produced,
3. The efficiency in preparation of these materials, and
4. Convenience of transport.
In all these particulars means of subsistence, considered
internationally, have during the last century grown more rapidly
than population; and now, whether we like it or not, a new
element has entered into the problem in this and several other
countries,—voluntary control of births,—necessitating the estimation
of future growth of population on a radically different basis from
that of the past, and banishing the fear of poverty as the result of
too large a population.
It may even become necessary to adopt some method of national
remission of taxation or subsidisation of wages in accordance with
size of the family, not only in France, but hereafter in England, if
in England, as already in France, the voluntary control of births is
practised to an extent resulting in a stationary or even a decreasing
population. In America the possible need for such action will not
arise for several generations, during which, however, unless the
present trend of events is changed, Roman Catholics appear likely
largely to replace Protestants, and the Slavonic and Irish to
preponderate over the Anglo-Saxon elements of the population. It is
possible, of course, that in another generation the Roman Catholic
Church may not be able to continue its ban on birth-control, and that
the more “backward” (?) races will adopt similar devices, including
even the Japanese and the Chinese.
_The Malthusian Hypothesis_
Public-domain text, read in full here on John Shaqi.
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