Reports Relating to the Sanitary Condition of the City of LondonSimon, John
History
Reports Relating to the Sanitary Condition of the City of London
Simon, John
Cemeteries -- England -- London; Mortality -- Statistics; Sanitation -- England -- London
[8] This check at least seems indispensable, for the reason above
given, that a professional diploma is the only criterion by which the
public can measure professional competence; and for the validity of
such a criterion, it therefore, I think, becomes the duty of a
government, on behalf of the public, to provide. For anything beyond
this (except in one particular case) the matter might take its natural
course. No law can supersede a necessity for common sense in the
subject; and medicine, I think, requires no _protection_. Let my
neighbour, by all means, if he desire it, send for a green-grocer to
reduce his dislocation or assuage his gout! and let him take the
consequences of his folly, in a spoilt limb or in a hair’s breadth
escape with his life. Only--let the green-grocer be punishable, if he
seek this office under false pretences, calling himself by any title
which implies a professional qualification. And, for what harm he may
do--let him of course (as would, if necessary, the presidents of our
colleges) be prepared to abide before judge and jury his trial for
malpractice. But, in strict adhesion to the principle I have
professed, that protection is wanted, not for the profession, but for
the public, I would suggest one exception to what otherwise might be
universal free-trade in medicine. I refer to the case of druggists;
who, whenever the Legislature may awake to the necessity of regulating
their trade, ought, I think, to be expressly prohibited from the
treatment of disease. To an immense majority of our population--to all
the under-educated classes, the druggist’s shop appears an emporium
for medical skill, as well as for medical appliances. They probably
have some vague overestimate of our art of healing, and think perhaps
that the several bottles on the shelf correspond to the several
ailments they can specifically cure. They ask for something “good for
a dropsy,” or “good for a wasting,” or “good for a palpitation;” not
knowing how much skill may be requisite to interpret the symptom; not
knowing that, to our highest skill, there is no medicine thus
indiscriminately, or even generally, “good.” At present almost
universally, druggists, with no medical qualification, are tampering
more or less with serious medical responsibilities; and the mischief
thus occasioned--especially among the poorer classes, is a matter of
notoriety, on which persons engaged in hospital practice would be
competent and tolerably impartial witnesses. It is because this evil
arises in the _almost inevitable ignorance_ of those who chiefly
suffer from it, that, in accordance with the principle above
suggested, I think it deserves consideration from the Legislature.
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