The Atlantic Monthly, Volume 08, No. 50, December, 1861: A Magazine of Literature, Art, and PoliticsVarious
History
The Atlantic Monthly, Volume 08, No. 50, December, 1861: A Magazine of Literature, Art, and Politics
Various
American periodicals
In the place of them, a far simpler system was proposed at the end of
the war. The eternal dispute as to whether the commandant should be
military or medical, a soldier or a civilian, was set aside by the
decision that he should be simply the ablest administrator that could
be found, and be called the Governor, to avoid the military title. Why
there should be any military management of men who are sick as men, and
not as soldiers, it is difficult to see; and when the patients are about
to leave the hospital, a stated supervision from the adjutant-general's
department is all that can be required. Thus is all the jealousy between
military and medical authority got rid of. The Governor's authority must
be supreme, like that of the commandant of a fortress, or the commander
of a ship. He will not want to meddle in the doctors' professional
business; and in all else he is to be paramount,--being himself
responsible to the War-Office. The office, as thus declared, is
equivalent to three of the nine old ones, namely, the Commandant, the
Adjutant-General, and the Quartermaster-General.
Next to the Governor, the Chief Medical Officer must be the most
important man in the establishment. He is to be concerned with
professional business only, and to see that all under him are to be
devoted in the same way. For this purpose there must be an end to the
system of requisitions. There must be a Steward, taking his orders from
the Governor alone, and administering a simple and liberal system
of diets and appliances of all sorts. It is his business to provide
everything for the consumption of the establishment, and to keep the
contractors up to their duty. The Treasurer's function speaks for
itself. All the accounts and payments under the Governor's warrant are
in his charge.
There is one more office, rendered necessary by the various and active
service always going on,--the superintendent of that service, or Captain
of the Wards. He is to have the oversight of the orderlies, cooks,
washers, and storekeepers; he is to keep order throughout the house; and
he is to be referred to in regard to everything that is wanted in the
wards, except what belongs to the department of the medical officers or
the steward.
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