The Doctor's Dilemma: Preface on DoctorsShaw, Bernard
Philosophy
The Doctor's Dilemma: Preface on Doctors
Shaw, Bernard
Physicians
Private practice, thus protected, would itself protect individuals, as
far as such protection is possible, against the errors and superstitions
of State medicine, which are at worst no worse than the errors and
superstitions of private practice, being, indeed, all derived from it.
Such monstrosities as vaccination are, as we have seen, founded, not on
science, but on half-crowns. If the Vaccination Acts, instead of being
wholly repealed as they are already half repealed, were strengthened by
compelling every parent to have his child vaccinated by a public officer
whose salary was completely independent of the number of vaccinations
performed by him, and for whom there was plenty of alternative public
health work waiting, vaccination would be dead in two years, as the
vaccinator would not only not gain by it, but would lose credit through
the depressing effects on the vital statistics of his district of the
illness and deaths it causes, whilst it would take from him all the
credit of that freedom from smallpox which is the result of good
sanitary administration and vigilant prevention of infection. Such
absurd panic scandals as that of the last London epidemic, where a fee
of half-a-crown per re-vaccination produced raids on houses during
the absence of parents, and the forcible seizure and re-vaccination of
children left to answer the door, can be prevented simply by abolishing
the half-crown and all similar follies, paying, not for this or that
ceremony of witchcraft, but for immunity from disease, and paying, too,
in a rational way. The officer with a fixed salary saves himself trouble
by doing his business with the least possible interference with the
private citizen. The man paid by the job loses money by not forcing his
job on the public as often as possible without reference to its results.
THE TECHNICAL PROBLEM
Public-domain text, read in full here on John Shaqi.
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