the mind from any doctrinaire socialistic plans, a duty to include all
the population in wholly free health-service from the state. There
are differences which may well be stressed between schemes for placing
medical service of every sort under state regulation and wholly
supporting it by public tax, and any plan for radically abolishing the
capitalistic regime.
We are fast coming to a united conception of social duty as requiring
help to all parents that they may bring up their children in health
and give those children the physical training which they need. Let us
all, then, push hardest first for the standardization of health in the
case of children and youth and the best possible arrangements of
tax-supported aids to the realization of that standard. That is surely
one of the ways in which the parental burden of child-care can be
socially shared without starting embarrassing questions of radical or
conservative theories of logical next steps.
=Health Boards Should Help All Alike.=--We can, however, thus divorce
health activities from economic disputes only by making the
investigation of children, the provisions for free examination and
treatment, and the establishment of hospital and clinic facilities
exactly the same for the children of the rich and of the poor. A
recent investigation of the diet of children deduced from reports of
undernourishment furnished by doctors specializing in children's
diseases, showed that in some cities, at least, the children of the
well-to-do were as often underfed or wrongly fed as were the children
of the poor. Sometimes the fact that a family is financially able to
employ a nurse, but not intelligent or conscientious enough to employ
a competent nurse, results in worse conditions, as to food and other
particulars, than are found where poor mothers do the best they can
with limited means.
=Items of Work in Child Hygiene.=--The standards of health and the
public provisions for their realization, which even now in the crowded
city of New York are so ably enforced by "The Division of Child
Hygiene," show that "the hazardous business of being a baby" is much
reduced in risks. The list of details of work undertaken by that
Division of Child Hygiene as so fully reported in the document of 1914
and in later publications may be of use if here repeated. They are as
follows:
I. Control and Supervision of Midwives.
II. Reduction of Infant Mortality.
III. Supervision of Foundlings Boarded in Private Homes.
IV. Inspection and Supervision of Day Nurseries.
V. Inspection of Institutions for Dependent Children.
VI. Medical Inspection and Examination of School Children.
VII. Vaccination of School Children.
VIII. Enforcing of Child-labor Law in Issuing Work Certificates.
For this many-sided work physicians, trained nurses, and various other
helpers are required. Could the public purse be drawn upon for a more
vital public necessity than this list indicates?
Public-domain text, read in full here on John Shaqi.
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