The Law and Medical MenRogers, R. Vashon (Robert Vashon)
History
The Law and Medical Men
Rogers, R. Vashon (Robert Vashon)
Medical laws and legislation
The Roman Law considered the services of an advocate and of a physician
as strictly honorific; and, as in the Roman age, practitioners in law
and medicine, were usually men of leisure and wealthy, who did not
practise for the sake of a livelihood, remuneration for their services
could not be recovered in the ordinary way. Although owing to the
Utopian ideas concerning the honour of a liberal profession then in
vogue it was considered that any mention of a “fee,” or a “salary,” by
that name would soil and disgrace the robe of a practitioner, still
it was an established fiction of the Civil Law that the promise of an
_honorarium_ always accompanied the employment of a professional man,
and that such promise created one of those obligations that might be
enforced by action [10]. The Common Law of England adopted the theory of
the Civil Law as to the high standing of the profession, but afforded
no remedy for the recovery of the charges. Surgeons and apothecaries
were enabled to recover by law remuneration for their services, but
a physician was presumed to attend his patient for an _honorarium_
(something left to the honour of the patient to pay or not to pay),
and could not maintain an action for his fees until the passing of
the Medical Act, 1858, put an end to his anomalous position in this
money-making age, and gave him as free an entrance into the courts of
law to recover compensation for his work and labour, time and |16|
skill bestowed, as the worker in any other path of life. Before this a
physician could not recover even expenses out of pocket, such as those
incurred in travelling to visit a patient, unless there had been an
agreement specially made to that effect [11].
If a physician was a surgeon as well, and attended a case where the
advice of a physician and the aid of a surgeon were necessary, he
could recover the value of his services as a surgeon but not as a
physician [12].
In England the question sometimes arises, where the practitioner is
only a surgeon, whether he can charge for attendance as a physician or
as an apothecary. It has been held that typhus fever is not a disease
that belongs to a surgeon’s branch of medicine, and that he cannot
therefore recover for his attendance on a patient suffering under it.
So, too, with regard to consumption and dropsy, though, in the latter
case, he may recover for any work done for the patient specifically
within his practise, such as puncturation, scarification, bandaging and
friction [13].
Public-domain text, read in full here on John Shaqi.
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