The Third Great Plague: A Discussion of Syphilis for Everyday PeopleStokes, John H. (John Hinchman)
History
The Third Great Plague: A Discussion of Syphilis for Everyday People
Stokes, John H. (John Hinchman)
Syphilis
+Cheap Salvarsan.+--Before a general campaign for the successful
treatment of syphilis can be made a fact, salvarsan must become, as has
already been pointed out, a public and not a private asset. It must be
available to all who need it at the lowest possible cost[17]--practically
that of manufacture--and must be supplied by the state when necessary.
The granting of patent rights which make possible the present
exploitation for gain of such vital agents in the protection of the
public health is a mistake which we should lose no time in remedying.
While salvarsan does not mean the cure of syphilis, it does mean a
large part of its control as an infectious disease. When it can be given
only to the person who can muster from five to twenty-five dollars for
each dose which he receives, it is evident that its usefulness is likely
to be seriously restricted.
[17] The price of salvarsan before the war was $3.50 per full dose
for the drug alone. It can be profitably marketed at less than $1.00
per dose. The patent rights have been temporarily suspended during
the war, and their renewal by Congress should not be permitted.
+Reduction of the Expense of Efficient Treatment.+--Free treatment for
those who cannot afford to pay is a necessary part of the successful
operation of any scheme for the control of sexual disease. But for those
who can and are willing to pay a moderate amount for what they receive,
there should be pay clinics which will bridge the gap between the rough
and ready quality and the unpleasant associations of a free dispensary,
and the expensive luxuries of a specialist's office. This is a field
which is almost virgin in this country, and which deserves public
support. There is no reason why, for a reasonable fee, the patient with
syphilis should not secure all the benefits of hospital care, the
personal attention of specially trained men, an intelligent supervision
of his case, and the benefit of cooeperation between a hospital service
in charge of experts and the home doctor who must care for him during a
considerable part of the course of his disease. Provision of this sort
makes treatment both more attractive and more available to large numbers
of people whose pride keeps them away from the public provision for
charity cases, and whose limited means leave them at the mercy either of
quackery or of well-meaning but entirely inexperienced physicians.
Public-domain text, read in full here on John Shaqi.
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