22419/26

COLONIAL MEDICAL SERVICE.

Extract from Note of a Meeting held in the Colonial Office Conference Room on Wednesday the 6th of January, 1937, between representatives of the Colonial Office and a deputation from the Dominions Committee of the British Medical Association.

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3

5.

MEDICAL PRACTICE IN HONG KONG.

Dr. Macgown said that, from its early days as a

Colony, medical work in Hong Kong had to a very

considerable extent been discharged by the private

practitioner. He urged that this was a most

advantageous situation, which it would be a pity to alter

by throwing upon the Government the full responsibility

for maintaining medical services for the whole community.

But that was the direction in which matters were

developing, for the present policy of the Government

appeared to be aimed at the provision of institutional

treatment on approved lines, not merely for those unable

to pay, but also for those able to pay, reasonable charges.

Persons in the latter class were charged fees for

maintenance and treatment in public hospitals which bore

no relation to the charges which they would have to pay in

private nursing homes; the result was that the private

practitioner and the private nursing home, which at

present could provide fully for the normal requirements

of that part of the population able to pay reasonable

charges, were being driven out of business.

Apart from the general aspects, Dr. Macgown

urged that a change of policy in this matter ought not to

be

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