1939-02-28 — Page 18

THE HONGKONG TELEGRAPH TUESDAY, FEBRUARY 28, 1930.

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February 28, 1939

Rheumatism

man

the

To the average opinion expressed in these columns on Saturday that rheu- matism rather than cancer or tuberculosis, must be considered the chief scourge of 20th cen- tury civiliantion still wears an impression of novelty, and even of paradox: for rheumatism in itself is not the most lethal of diseases.

But organic heart disease, which is responsible for over a third of the annual death- roll in Britain, has long been accounted as principally rheu- matic in its origin. The lack of dramatic quality in rheumatisto is in part the cause, in part the result of the comparative neglect of science to study its problems fully. As was pointed out, it is less than fifteen years since attention in Britain was effce- tively stimulated by a report on the the subject issued by Ministry of Health.

Many forms of the disease and many causes contribute to what Sir William Osler well called "the great confusion that is rheuma- tism." One important factor, it is certain, is climatic. The

M

are in the news again

Y heart leapt up the other day when they told me that, being in bad financial flx, London's voluntary hospitals propose going cap in hand to the London County Council in Caso

Mr. perhaps

Herbert Morrison and the London Lab- our Party can solve their troubles.

do not believe that such a miracle can happen, because the voluntary hospital system is morally bust. Once this hap- pens to public institutions, their financial decay proceeds beyond repair.

The great tenching hospitals of London, and many of the other voluntary hospitals, do magnificent work. They are controlled and run by fine, devoted men and women.

But, except for a few lucky ex- ceptions, which are run by finan- clal wizards, they are hag-ridden by debt and reduced to dignified, often despicable, beg- ing which comes near-black- mail to avoid bankruptcy.

un-

IN fact the voluntary system is beginning to collapse under its own weight all over Britain-because the nation has outgrown it. At its height, during 1800-1000 period. It was the only guardian of the country's health.

During this zenith, the bestowal of a hospital was the current fashion In large-scale philan- thropy. Hospitals were presented.

to

secure

cin-

for so many reasons-to keep workpeople healthy. uties, in remorse for years of sweating and bullying by ployers who suddenly realised they could not live for ever, and--moro happily-from pure kindness and goodness of heart.

Very few such hospitals were adequately endowed, many, are totally inadequate for the service of growing towns, quite a few are encumbered because their donors saddled them with their private medical fads. There are homcro- pathle hospitals, teetotal hospitals, and even hospitals dedicated to minor religious eccentricities.

just as likely as by a Labour Jay- ernment, because there is no other way out of our present troubles.

Churity. Snobbery, occasional Jobbery, and much inelelency. With

noted certain exceptions above and their ke-will soon kil And, as the voluntary system. Cromwell said about the Irish. "Stone-dead hath no fellow."

When this happens, some people belleve that the relies of the volun- tary system can best be swallowed and digested by local authorities. Actually this is not so.

thing.

'For one

they could only finance such a tremendous meal by heavy in- creases to the rates.

hospital service resulted, citizens would have to put up with an in- crease of about 1s. 8d. to the county rate.

If the L.C.C. took over, mude over and modernised ail London's INFANTILE paralysis voluntary hospitals, ко that kills Methodist babies Logether with its own establish- and Catholle babies imments an efficient metropolitan partially. The good and the wicked collapse equally before in- Buenza. We already recognise this when dealing with virulent infer- tious diseases like smallpox, scarlet fever and diphtheria. Their victims are packed off to a public hos- pital without respect to creed or opinions

This is the right hieu. Every patient whom the doctor decides cannot properly be treated at home should be bundled off to a hospital provided and maintained by the State, staffed by the State medical service.

Despite tears and groans from sentimentallets, who make "hos pital work" their hobby, a State medical service will be set up in Britain before many years have passed-by a Tory Government

THIS

please would nobody. On a national scale it would cause tremendous confusion and strain the finances of smaller and poorer county councils to breaking point. No. The only way out is a State medical service, such as Labour polley proposes. This would build up one integral health service open equally to all citizens as a right.

Its only object would be to build healthy children into robust men and women, and then postpone their death for as long as possible. Naturally, Labour has various Ideas of how this postponemer

bill of £17,000,000 a year which Died in 1918, GRIN AND BEAR IT

Britain must pay for the india- position from this cause of per- sons in the insured classes of England and Wales alone is due in purt to the Homeland's notorious climate. Yet remedial research and systematic treat- ment could greatly reduce both temporary and permanent dis- ablement and largely eliminate this payment for ill-health. Lord Horder at the last meeting of the Empire Rheumatism Council stressed the fact that fewer than 50 of the thousand and more hospitals in the United Kingdom had special rheumatic departments, and that under 10 per cent. of the adult sufferers and hardly a quarter of the juvenile rheumatics could obtain specialised treatment. A change in hospital organisation and an extension of public philanthropy both scem urgent if rheumatic

THE HONG KONG & SHANGHAI HOTELS, LTD. | patients are to receive adeguate

attention.

German May

Be Exhumed

IEUT. EUGEN HERMAN WIL- HELM MAHN, prisoner of war In England, went on hunger strike and died of influenza and starvation. He was buried in Bray Cemetery, near Maldenhead.

Now, after 20 years (he died in November, 1918), the German officer may be exhumed.

Application made by a London finn of undertakers belleved to be acting on behalf of a sister living in Ger- many, has been agreed to by Bray Parish Council, subject to the con sent of the Home Office.

The Clerk of the Council. (Mr. A. J. Blake) said: "This officer was Interned near Maidenhead, and died in the Canadian Hospital provided by Lord and Lady Astor at Cliveden, their home.

"He was buried alongsile a fellow, German officer, and between them was interred a British sergeant who

their

escort during thel internment."

Has

The Home Ofea has dealt with a number of cases of this type since the

war..

Bodles of war prisoners and Allied

countries. There is generally Be

troops who died in England have been

exhumed and returned to Ureir own

difficulty in obtítning the permisalon of the Home Office,

By Lichty

"It was lovely boing a guest at your bridge club-my game was a little off because I scarcely know the

people you were talking about!"

can best be carried out, Naturally. those ideas are flexible, so long us the general principle involved re- mains inviolate.

A national comprehensive health service staffed by a medical and nursing profession which is paid and controlled by the public. That Is the basis of the whole matter.

Notice that the doctors must be nationalised na well as the hos- plinis. Unless we make them Civil servants we shall be nearly as badly off as we are now.

On the face of it. our present treatment of doctors is ridiculous. We allow men who have to decide if we ought to have operations to retain a vivid financial interest in how many operations take place- that is, unless we are poor. In that case the surgeons do it for nothing to keep their hands in between rich patients.

WE do not even have the sense of the Chinese, who pay their doctors

so much a month so long as they are well, but stop the payment when I until the doctor has cured them.

I know that most doctors are very honest men, and that there are high standards of honour and In Vocation In the profession.

Medical addition, the General Couneti keeps a stringent eye open for what it recognises as medical wickedness.

Nevertheless the system 13 obviously absurd. Doctors, speci- ally poor doctors, should not be A placed on such temptation, great many rich doctors have already given way to the tempta- tion to exploit their gifts and training purely for money, other- wise they would not be rich,

the

ONCE you tako money complex out of the art of healing, the medical-profession will quickly put Its own house in order. All the charlatans and fee-snatchers will bo put in their place by the honest majority. And then doctors will begin to recover the respect they are now gonerally losing.

Most young doctora will tell you that they would welcome a State medical service which would guar- antee them a real living wage, not work them to death, and free them from the plague of money-lenders to whom they now almost always must resort in order to buy them- selves a practice and so net up in business.

Many doctors are groaning with debt until they are 40 or 45. And how can a man heal you when he is racked by anxiety about that "next instalment" and tired through over-work undertaken to make more money, more quickly?

"PHYSICIAN. Heal Thyself," is sound advice the when applied to whole profcasion. The doctors no less than we, their patients, would bencat Irom #1 State medical service.

How long shall we have to wait? That depends on how sensible we are. The hospital and health policy- of the nation, like every other policy, is in our own handa,

Luckily, even Tories are now talking State Medical Service. Bo my guess is that

we shan't have to

¡wait too long."

T.D.

DINERS ANGLE

Spatile,

You can catch your own trout for dinner in 'n Seattle restauradi. The trout swim. in. a. pool in the centre of the dining room. A walter will sup- ply a rod for dinners who want to. angle for their trout.