1939-02-28 — Page 30

6

THE HONGKONG IT LEGRAPH TUESDAY, FEBRUARY 28, 1989.

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The

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'Phone 26615 February 28, 1939

Rheumatism

the

To the

average man 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 civilisation still wears an impression of novelty, and even of paradox: for rheumatism iu itself is not the most lethal of But organic heart diseases. 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 rheumatism 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 effec- tively stimulated by a report on the subject issued by the 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 bill of £17,000,000 a year which Britain must pay for the indis- position from this cause of per- sons in the insured classes of England and Wales alone is due in part to the Homeland's

Why

M

THE

SPARING WOOD MEN

the hospitals

the

are in news again

Y heart leapt up the other day when they told me that, being in a bad inanelal fx. London's voluntary hospitals propose going cap in hand to the London County Council in case perhaps Mr. Herbert Morrison and the London Lab- our Party CRN solve their troubles.

I do not belleve 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 teaching hospitals of London, and many of the other voluntary hospitais, 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 fan- clal wizards, they are hag-ridden

debt and reduced to by dignified, often despicable, bag- ging which comes near-black- mall to avold bankruptcy.

un-

I 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.

Died in 1918, German May

Be Exhumed

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 (ho died in November, 1978) ike German offleer may be exhumed.

Application made by a London firm. of underlukers believed to be acting on behalf of a sister living in Ger- nuny, has been agreed to by Bry Parish Council, subject to the con- sent of the Homo Office.

notorious climate. Yet remedial LIEUT, EUGEN HERMAN WIL- 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 Rheumatisın 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 internment." In hospital organisation and an extension of public philanthropy both seem urgent if rheumatic

THE HONG KONG & SHANGHAI HOTELS, LTD, patients are to receive adequate

attention.

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

"He was burled alongside a fellow German officer, and between them was interred a British sergeant who was

their escort during their

The Home Office has dealt with a number of cases of this type since the wor.

Budles of war prisoners and Allied exhumed and returned to their own troops who died in England have been countries. There is generally no

dimiculty in obtaining the permission of the Home Officer)

for co many reasons-to keep workpeople healthy, to sccure titles, in remorse for years of sweating and bullying by cm- ployers who suddenly realised they could not live for ever, and-more 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 hoino- pathic hospitals, tectotal hospitals, and even hospitals dedicated to minor religious eccentricities.

INFANTILE paralysis. * kliis Methodist babies and Catholic bables im- partially. The good and the wicked collapse equally before in- Buenza. We already recognise this when dealing with virulent infec- tious diseases like smalipox, scarlet fever and diphtheria. Their victims are packed off to pubile hos- pital without respect to creed or opinions

This is the right idea. 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 sentimentalists, 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

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

Charity. snobbery, ocensional Jobbery, and much inefficiency with

certain exceptions noted above and their likewill Edon kii! And, as the voluntary system. Cromwell said about the Irish. "Stone-dead bath no fellow,"

When this happens, some people believe that the relies of the volun- tary nystem can best be swallowed and digested by local authorities. Actually this is not so. For one thing, they could only finance such a tremendous meat by heavy in- creases to the rates.

If the L.C.C. took over, made over and modernised all London's that hospitals, ዳሳ voluntary. together with its own establish- ments an emelent metropolitan hospital service resulted, citizens would have to put up with an in- crease of about 1s. 6d. to the county rate.

*

Would THIS

please 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 policy proposes. This would build up one integral health service open equally to all citizens as a right.

Its only object would be to bulld healthy children into robust men and women, and then postpone their death for as long as possible. Naturally. Labour has variou Ideas of how this postponɛme"*

GRIN AND BEAR IT

跨

By Lichty

"It was lovely being a guest at your bridge club my game was a little off because I scarcely knew thể

people you were talking about!".

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

A national comprehensive health service staffed by a med.cal 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 as well as the hos- pitals. 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 caso 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 it 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. addition, the General Medical Council keeps a stringent eye open for what it recognises as medical wickedness.

the

Nevertheless

15 system obviously absurd. Doctors, speel- ally poor doctors, should not be placed on such temptation, A 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.

ONCE

2104

take the

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 be put in their place by the honest majority. And then doctors will begin to recover the respect they are now generally losing.

Most young doctors 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- solver a practice and so set up in business.

Many doctors are groaning with debt until they are 40 or 45. And how can a man heal you when he 1s racked by anxiety about that

and **next instalment "

tired through over-work undertaken to make more moncy, more quickly?

-PHYSICIAN. Heal Thyself," is sound advice the when applied to whole profession. The doctors no less than, we, their patients, would benefit from 'n State medical. servico.

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 hands,

Luckily, even Tories are now talking státa Medical Bervice.", Boi my guess is that "gg

wo shan't have to`

wait too long.

T.D.

A DINERS ANGLE

Seattle.

You can match your own trout for -dinner; in^a- Seattle (restaurant. The trout swim in a pool in the centre of the dining room, waiter will Tup- ply a red for dinners who want Angle for their trout.

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