1939-02-28 — Page 6

Hongkong Telegraph 港電新報 士蔑新聞 All

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6

THE HONGKONG TELEGRAPH TUESDAY, FEBRUARY 28, 1939.

FOR

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at-

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The

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February 28, 1939

Rheumatism

the average Το

Ma the thene expressed in opinion columns on Saturday that rheu- mutism rather than cancer or tuberculosin, must be considered the chief. scourge of 20th cen- tury civilisation still wears an impression of novelty, and even of paradox: for rheumatism in 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 luck 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 the subject issued by Ministry of Health.

in

THE

SPARING WOOD MEN

Why the hospitals

M

are in the news again

Y heart leapt up the other day when they told me that, being in

A

bad financial fix. London's voluntary hospitals propose going cap in hand to the London County Council in case perhaps Mr. Herbert Morrison and the London Lab-

Party

solve can our

their troubles.

I 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 teaching 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 ran by Anan- cial wizards, they are hag-ridden by debt and reduced to un- dignifico, often despleable, beg- ring which comes near-black- mall to avoid bankruptcy.

IN fact the voluntary system is beginning to collapse under its own weight all uver Britain-because the nation has outgrown it. At its height, during 1860-1900 period, it. was the only guardian of the country's health.

During this zenith, the bestował of a hospital was the current fashion in large-scale phillan- thropy. Hospitals were presented,

Died in 1918, German May

Be Exhumed

IEUT. EUGEN HERMAN WIL-

in England. went on hunger strike and died of influenza and starvation. He was buried in Bray Cemetery, near Maidenhead.

Many forms of the disease and many causes contribute to what Sir William Osler well called "the grent 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 part to the Homeland's notorious climate. Yet remediul M MAHN, prisoner of war research and systematic treat- ment could greatly reduce both temporary and permanent dis- nblement 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 seem urgent if rheumatic

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

attention...

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

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

the

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

"He was buried alongside a fellow German officer, and between them was interred a British sergeant who W/EUR their escort during their internment.**

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

Dodies of war prisoners and Allied who died in England have been exhumed and returned to their own Countries. There is generally no dimqully in obtaining the permission of the Home Office,

for

GO many reasons to keep

to

secure work:people healthy, tities, lo remorse for years of sweating and bullying by em- ployers who suddenly realised they could not live for ever, and--more happly from pure kindness and Koodness of heart.

Very few such hospitals were adequately endowed, many are totally inadequate for the service at growing towns, quite a few are ncumbered because their donors saddled them with their private medicat fads. There are homeo- pathic hospitals, tectotal hospitals. and even hospitais dedicated to minor religious eccentricities.

INFANTILE

paralysis kills Methodist bables and Catholic babies Im-

the partially. The good and wicked collapse cqually before in- Buenza. We already recognise this when dealing with virulent infec- tious diseases like smallpox, scarlet lever and diphtheria. Their victims are packed off to a public hos- pital without respect to creed.or opiniona

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 trouble...

Charity. snobbery, occasiona} Jobbery, and much inefficiency- with

notea certain exceptiona above and their ilke--will soon kitt the voluntary system. And, n Cromwell said about the Irish. "Stone-dead hath no fellow."

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

reases to the rates.

If the L.C.C. took over, made over and modernised all London's 30 that hospitals, 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 Is. dd, to the county rale.

THIS would please nobody. On a national scale 1 would CAUSE tremendous confusion and strain the finances of smaller and poorer county councils to breaking point. No. The only way out in a State medical service, such as Labour policy proposes. This would bulld 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

GRIN AND BEAR IT

By Lichty

was lovely doing a pricat at your bridge club-my game

toas a little off because I scarcely knew the

•people you were talking about?”

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

A national comprehensive health service staffed by a medical and nursing profession which is bald 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 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 ill 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 oye open for what it recognises as medical wickedness.

Nevertheless the Bystem 13. obviously absurd. Doctors, specl- ally poor doctors, should not be placed oa auch templation. 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 you take

the money complex out of the art of healing, the medical profession will quickly put All the its own house in order. 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- Belves a practice and so set up in business.

Many doctors are groaning with debt unt! 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," to sound advice when applied to the whole profession. The doctors no less than we, thole patients, would benefit from State' medical

service.

a

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

Luckily, evon Tories aro - now talking State Medical Service. Bo my guess is that

wo shan't have to wait too long.

T. D.

DINERS ANGLE

Seattle.

You can catch your own trout for dinner in a Scattle restaurant. The trout swim in a pool. In the centre of the dining room: A wafter will sup ply a rod for dinners who want toś ithate for their trouk -

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