Doctors - Page 2

conveniently refer the
difficulties he constantly encounters; only in the case of rich patients
is the specialist available; there are no properly organised information
bureaus for him, and no means whatever of keeping him informed upon
progress and discovery in medical science. He is not even required to
set apart a month or so in every two or three years in order to return
to lectures and hospitals and refresh his knowledge. Indeed, the income
of the average general practitioner would not permit of such a thing,
and almost the only means of contact between him and current thought
lies in the one or other of our two great medical weeklies to which he
happens to subscribe.

Now just as I have nothing but praise for the average general
practitioner, so I have nothing but praise and admiration for those
stalwart-looking publications. Without them I can imagine nothing but
the most terrible intellectual atrophy among our medical men. But since
they are private properties run for profit they have to pay, and half
their bulk consists of the brilliantly written advertisements of new
drugs and apparatus. They give much knowledge, they do much to ventilate
perplexing questions, but a broadly conceived and properly endowed
weekly circular could, I believe, do much more. At any rate, in my
Utopia this duty of feeding up the general practitioners will not be
left to private enterprise.

Behind the first line of my medical army will be a second line of able
men constantly digesting new research for its practical
needs--correcting, explaining, announcing; and, in addition, a force of
public specialists to whom every difficulty in diagnosis will be at once
referred. And there will be a properly organised system of reliefs that
will allow the general practitioner and his right hand, the nurse, to
come back to the refreshment of study before his knowledge and mind have
got rusty. But then my Utopia is a Socialistic system. Under our present
system of competitive scramble, under any system that reduces medical
practice to mere fee-hunting nothing of this sort is possible.

Then in my Utopia, for every medical man who was mainly occupied in
practice, I would have another who was mainly occupied in or about
research. People hear so much about modern research that they do not
realise how entirely inadequate it is in amount and equipment. Our
general public is still too stupid to understand the need and value of
sustained investigations in any branch of knowledge at all. In spite of
all the lessons of the last century, it still fails to realise how
discovery and invention enrich the community and how paying an
investment is the public employment of clever people to think and
experiment for the benefit of all. It still