When the National Health Service started and free artificial limbs were made available, it was a revelation to witness the condition of the old ones left behind. In other words, the company must invest in those properties which bear the strongest imprint of continuous communal action. In dealing with the medical profession it is wise to make a distinction between three main causes of opposition to the establishment of a free National Health Service. There's really only one problem: there's the body of a young woman in the Anderson shelter in the garden.

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Thus to the property lobby is added the lobby of those who stand to lose under the national project. This book is not the easiest to read probably because of the style of writing of that time and the heavy ideas discussed.

A solution might be found if the reorganization of local government is sufficiently fundamental to allow the administration of the hospitals to be entrusted to the revised units of local government. I usually met its representatives when they had come hot from a conference at which the wildest speeches had been made, frequently by the very men who then had to try to come to terms with the people they had been so immoderately denouncing. But that also I am convinced will come when other nations follow our example and have health services of their own. This is part of the general opposition of Conservative ideas, and it is strong in the medical profession, though the expression of it tends to be supercharged with the emotions borrowed from other fears and ambitions. As the full range of medical facilities are available only in the hospitals as a general rule, the specialists should be there, on the spot, as much as possible.

In 1931 voluntary admission represented only 7 per cent of the total admissions, whereas by 1949 the proportion had risen to 63 per cent. But no local finances should be levied, for this would once more give rise to frontier problems; and the essential unity of the Service would be destroyed. This is an advance on the past where superior methods worked their way slowly down from the few institutions and individuals that could afford them until long afterwards they reached – if they ever did – the poorer members of the community. No danger of nepotism arises, as no salaries are attached to the appointments, but election is a better principle than selection. In estimating the cost of the Service it is necessary to consider the range of its operations and the facilities it provides.The essence of a satisfactory health service is that the rich and the poor are treated alike, that poverty is not a disability, and wealth is not advantaged. Preventive medicine, which is merely another way of saying health by collective action, builds up a system of social habits that constitute an indispensable part of what we mean by civilization. These are beds for which the patient pays a small sum for privacy alone, all the other services being free. When the Service started and the demands for spectacles, dental attention and drugs rocketed upwards the pessimists said : ‘We told you so. In a conflict between the profession and the general public the latter will always win if they are courageously led.

There is a sound case for providing a little more money to help the doctor with a medium list who wants to make a decent living and yet be a good doctor. Read more about the condition New: An item that is still in its original shrink wrap from the manufacturer and the original manufacturer’s seal (if applicable) has not been removed.

It would be an expensive duplication if they developed into rivals of the out-patient departments of general hospitals. It was well plotted and that plot expertly executed and it kept me on my toes throughout, no second guessing was successful here I can tell you! Already steps had been taken when I was at the Ministry of Health to attack the problem from another and even more promising angle. There is also the inverted snobbery attitude that she is trying to rise above her station in life, and girls like her from the poor tenements should be working in factories, not a doctor’s office.