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MEDICAL FEES IN INDIA.
629 one quarter of inch. Through these apertures the body of the fourth vertebra could be felt denuded of its periosteum. The left common iliac vein was filled with a brownish-red clot of moderately firm consistence, and slightly adherent. The left external iliac and left femoral were as small as a crowquill, and were completely occluded by a whitish fibrous plug, which could not be detached from the wall of the vessel. The right common iliac, right external iliac, and right femoral were obstructed andnarrowed by a tough fibrous-looking layer, firmly attached to the lining membrane. Immediately to the left of the third lumbar vertebra was an abscess, in which a second needle was found lying obliquely across the body of the vertebra, the surface of which, however, was not eroded. The liver was engorged with blood. The spleen contained several infarctions, one about the size of a marble softened in its centre. The intestines were much injected, the mucous membrane the seat of extensive catarrh; the kidneys were normal.-Dr. GREENHOW, in Dr. Thompson’s absence, remarked that the case had been brought forward somewhat prematurely, in the absence of other matter; and, after some brief remarks by Dr. CHURCH and Mr. GEORGE LAwsoN, the Society ad-
this another opening existed, measuring an
journed. MEDICAL FEES IN INDIA.
Medical Gazette for Sept. 1st. We would advise our readers to peruse these documents for themselves, for we never remember to have read a more complete and dignified answer than that which has been furnished. After detailing the circumstances, the civil surgeon, who is designated M.D., F.R.C.S., uses this telling argument: "I hold that I am morally bound to give my aid to all who absolutely need it, without reference to remuneration in the first place. My duty as a Government officer also obliges me to so render it, and I am permitted to demand reasonable fees for my attendance, but I know of no rule which obliges me to accept remuneration, or makes the patient the sole arbiter of its amount." He then goes on to state that he gave his attendance without any reference to a fee, and made no demand for one, but, on being asked, he stated that which was always accorded to him by his paying patients. He now declines to accept half, submitting that it is not in accordance with the rules of politeness to ask a professional man his fee, and then to offer him less without good reason being shown. We trust that the irony, veiled but not hidden by the courteous terms in which he concludes his communication, will not be lost on an official holding the position of a gentleman, and drawing a good salary. H Mr. -," he says, "holds the position of a gentleman and draws a good salary ; his circumstances, therefore, do not seem to me to require that I should accept less than the customary fee for my services; at the same time they will always be at his command, and I am therefore unable to see
IT is to some a source of unmixed gratification, and to others one of gratification not untinged with regret, that the medical profession should undertake and discharge so much gratuitous work. Still, the fact that it does so is sufficiently well known to all. The members of our profession practising in India, being for the most part connected with the services of the local and imperial Government, do not feel the spur of necessity so keenly as those who have entirely to depend for their livelihood on the fees they receive from their patients ; and there is, perhaps, no other country in the world where medical aid is more frequently rendered without any thought of reward. Setting aside the vast amount of gratuitous medical work undertaken in the cause of the native population, which has tended to consolidate the political connexion and strengthen the tie between the two countdes, there is a large European population in India-strangers and sojourners in the land, so to speak-who are bound to one another by common sympathies and a community of interests. The feeling that has hitherto existed between the members of the medical profession and those outside it has been more cordial and friendly in that country than it is ever likely to be in this. Every official knew that to ask was to obtain the services of a medical acquaintance for himself or family; and such knowledge could not fail of being a source of satisfaction to both parties in a climate where life is held on a frailer tenure than it is here. Where officials are in the of generally receipt large salaries, where health is and the medical men could afford to be relatively everything, regardless of monetary interests, a kind of tacit understanding grew up as to the reward to be proffered in return for services rendered. Instead of the ordinary and fixed fees for single visits, it became customary for an official to set apart for the year’s medical attendance on himself and
that he has any reasonable
ground for complaint.’
THE ANSTIE MEMORIAL FUND.
THE committee formed to promote a memorial to the late Dr. Anstie now includes, in addition to the leading members of the profession, the Archbishop of York, the Duke of Westminster, the Earl of Shaftesbury, Lord Henry Percy, Mr. Julian Goldsmid, Sir Henry Clavering, Mr. Shaw Stewart, Mr. Macmillan, the Revs. Harry Jones and Henry Wace, and others. The committee have issued the following circular : -11 The death of the late Dr. Anstie, which took place on the 12th of September, in the forty-first year of his age, was occasioned by blood-poisoning, received, probably, through an accidental wound in the course of a post-mortem exa.mi. nation, while he was engaged in investigating the nature and’ causes of an obscure disease which had destroyed the lives of some of the children in the Royal Victoria Patriotic Asylum at Wandsworth. A few days later, on the 23rd of September, a meeting of some of his professional and private friends was held at the house of Dr. George Johnson, F.R.S., 11, Savile-row; and at this meeting it was resolved:’That, considering the labours of the late Dr. Anstie for the promotion of science, and the circumstances of his untimely death, it is desirable that some permanent memorial of his career should be established.’ In order to give effect to this resolution the nucleus of a committee was at once formed by the gentlemen present...... In accordance with,wish very generally expressed, the executive committee have decided to recommend that a. small portion of the sum subscribed (about .820) shall be expended in the erection of a tablet or other memorial in some suitable place, and that the residue shall be deposited with trustees, to be by them applied to the education of the children, or to their advancement in life, in such a manner family a certain proportion of the income of which he was as circumstances may render expedient, and in accordance, in receipt. Nothing could apparently be more honourable as nearly as possible, with the wishes which their lamented or equitable than this, for it had the advantage of being father would have entertained for them. A proposition to graduated to the position and income enjoyed. A case has this effect has been submitted to Mrs. Anstie, and has relately occurred in India which has disturbed these relations. ceived her approval and acceptance..... Subscriptions We advert to it because we quite agree with the tone adopted may be paid to the credit of the Anstie Memorial Fand at by the medical officer concerned, and the controversy seems the bank of S r S. Scott and Co., Cavendish-square ; to the to have excited much interest in India. treasurer, J. S. Storr, Esq., 26, King-street, Covent-garden, A Government official has thought fit to claim the pro- W.C. ; or to either of the undersigned, to whom also amy tection of the civil authorities in this matter; and the civil inquiries relating to the matter may be addressed-R.
authority thereupon addressed an inquisitorial official communication to the medical officer in question. The communication, and the reply to it, are published in the Indian
Brudenell
Carter, 69, Wimpole-street, W. ; Wharton Hood, Berkeley-street, Portman-square. W., hon.
M.D., 65, Upper secretaries."
this another opening existed, measuring an
journed. MEDICAL FEES IN INDIA.
Medical Gazette for Sept. 1st. We would advise our readers to peruse these documents for themselves, for we never remember to have read a more complete and dignified answer than that which has been furnished. After detailing the circumstances, the civil surgeon, who is designated M.D., F.R.C.S., uses this telling argument: "I hold that I am morally bound to give my aid to all who absolutely need it, without reference to remuneration in the first place. My duty as a Government officer also obliges me to so render it, and I am permitted to demand reasonable fees for my attendance, but I know of no rule which obliges me to accept remuneration, or makes the patient the sole arbiter of its amount." He then goes on to state that he gave his attendance without any reference to a fee, and made no demand for one, but, on being asked, he stated that which was always accorded to him by his paying patients. He now declines to accept half, submitting that it is not in accordance with the rules of politeness to ask a professional man his fee, and then to offer him less without good reason being shown. We trust that the irony, veiled but not hidden by the courteous terms in which he concludes his communication, will not be lost on an official holding the position of a gentleman, and drawing a good salary. H Mr. -," he says, "holds the position of a gentleman and draws a good salary ; his circumstances, therefore, do not seem to me to require that I should accept less than the customary fee for my services; at the same time they will always be at his command, and I am therefore unable to see
IT is to some a source of unmixed gratification, and to others one of gratification not untinged with regret, that the medical profession should undertake and discharge so much gratuitous work. Still, the fact that it does so is sufficiently well known to all. The members of our profession practising in India, being for the most part connected with the services of the local and imperial Government, do not feel the spur of necessity so keenly as those who have entirely to depend for their livelihood on the fees they receive from their patients ; and there is, perhaps, no other country in the world where medical aid is more frequently rendered without any thought of reward. Setting aside the vast amount of gratuitous medical work undertaken in the cause of the native population, which has tended to consolidate the political connexion and strengthen the tie between the two countdes, there is a large European population in India-strangers and sojourners in the land, so to speak-who are bound to one another by common sympathies and a community of interests. The feeling that has hitherto existed between the members of the medical profession and those outside it has been more cordial and friendly in that country than it is ever likely to be in this. Every official knew that to ask was to obtain the services of a medical acquaintance for himself or family; and such knowledge could not fail of being a source of satisfaction to both parties in a climate where life is held on a frailer tenure than it is here. Where officials are in the of generally receipt large salaries, where health is and the medical men could afford to be relatively everything, regardless of monetary interests, a kind of tacit understanding grew up as to the reward to be proffered in return for services rendered. Instead of the ordinary and fixed fees for single visits, it became customary for an official to set apart for the year’s medical attendance on himself and
that he has any reasonable
ground for complaint.’
THE ANSTIE MEMORIAL FUND.
THE committee formed to promote a memorial to the late Dr. Anstie now includes, in addition to the leading members of the profession, the Archbishop of York, the Duke of Westminster, the Earl of Shaftesbury, Lord Henry Percy, Mr. Julian Goldsmid, Sir Henry Clavering, Mr. Shaw Stewart, Mr. Macmillan, the Revs. Harry Jones and Henry Wace, and others. The committee have issued the following circular : -11 The death of the late Dr. Anstie, which took place on the 12th of September, in the forty-first year of his age, was occasioned by blood-poisoning, received, probably, through an accidental wound in the course of a post-mortem exa.mi. nation, while he was engaged in investigating the nature and’ causes of an obscure disease which had destroyed the lives of some of the children in the Royal Victoria Patriotic Asylum at Wandsworth. A few days later, on the 23rd of September, a meeting of some of his professional and private friends was held at the house of Dr. George Johnson, F.R.S., 11, Savile-row; and at this meeting it was resolved:’That, considering the labours of the late Dr. Anstie for the promotion of science, and the circumstances of his untimely death, it is desirable that some permanent memorial of his career should be established.’ In order to give effect to this resolution the nucleus of a committee was at once formed by the gentlemen present...... In accordance with,wish very generally expressed, the executive committee have decided to recommend that a. small portion of the sum subscribed (about .820) shall be expended in the erection of a tablet or other memorial in some suitable place, and that the residue shall be deposited with trustees, to be by them applied to the education of the children, or to their advancement in life, in such a manner family a certain proportion of the income of which he was as circumstances may render expedient, and in accordance, in receipt. Nothing could apparently be more honourable as nearly as possible, with the wishes which their lamented or equitable than this, for it had the advantage of being father would have entertained for them. A proposition to graduated to the position and income enjoyed. A case has this effect has been submitted to Mrs. Anstie, and has relately occurred in India which has disturbed these relations. ceived her approval and acceptance..... Subscriptions We advert to it because we quite agree with the tone adopted may be paid to the credit of the Anstie Memorial Fand at by the medical officer concerned, and the controversy seems the bank of S r S. Scott and Co., Cavendish-square ; to the to have excited much interest in India. treasurer, J. S. Storr, Esq., 26, King-street, Covent-garden, A Government official has thought fit to claim the pro- W.C. ; or to either of the undersigned, to whom also amy tection of the civil authorities in this matter; and the civil inquiries relating to the matter may be addressed-R.
authority thereupon addressed an inquisitorial official communication to the medical officer in question. The communication, and the reply to it, are published in the Indian
Brudenell
Carter, 69, Wimpole-street, W. ; Wharton Hood, Berkeley-street, Portman-square. W., hon.
M.D., 65, Upper secretaries."