State Medical Service
1943-03-17 1943 1940s 3 pages -2- case does not mean the settlement of the details of medical education or tuition or the proving of compliance [strike through and replaced with handwritten annotation 'competence'] by examination by citizens or bodies without professional knowledg...
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| Institution: | MCR - The Modern Records Centre, University of Warwick |
| Language: | English English |
| Published: |
17 March 1943
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10796/AE34A57C-3FEC-42BC-BD71-1D7321F35CED http://hdl.handle.net/10796/FEE66B05-B3EF-4DE5-A1AF-5C19FA6389DD |
| Summary: | 1943-03-17
1943
1940s
3 pages
-2- case does not mean the settlement of the details of medical education or tuition or the proving of compliance [strike through and replaced with handwritten annotation 'competence'] by examination by citizens or bodies without professional knowledge or competence but rather, since national finance is involved in medical educational grants, to ensure a proper equitable non-preferential access to professional practice through a one portal recognised State Examination, so as to prevent class or sectional abuses. Like all other forms of education for which public finance is noted, professional medical education must be popularly controlled by a representative body, with powers of negotiation and decision. (d) The well recognised democratic principle of "No public finance by grant or gifts without public control and representation" must be stressed and accepted. This is especially essential in any consideration of future medical institutions, especially hospitals. At present there are mainly two types of hospitals, one Municipal under the control of Local Authorities, popularly elected, representative, rate aided, and the other, the so-called Voluntary Hospitals, under selected undemocratic Boards of Management, with precarious financial arrangements, without unified administration, without elected representation. These Voluntary Hospitals are of many different types, of varying size, often badly sited and can at present be disjointedly established by any unauthorised philanthropist. Originally charitable institutions for the treatment of the sick poor, they now cater for all classes at different prices under differing conditions, some even having nursing homes attached. Many of the larger hospitals in the larger cities are associated with the medical teaching schools. It is essential that these institutions should be democratised and regarded as national, not private, institutions, existing for the public and civic benefit, maintained by public finance, rather than by State or rate finance, or by contributory schemes from workers' subscriptions and dividend [strike through and replaced with handwritten annotation 'diminuendo'] by large charitable donations. Reform of these institutions is a necessity. Medical education should not even be suspected of class reservations, with tendencious [tendentious] professional education in institutions privately administered though partly public financed and with professional practice dependent on entry by medical examinations in the hands of independent undemocratic unrepresentative examining bodies, dubbed Colleges, by Charter constantly increasing their influence and status by examination tests of their own unsupervised choice. In no other field of education, except the medical or professional, is education partially nationally financed so devoid of national supervision and control. The question of Voluntary Hospital administration is thus linked up with professional Medical Education. Unrepresentative bodies hold Medical Education and so medical practice and the attitude of the profession to the public in their hands. Staff appointments to such institutions with such a grasp on the general national health, should be more openly decided on merit. Such appointments though ostensibly without pay are most remunerative by reason of the indirect source of lucrative consultative fees being secured as the
292/847/2/157 |
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| Physical Description: | TEXT |