The Physician as the Guardian of the Public Health
His Contributions to Charity
"Ladies and gentlemen, we have invited you to be present tonight, that we might on this our annual meeting,
bring before the public some questions which we consider of general interest. We think that the public should know
something of our hopes, our aspirations, our successes, and our failures, something of what our profession has
done in the past toward safeguarding the general health, and what is now being done; as the success of our efforts
depends in a great measure upon the cooperation that we may receive from you.
The position held by the physician is to a certain extent semi-official in that many problems concerning public
health are left to his decision, and his training and experience peculiarly fit him for this work. Of his position
as medical advisor in your family you are all familiar. You know that where danger threatens, when life's thread
seems near to breaking, when hope weakens, how you search the countenance of your physician for encouragement,
how you hang upon his every word for tidings to drive away your fears. You all know how pleased he is when he can
assure you that the danger is past; the patient will recover. How many thousand times all of this is enacted and
how naturally the physician comes to be looked upon as almost a guardian, a protector of the family. And how fortunate
is that physician, who may be thus held in the affections of his clientele, and to feel that his efforts are so
well appreciated. WeIl may he strive to render himself more worthy of their confidence and esteem.
The physician is with you from the cradle to the grave, for disease and death are parts of the plan of creation.
We have to deal with both, and to combat them, to prevent and lessen one and prevent the other if possible. To
stay the hand that hurls the dart that strikes but once
We consider it a large part of our mission to prevent disease, to study the existing cause, to learn something
or the life history of the germ or infection which may be responsible for the disease. Today this branch of medicine
is called preventive medicine and it is of the greatest important to the public in regard to general health.
We feel justified in saying that there has scarcely been ' a time since medicine became recognized as a science
which does not bear witness to the self-sacrifice and devotion of our profession in behalf of humanity: "In
war, famine, and pestilence our brethren have always been found" among those who suffered, "sharing their
dangers .and hardships:'
Long before, what we now know as "preventive medicine" was systematically taught medical men in the dim
They were then possessed endeavoring to find and remove the cause of disease. We will not review their efforts
or results but confine our remarks to more recent times, though volumes could well be written of the long and patient
efforts of many of the worlds greatest minds such as Jenner, Hunter, Harvey, Pasteur, Behring. Kock, and a many
others who with wonderful patience, great skill, and a lifetime of study have placed milestones along the march
of human progress, and all future generations will ever revere their names and memories. They and their successors
in research, investigation, and experimentation, in preventing diseases, have saved the world's family countless
thousands of valuable lives, and millions or wealth.
Their findings have rendered vast regions of the world fit for human habitation where formerly disease and death'
held high carnival. Consider what would be the condition today if any of our large cities without the benefits
of sanitary services, the fruit of the brains of these men. For how long a time would Paris, London. New York,
or Chicago, with their teeming millions of people exist, without enforcement of the sanitary laws which embody
the results of the observations and advice of scientific medical men?
In a somewhat varied degree the same observation holds true with our smaller towns and homesteads in the country,
and 'that we do not all perish from some form of disease is certainly not due to our observance of sanitation,
but rather to the benefits of fresh air and that we lead an out of door life, The human family has as deadly enemies
many diseases which from their known or suspected cause, are called preventable diseases, and filth, and bad hygienic
conditions furnish the culture medium, wherein the germs of these diseases exist and thrive. Wherever you go you
will find the medical professional earnestly advising and always protecting against bad sanitary conditions, and
there is no doubt that were our advice followed, we would be able to eradicate, to a large extent, many such diseases
as small pox, cholera, scarlet fever, measles, typhoid fever, 'yellow fever, consumption, and malaria.
The study of the various preventable diseases has engaged the time and skill of numbers of the ablest men in the
past, and at the present time a vast army of scientific investigators is waging relentless war upon these deadly
enemies of our race. To a large extent, this is a labor of love upon the part of these men, for, the good of mankind.
For the uplifting of our noble profession, there arc no niches in the hall of fame, but nevertheless the names
will be honored and perpetuated as benefactors:
All of this study, investigation, and experimentation in the cause, nature and prevention of disease will avail
little, unless our efforts are aided by individual and governmental support. It is your duty to protect your home
from diseases and to do this you should demand of your officials that sanitary laws be enforced and you should
set the examples by obeying the laws yourselves. In this way and in this way only, can our labors bear fruit and
lessen the number of sick and prevent disease. Another point which I wish to express is that all of this study
in preventive medicine at the bedside and in the laboratory, has been done by quiet, unassuming men in the regular
profession, who have given and are giving freely to the world the benefits of their labors.
The men who advertise, the men who make periodical visits to your town, and the fellow who drives from house to
house in the country and catches the farmer upon a "sure cure," have had nothing and cannot have anything
whatever to do with this work, as they are not physicians in sentiment or ethics and should be barred from practice.
Therefore it seems a matter of common justice that you should with moral and financial support uphold the regular
profession. Your family physician whose teachings, whose traditions, lead him to hail with joy and gladly give
to his profession whatever he may learn or discover relieve suffering humanity.
We have made it possible to eradicate small pox by thorough and systematic vaccination. We have by the use of the
serum treatment reduced the old mortality rate in diphtheria 50 to 75%. And by the use of the immunizing or protecting
power of the serum on those exposed to infection to limit the number of cases thus save thousands of children who
previously to the introduction of the serum treatment who would have fallen victims to this dreaded disease. We
have banished yellow fever from the North American continent and adjacent islands and the time is coming when by
enforcement of our sanitary laws and measures, this disease will no more strike terror to our hearts nor demoralize
the commercial interests of half a continent. We have made substantial advancement in other diseases along the
line of preventive measures, and are still studying
and investigating to the end that we may in time control them.
And last but not least, we are engaged in a general crusade against "the great white plague," consumption.
We now know it to be a communicable disease, an infective disease. We now know that a consumptive person is a menace,
a danger to those around him, whether in his own house, or on the streets or public conveyance. Our profession
is constantly pleading for care on the part of the consumptive and his attendants that he be so con- trolled and
so control himself, that he may not infect others and thereby spread the diseases. The study of the germ life history
in the various preventable diseases is very dangerous to the student, as many men have fallen victims to these
deadly infections. But others are ever ready to take on the work. .
In times of great peril when deadly epidemics sweep the land, the physician never falters nor deserts his post.
Not that life is not sweet to him, but being inspired by the example of generations of his illustrious predecessors,
duty calls and he fails not.
You remember, no doubt, the fearful epidemics of yellow fever a few years ago which devastated the south where
thousands perished in New Orleans, Memphis, and other cities, and you remember the pathetic appeal for help. The
local physicians were worn out, sick, or dead, and the sick were without medical attendance. "When this word
went abroad, physicians volunteered. They went from the north, east, and west to aid suffering humanity. No crusader
who with sword and shield went forth to free the Holy City was inspired with higher, nobler purpose than were these
brave men, many of whom fell victims to their zeal and their bodies rest today "under southern skies,"
their sad requiem the moaning of the pines.
So it is in every instance, our profession knows no fear where a human being calls for help. "We brave the
summer sun and the winter's storm, as well for the poor as for the rich. We give our time, our skill. our money,
and sometimes life itself in behalf of the poor. Our contribution in the cause of charity exceeds that of any other
class of citizen, with us it is not a fad to give our services to the poor, nor a solace to quiet a disturbing
conscience. but it is a part of our every day life work.
In closing I wish to introduce to you an old and very dear friend, William MacClure, a doctor of the old school"
in the Bonnie Briar Bush. I hope that you will study him, for it: you do, you will admire him. He' has many prototypes.
They are to be found in every city, town, and village in all this broad land. They are here tonight. They have
risked their lives often to save yours and are ready and willing to do so again. They are your own family physicians.
Some of them have grown old and gray in your service. Their steps are feeble and their forms are bent, when they
have answered their final call, write their epitaphs as was written that of Dr. MacClure's "Greater love hath
no man than this; that he lay down his life for his friends."