Excerpt from The State and the Doctor
We do a great deal of State Doctoring in England - more than is commonly realised - and our arrangements have got into a tangle, which urgently needs straightening out. Everywhere there is a duplication of authorities and more or less overlapping of work. We are spending out of the rates and taxes, in one way or another, directly on sickness and Public Health, a vast sum of money annually - no man knows how much, but it certainly amounts to six or seven millions sterling. The greater part of this sum goes for the maintenance and treatment of the patients after we have let them become sick; some more is absorbed in what is but a skimpy remuneration for the large number of doctors employed in the State Medical Service; whilst relatively little is devoted to the most economical method of dealing with the problem, namely, prevention. For the most part, just as in early Victorian times, instead of preventing the occurrence of disease, we choose to let it happen, and then find ourselves driven to try expensively to cure it.
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