But beyond all that which the physician can accomplish as the friend and expert adviser of the sick in whom, first of all, his allegiance centers, as the student of all things which promise help in his fight against disease, as the friendly teacher ever mindful that prevention is better than cure, and as one who toils for Science for her sake alone—beyond all these high offices there is yet another upon whose duties he must now more seriously enter, if he would hope to realize all that which our new outlooks promise. I speak of the duties of citizenship.
Municipal and State health organizations have accomplished much of late in the protection of the people against disease. But the humiliating confession must be made that in many measures of public sanitation in this country we are far behind the requirements of science. This is not, as a rule, because our health officers do not know what to do or how to do. It is not usually because they are indifferent or negligent. But in many cases the pitiful sacrifice of life and the inexpressible suffering and loss which preventable disease involves are due to legislative indifference or folly.
I am aware that there are many exceptions, but I think that I am not mistaken when I say that among the measures vital to the public welfare over which our legislators. State and Federal alike, wrangle and bicker and deal—when these are not treated with indifference and contempt, as not contributory to the profit or to the disgraceful notoriety of the hour—there are none which more often fail of intelligent consideration than those which concern the public health.
But laymen in public office can not be regarded alone at fault if they be not wisely directed; and physicians are not, I think, as keenly alive in this way as they should be to their responsibilities as citizens. They know what ought to be done in the larger public way to render the new knowledge in sanitation and the control of disease available, and yet do not individually or as a guild bring their expert knowledge strongly to bear as the intelligent citizen always can, if he be right and enough in earnest.
There is little doubt that almost any legislative measure which the medical profession unites and persists in urging as essential to the maintenance of the public health can be speedily secured.
I know that there is a general feeling among physicians of the better sort that conspicuous interest in public affairs may be misconstrued and looked upon as in some sort a means of professional advertisement. And one can not choose but appreciate and admire the sensitiveness and high sense of honor of which this sentiment is born. But, after all, there are greater misfortunes in life than being misunderstood, and I think that the fine feeling which leads the physician so often to waive the privileges of social and
