Page:The Slippery Slope.djvu/197

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MEDICAL CARE OF SCHOOL CHILDREN
177

movement has set in: it is argued, quite irresistibly, that the ailing school child is often suffering from causes other than that of lack of food, and in 1907 the (Education) Administrative Provisions Act was passed which provides for the medical inspection of all school children, and where necessary for their medical treatment. Following the precedents of the Unemployed Workmen Act and the Provision of Meals Act, the London County Council are at present trying to provide this treatment through the voluntary hospitals and dispensaries, but there is already strong pressure for the establishment of rate supported clinics, and there can be little doubt that this will be the ultimate result. The Act provides for the recovery of part of the cost from the parents, but last year only £329 was so recovered, and it is clear that this provision cannot operate as an effective check. Meanwhile the London County Council, who "have found considerable difficulties in this part of the work" (ibid., p. 44), have adopted a maximum charge of is. and a minimum of id., but "arrangements are being made for remitting the charge in necessitous cases." If we ask what are "necessitous cases," the answer is "No hard-and-fast rule for determining necessity has been adopted by the Council" (ibid., p. 35). If we ask what is the test of the need of the child, the answer is, " There is no absolute standard of what or what is not healthy nutrition … necessitous children are not necessarily ill-nourished at the time of application, though they would become so were relief withheld" (ibid., p. 35). It is clear, therefore, that the Council are not disposed to be at all exacting either as to the means of the parent or the needs of the child. If the following sentence from the report of the Education Officer is to be taken as an indication of the opinion of the Council, it is clear that they