256 SURGEONS TO EMIGRANT-SHIPS. To the Editor of THE LANCET. SiR,—In THE LANCET of February 26,find the following observation,!] a letter signed " iator":" As to the cry about unqualified men going out as surgeons to ships, the remedy is
Correspondence. "Audi alteram partem.
THE INCOME-TAX, AND THE MEDICAL PROFESSION. To the Editor of THE LANCET.
easy." I strongly suspect some one has been jesting with "Viator" on his travels. I am and have been several years specially engaged with ship-owners, brokers, and public SiR,-Since you not only did me the honour of inserting my companies, relative to ship-surgeons, and I don’t know of even former letter, but also approved of the suggestion it con- a single instance of the smallest importance where an unquatained, I venture to trouble you further with a form of peti- lified man has received an appointment from the Government tion and declaration, which, if generally adopted, would give Emigration Commissioners down to the smallest ship-owner uniformity to the movement and save much trouble to men, in the kingdom. It is quite true there are, and have been, whose time is so valuable, as is that of medical practitioners. cases where no surgeon is required to be taken by law, that a In adopting this form of petition and declaration some a " three-year’s man" has received an appointment. In the modifications may be required to meet particular cases, but port of London during five years, exactly seven have gone in since proportionate price is only required, I trust that the medical charge of a few passengers, eighteen souls being the members of our profession generally will feel no hesitation in highest number; but beyond this, on no account whatever coming forward with whatever evidence they may possess does an unqualified man receive an appointment, except by upon the subject. Should any members of the profession feel fraud; and the Emigration Commissioners, also all public inclined to favour me with their experience on the value of steam companies, will not take an assistant without a qualimedical practices, I will arrange the whole into a report, fication, even where there has been two qualified men on but whatever is done must be done quickly. board, during the whole voyage out and home. As to the Yours very obediently, Emigration Commissioners, they absolutely make it a ’favour WILLIAM BAYES, M.D. to take a qualified assistant if he holds the onlv diploma Marine-square, Brighton, Feb. 1853. licensing to practise in this country-viz., that of the Hall; and they never give a full appointment to a man being, as FORM OF PETITION. they call it, "merely an apothecary." The consequence is, that eight out of every ten medical men in their employ are, The humble Petition of the undersigned members of the according to law, unqualified, not having the Hall diploma. medical profession practising in I deeply regret that there are far too many men, holding This Petition showeth,-That your petitioners feel it to be diplomas, offering for a free passage almost anywhere to take oppressive and unjust, that their professional incomes, uncer- medical charge; and since my letter to you, published on the tain and fluctuating in their nature, should bear the same 5th February, three large ships have left here, and every one taxation as incomes derivable from realized property, which had a respectable surgeon doing duty for a free passage only. Who will take unqualified men under these circumstances! are liable to little or no variation, and are, for the most part, "Viator" may make himself perfectly easy about the number permanent and transmissible. That your petitioners would humbly beg your honourable of unqualified men as ship-surgeons. There is a mischief ten Rouse to consider that, while an income derivable from the thousand times more serious than that, which is toiling, under government securities is saleable at a sum representing more every disadventage, with every danger, gratuitously, when than thirty years’ income, and while an annuity on a middle- there is abundance for the service rendered. Ship-owners, aged life has a marketable value of about thirteen years’ pur- brokers, captains, and all, are fattening on the pay of the chase, that the income derived from medical practice is medical man. I can prove to demonstration that eleven rarely saleable, under the most favourable circumstances, at thousand pounds, during five years, has been taken from the more than two years’ purchase, from its precarious and uncer- ’, pockets of ship-surgeons, and ‘° the cry is still the same." I am, Sir, your obedient servant, tain character, and the labour with which it is obtained. AN OLD SHIP-SURGEON. Thus, £ 1000 a-year from the funds from a life annuity, or Trinity-square, Tower-hill, Feb. 1853. from medical practice, would be respectively worth, (sup.. posing the annuitant forty years of age,) 30,000, 1:13,000, .E2000. THE PROCEEDINGS OF THE MEDICOThat your petitioners subjoin evidence as to the real I CHIRURGICAL SOCIETY. marketable value of medical incomes, drawn from the per- I To the Editor ofTHE LANCET. i sonal experience of your petitioners, and humbly pray your honourable House, in the proposed re-imposition of the SIR,-I have to apologise for again intruding upon your Income and Property Tax, to alter its adjustment, so that it space in reference to the report of the proceedings of the may press with more even and equal weight upon the medical Medico-Chirurgical Society of February 22ud. The necessity of reducing the abstracts of the papers read profession. And your petitioners will ever pray, &c. to the narrowest limits has involved an omission which I very regret. From the commencement of my investigations much FORM OF DECLARATION. into the morbid conditions of the placenta I have had the ad I, A. B., declare, that in the year 18 ,I bought (or sold) a vantage of the constant assistance of Dr. Ilassall. As in the medical practice, (or a partnership in a medical practice,) and case of the first paper, the microscopical illustrations were that I paid (or received) a sum equal to by Air. Miller, under the direction of Dr. Hassall. year’s average prepared Justice me to state thus much, for I should certainly for as the same. requires income, purchase-money have put forth my observations upon fatty degeneration of Signed, the placenta with less confidence in their accuracy had they This , 1853. day of not been confirmed by Dr. Hassall’s authority. I am, Sir, your obedient servant, (If any unusual circumstance have either enhanced or diminished the value, please state it.) ROBERT BARNES, M.D. M.D. very
THE BRITISH MEDICAL DIRECTORY. To the Editor of TfiE LANCET. SiR,-We take advantage of the extensive circulation of THE LANCET, to correct an error which has been made in the British Medical Directory" for this year, respecting the non-payment of medical referees by the National Provincial Life Assurance Office, when the truth is, that this office has paid medical fees from its very commencement. We
remain, Gentlemen, obediently yours, HENRY LETHEBY, M.B.,Medical referees THOMAS CARR
MR. TURNER’S CASE OF TRANSFUSION. To the Editor of THE LANCET. or serious evil, may be done by a letter in your saiued journal. I have read it since its commencement-I think in 1824-and know it often leads the tyro in his practice, especially when cases are given by practi. tioners eminent either in science or position; hence it devolves on you to be most careful in selecting the matter you publish, or to lay your columns open to the strictures of just criticism on cases given. I have never seen you shrink from a duty, and I offer you the inclosed remarks with confidence for insertion on the letter from Minchinhampton, contained in THE LANCET, of