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reasons. First, a financial one: physicians like everybody else do not 
take up a work unless paid. Second, when physicians do advocate sani- 
tary measures they are almost invariably accused of working to their own 
interests. As a matter of fact, however, practically all the sanitary im- 
provements that have been made and are taking place are due to the ef- 
forts of physicians. To see how measures intended for the welfare of the 
: 
people are antagonized by “peanut politicians,’ we need only consider what 
takes place in the legislature at every session, and how long it takes 
sanitary measures to pass. Why many physicians do not take an interest 
may be seen by what occurs when physicians object to the coming of 
quacks and charlatans who herald their wondertul abilities in the news- 
pupers—alnost invariably the newspapers take the advertising quack’s 
part and oppose the home physicians. As a result many physicians do not 
concern themselves with the subject, they have all the work they can d» 
and the “fly by night” does not interfere with their practice. Another, a 
third and very important reason is this: The physician as a rule belongs 
to the “weeded out” class. He is an individual who does not react to 
ordinary unsanitary environmental influences and because he fails to react 
is why he pays lictle attention to common ills and minor maladies. The 
reason why physicians belong to the ‘weeded out” class is simple: The 
boy who intends to become a physician requires good schooling; he may 
even be required to take a preliminary college course, get an A. B. 
degree, before he is allowed to enter medical college. Now many of our 
schools are very unsanitary and the bright boy reacts: he has ill health. 
We may drop out entirely or attend school only at intervals, but finally 
manage to complete the grades; then he is ready to enter high school. 
This is often located in the heart of the city under highly unsanitary sur- 
roundings. Trees may not grow but children are expected to. The venti- 
lation of the school house is usually bad. The boy reacts promptly. He 
is more or less constantly in ill health and soon drops out entirely. Un- 
less his parents are well-to-do aud able to send him to a private school he 
is not apt to become a physician. 
One can go a step further. Many medical schools are loeated in large 
cities under surroundings about as bad as they can be. Some young men 
who were able to complete high school (and we know there are some 
sanitary high schools where boys pass through readily) are now weeded 
out in the medical college. They fail to get a medical degree. 'The boys 
