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reasons. First, a iinaucial one: pliysic iaiis 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 sessinn, and how long it takes 

 sajiitary measures to pass. Why many ithysicians do not take an interest 

 may be seen by what occurs when physicians object to the coming of 

 quacks and charlatans who herald their wonderful abilities in the news- 

 papers — almost invariably the newspapers take the advertising quack's 

 l)art and oppose the home physicians. As a result many physicians do not 

 c;)ncern themselves with the subject, they have all tiie work they can d ) 

 and the "Hy by night" does not interfere with their ]ii'actice. Another, a 

 third and very important reason is this: 'I'be ])hysician as a rule bebnigs 

 to the "weeded out" class. He is an individual who does not react to 

 (D'dinary unsanKary environmeiital inhiieiues and because he fails to react 

 is why he pays lictle attention to conunon ills and minor maladies. The 

 reason why ])liysicians belong va the "weeded out" class is simjile: The 

 i)oy who intends to become a physician requires g:)od scliooling; 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 nniny of our 

 schools are vei\v unsanitai'y and the bright i>oy reacts; he has ill healtli. 

 lie may drop out entirely or attend school only at intervals, but finally 

 manage to complete the grades ; then he is ready to enter higli 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 and aide to send him to a ])rivate school he 

 is not apt to become a physician. 



One can go a step further. Many niedicnl schools are located in large 

 cities under surroundings abnnt as liad as they can ])e. Some young men 

 who were able to conqtlctc liigli sclinol (and we know there are some 

 sanitary liigh schools wlure lioys pass (lii-uugb readily) are now weeded 

 nut in tlie medical college, They i'ail to get a medical degree. The boys 



