A NATIONAL BOARD OF HEALTH. 
471 
permitted to practice. Foreigners and Americans educated 
abroad should be compelled to tile with the Secretary of the State 
Board of Health an attested copy of their certificate of gradu¬ 
ation, on which, on the approval of the State Board, they should 
receive a certificate of permission to practice; but if the foreign 
institution was not such as to gur rantee the quality of the edu¬ 
cation received by said person, such should be by law required to 
pass the American National examination or to study in the school 
of said State until able to pass such, before being allowed to 
practice. The names of all such as will graduate, and the names 
and addresses of all “ official mediciners should be published in 
a State organ for public health and forensic medicine to be given 
out by the Board of Health and Medical School Faculty in each 
State. The practice of medicine by non-qualified men under the 
publicly advertised name of “ Doctor or Dr.,” should be punished 
by not less than five years imprisonment and hard labor and 
$500 fine; for we look upon such men as little better than 
chronic murderers. We cannot prevent the practice, but we 
must prevent the misrepresentation. 
It is hereby necessary to speak of the incitive work of a Na¬ 
tional Board of Health, after all we have said, yet aside from the 
original work to be expected from its members in cases of neces¬ 
sity, will be as said, the stimulating desire to become a member 
of it; for the position should be one of the highest honor; and 
further, it will be the duty of the Board to offer prizes of no mean 
amount for original researches with reference to specific diseases, 
and in this way be of much moral benefit to the country. In one 
word, the duty of the Board is mainly to our mind, to stimulate 
and regulate the entire hygienic system of the country, and this 
includes the entire educational and practical system of medicine. 
Much stress is laid by most people on the value of statistics 
with reference to infectious invasions ; we think such collections 
have but very little value ; whether ten men or ten thousand die 
of a specific invasion is to me scientifically speaking—“ ganz 
egal,” that is, the same thing; for ourself the point is, we have a 
course of disease existing in certain atmospheric, telluric or 
climatic conditions by which we are surrounded, and our work 
