glad that you spotted it too and circulated the article.
On Tue, Apr 12, 2011 at 12:42 PM, Dennis Raphael <[log in to unmask]> wrote:
> JAMA 100 Years Ago
> April 15, 1911
> JAMA. 2011;305(14):1493. doi: 10.1001/jama.2011.335
> SOCIOLOGY AND MEDICINE
>
> * KEYWORDS: HUMANITIES.
>
> The problems of sociology are, in most instances, problems of preventive
> medicine, and many of the problems of preventive medicine resolve themselves
> into sociologic questions. The cure of disease in its larger aspect lies in
> its prevention in the individual, the community, the state. Medicine in its
> practical application must inevitably become almost wholly a problem of
> prevention. This involves its operation on the mass rather than the
> individual, and, therefore, it becomes a sociologic problem, with the
> knowledge acquired through the study of pure science to aid in its solution.
> Waiting for disease to arise in the individual, and then attacking it,
> involves an enormous economic waste, a waste of time, energy, earnings,
> efficiency, of life itself, to say nothing of the suffering, which causes a
> waste of nerve force, or of the tax on those immediately surrounding the
> individual and charged with his care. Likewise, philanthropy, state or
> private, directed to the relief of individual suffering and disease due
> directly or indirectly to faulty sociologic or industrial conditions, even
> though at present commendable and necessary from the humanitarian
> standpoint, means a tremendous waste. The vast public appropriations for
> hospitals and sanatoriums for the care of individuals suffering from
> contagious and infectious diseases-tuberculosis for instance-when weighed
> against prevention really constitute a waste. Prevention means the saving of
> most of this waste...
>
>
>
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