Indianapolis Times, Indianapolis, Marion County, 24 November 1938 — Page 17

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fully everywhere.

.a world which He created?

Vagabon From Indiana =—Ernie Pyle

Cold Weather and Inability to Talk Spanish Mar Otherwise Pleasant Sojourn Among South Americans.

ANTIAGO, Chile, Nov. 24.—If I were making the human race over, I would make man completely oblivious to cold. “As things now stand, it seems to me that half the earth’s population is just standing around shivering. We thought we would be warm in South America. ‘Ha ha! Our whole trip has been distorted, agonized and almost spoiled because of our physical misery. | We've almost frozen to death. In only one spot—Guayaquil— have we been comfortably warm. In Quito, right on the Equator, it was miserable with a high, sharp cold. The hotels have no heat, although it is chilly there the year around. Lima was worst of all. Nine months of the year clouds hang over the city. The atmosphere is damp and piercing. It’s even colder indoors than it is outside. In Lima, also, the hotels have no heat. Ours | was the very last word in everything modern—except there was no heat. We both have the heaviest colds we have had in years. | The Humboldt Current is the cause of all this. It Sweeps up from the Antarctic, smacks Chile and Peru, and makes a sap out of Old Man Sunshine. It acts in just the reverse from our own Gulf Stream. | With the exception of Guayaquil, I have slept in flannel pajamas and a sweater, and under at least two blankets, every night since we left Miami. Americans who live down here tell me they suffer from the cold. And the local people, like Southern Californians, would consider it unpatriotic to start a fire.

Starting in December, Lima will have its short summer. Just after New Year is the time to come. | You might gather from the above that we consider our trip down the West Coast unsuccessful. You are exactly right. We have been treated wonder~ And yet, we have spent weeks and traveled thousands of miles, and we hate ourselves for getting so little out of the trip.. Cold—and one other thing. Don’t ever let anybody tell you that you don’t need to speak Spanish. You do need to. Oh, sure, you can get by. Even a dummy like me

Mr. Pyle

‘learns how to buy cigarets and order his breakfast

and a few things like that. And in a pinch you can usually find somebody around who knows a little English.

The Germans Do Better But you can’t really know a country that way. ‘You can't know the spirit of a country, or the feelings of a people, unless you can sit and talk intimately with

them. It seems to me that if there is ever to be any great

. League of Western Hemisphere Nations it will be

built on sand until we learn to sit and talk it: each other in the same language. And it seems to ue it wouldn't hurt us in the States to start learning Spanish en masse. In Guayaquil one noon, the tables were full and the waiter sat me down with a blond young man. He looked like an American, and I spoke to him in English. He replied in perfect English, and helped me order my lunch. But it turned out he was German, and had never been in the States in his life. He spoke German, French, English, Italian and Spanish, all fluently. He wasn’t more than 25 years old. He lived in Berlin, and was on a selling trip through South America. No wonder the Germans make headway down here. They're better qualified than we are. They learn the language faster, and fit in with the people better. I notice, as an American example, that most of the Panagra pilots speak only a little Spanish, even those who have been down here for years. They say the steward is always with them, to interpret, so they don’t bother to learn Spanish. But that’s no way to infiltrate ourselves into a new continent, if that’s what we're trying to do. Or are we?

My Diary

By Mrs. Eleanor Roosevelt

Americans Should Be Grateful for Sturdy Growth in Understanding.

IRMINGHAM, Ala. Wednesday.—This will come to all of you on Thanksgiving Day and you will have read the President’s Proclamation and in your churches and in your homes you will be giving thanks for the fact that you are citizens of the United States; that under a democracy you still have the right of suffrage and may express your opinion freely and without any fear of interference unless you advo-

' cate the use of force in the overthrow of your Gov-

ernment. For all these things we are deeply grateful, and those of us who have health are grateful for that, and those of us who have people to love, and interests which keep us mentally active are grateful for that. Above all, we are grateful for the hope of constant growth in vision and understanding as individuals and as a national group. Lastly, we are thankful for our faith in ourselves; for the feeling that we can meet and solve our problems; that we can look at ourselves honestly and finally do away with discriminations and injustices which now_exist in our own country, and for the belief that we can grow eventually to the stature required of those who are citizens of a real democracy.

Youth Gives Hope for Future

The youth panel discussion on Tuesday in Birming--ham, Ala., was extremely interesting and I think it is safe to say that the more I see of youth the more hope I have for our future. A city ordinance was enforced at this meeting, which to some of us seemed somewhat unnecessary, but the young people showed wisdom and respect .for law and order. They complied without question to this ordinance and reserved the right to protest after discussion, as certain other groups have done. I do not know, but I feel that many present objected to the ordinance, but they showed their good sense and self-restraint in not making a real issue on the spot —which might have spoiled the value of the entire meeting. We went out to dine with Mr. Donald Comer and came back for a meeting in the auditorium, and then Miss Thompson and I wearily wended our way to the night train for Atlanta. After breakfast we were driven down to Warm Springs. IA closing I want to tell you about two little pamphlets which I have read on the train in the last few days. One is called, “Teaching Is a Man’s Job” and is designed to tell young men all about the future that awaits them in the profession. I think it is well done. The other is called, “A Primitive Gospel” by Phillip Frederick Mayer. The outstanding thing about this is the answer it furnishes to the question which so many people ask themselves. If God is a God of love, why are certain things permitted to happen in The pamphlet is not comprehensive, it could not be in so few pages, but I

-think it will prove of interest to many people.

Bob Burns Says—

OLLYWOOD, Nov. 24.—They say there ain’t any man so onery but what some woman would marry him, so I suppose the reason some rifén remain bachelors is jest because they can’t find a Woman who will fit in with their self-centered ways. « » A bunch of us pret near dropped over the other day at the golf club when an old bachelor told us he was gonna get married. He says “You boys know I'd rather play golf than eat, don’t you?” and we all said “Yes,” and he said “Well, I finally found a 'wo! who would rather play bridge than cook!” 4 £ LEAL At gmat (Copyright, 1938). . ¥ i

e Indianapolis "

THURSDAY, NOVEMBER 24, 1938

‘Who Will Pay the Doctor Bills? Is

Important

Issue

(Sixth and Last of a Series)

By David Dietz

Times Science Editor

GQUBSIDIZED or socialized

medicine ?

That may be the question around which the chief battle will be fought in Congress during the coming year. The American Medical Association has approved the expansion of public health services, maternal health services and

child health services.

But it is ready to

battle if Uncle Sam tries to interfere with present methods of practicing medicine.

Critics of the A. M. A. say that the organization is willing to let Uncle Sam pay the bills but unwilling to let him have anything to say about running the show. At the center of this argument are several questions. The first one is:

What constitutes public health service? In the past, public health work has meant the extension of the police powers into the field of health, for example, the enforcement of quarantines, the abatement of health hazards, the in-

spection of water supplies, milk

supplies and food supplies, the enforcement of sanitation ordinances, etc. Gradually it also has come to mean educational work—the education of both children and acults in matters of health with specialized services for mothers and other special groups. There is one group in the nation today that now feels that public health must be extended to mean the care of the health of the individual. They say that with the mass effort to prevent contagions and the like must come treatment for the individual.

2 ” ” HE A. M. A. will not subscribe to this point of view. Its House of Delegates in approving of an ‘expanded Federal program, was careful to add. “Any expenditure made for the

expansion of public health and

maternal and child health services should not include the treatment of disease except so far as this cannot be ‘successfully accomplished through the private practitioner.” Likewise, the House of Delegates favored the Government subsidizing the operation of private hos-

pitals before it begins building

hospitals of its own. The A. M. A. has gcne on record as favoring action with regard to the medical care of the indigent. But here again, it doesn’t want Uncle Sam to go beyond paying the hills. The House of Delegates adopted a report which read as follows: “In the face of the vanishing

support of philanthropy, the medical profession as a whole will welcome the appropriation of funds to provide medical care for the medically needy, provided, first, that the public welfare administrative procedures are simplified and co-ordjhated; and, second,

‘that the provision of medical

services is arranged by responsible local public officials in co-opera-tion with the local medical profession and its allied groups. “Your committee feels that in each state a system should be developed to meet the recommenda-

tion of the National Health Conference in conformity with its

suggestion that ‘The role of the Federal Government should be principally that of giving financial and technical aid to the states in their development of sound programs through procedures largely of their own choice.’” r Various plans have been advanced by state medical associations. One such plan would permit each indigent person to choose his own doctor. The doctor would then send his bill to the Government. 2 8 8

HE A. M. A. has been outspoken in insisting upon the maintenance of two things: One, the right of the patient to choose his own doctor; two, the protection of the private relationship between doctor and patient.

Critics of the A. M. A. point out that the needy today often do not have any doctor at all, much less any ability to pick the doctor of their own choice. They go without medical service often, calling upon a district physician of the city health department in the event of emergency. Otherwise, they go to the outpatient department of a large hospital, where they are seen by whatever doctor happens to be on duty. In some instances it has been shown that on a second visit the patient is seen by a second doctor, who does not even always have full reports of what the first one said or did. These critics ask also what harm there would be in putting medical men on salaries instead of paying them fees for individual cases. They point out that teachers, including the teachers in medical schools are on salary. They point out that research workers are on

The three pictures illustrate how technical progress has increased the cost of medical care.

Above—Taking a blood sample for analysis. 3

Center—Administering anesthesia at the start of an operation.

Below—Examining X-ray photographs of the lungs for signs of tuberculosis.

salary. They do not see why a medical man, employed in a public clinic to look after the indigent, could not function on a salary basis. Regarding these matters, Dr. Hugh Cabot of the Mayo Clinic, one of the Committee of 430 which has opposed the stand of the A. M, A, recently said: : “Freedom of choice of physicians about which organized medicine talks so freely, is largely a myth. The patient in search of competent medical care has today no freedom of choice such as he has in the purchase of any other kind of goods or services. What this freedom of choice amounts to is freedom of guesswork. : : “Organized medicine has frequently voiced its objection to employment of physicians on a salary basis. Precisely how this conclusion is arrived at is to me obscure. The majority of the best brains in the world have, through my lifetime, been on salary.” 2 » 8

E come now to the question of the cost of medical care

- to those who are able to pay for

it. What, Af anything, is going to

be done to help them meet the .

burden of its costs? : President Roosevelt’s Technical Committee on Medical Care has suggested that the nation might want to consider the possibility of a system whereby all medical care would be paid for through taxes or health insurance or a combination of both. : The A. M. A, through the action of its house of delegates, is on record as opposed to any system of compulsory health insurance. It is in favor of group hospital service insurance, such as for example the system in Cleveland whereby the payment of a small sum yearly entitles the insured to a certain maximum number of days of hospital care in any one year. It is also in favor of any vol-

untary insurance plan by which

citizens would undertake to in- :

sure themselves against the cost of emergency medical service. Such a plan has been suggested by the Cleveland Academy of Medicine. This would insure persons against doctor bills for illnesses which required hospitaliza= tion but would not apply to ordi-

- nary’ ailments such as colds, etc.

The A. M, A. is opposed to group medical practice on a prepayment: basis. Organized medicine opposes all such plans in which a group organizes, hires its doctors on salary by the year, and expects them to treat its members under agreement. : » ” ”

EVERTHELESS, many authorities think that this movement of group practice cannot be thrust aside. “The isolated physician or spe-

cialist carries on under grossly wasteful surroundings,” says Dr. Cabot. “Duplication of overhead expense is excessive. Acting alone,

‘each physician must make a

charge which will enable him to carry his own overhead and make a profit. In group practice, a decrease of the cost always is possible. : “Critics of this type of organization point out that such a decrease in the cost of producing

this article of medical service has . not always been passed on to: the

consumer. “Group medical practice on a prepayment basis is relatively new. It sprang directly from the principles of private group practice which already has been established over something like 20 years. A few physicians gather a group of people who are willing to pay in advance definite sums. In return for this, the physicians undertake to deliver a

relatively complete article of med- °

ical service. / “The type of organization differs essentially from private group practice in that the saving in cost is passed on directly to the consumer (patient).

imes

"Entered as Second-Class Matter ‘ ' at Postoffice, Indianapolis Ind. 2

’

“Co-operative group medical practice has the methods and the ideals of private medical group practice. Its differences are social, financial and economic, not medical. “It is no use to try to persuade me that a physician who is entirely freed from any knowledge of or interest in .the- income- of the patient does not deliver as good an article of service. To me it is beyond dispute that a salary basis is practically the only method by/which he ean be regularly expected to give the best that is in him.” a 2 2

HE time has come to draw.

this discussion to a close. I have tried to discuss as fully as I could in six articles the present medical situation, the recommendations of - President Roosevelt's advisers, and the reactions of the A. M. A. Obviously, I did not have time to discuss all the elements in the picture.

Opinions with regard to the.

present and future of medical practice are many. I have upon my bookshelves two volumes published by the American Foundation, entitled “American Medicine.” These volumes, each more than 600 pages long, are filled with the opinions of American medical men upon various questions concerning medical practice. Even these two volumes could not be said to represent all the opinions in existence. It will not be surprising, therefore, if some particular medical man or some particular reader may fail to find his own point of veiw mirrored in these articles. I do feel, however, that I have given the reader a picture of the elements which will enter into the battle before Congress when that body is asked in 1939 to take action in the field of medicine. As new developments occur between now and the opening of Congress, and after the opening of Congress, I shall endeavor: to interpret them for the readers of this newspaper.

"Um-m-m—smells like Grand

Everyday Movies-

TEST YOUR KNOWLEDGE

1—Where is the Sheliff River?

2—Name the science which treats of the celestial bodies. 3—What is rigor mortis? 4—Where are the Aran Islands? 5—For what Government agency do the initials FCC stand? 6—In which State is the Abraham Lincoln National Park? 7T—Which State is nicknamed the Hawkeye State? 8—What is an amperemeter? 2 2 ”

Answers

1—Algeria. 2—Astronomy. : 3—Stiffening of the muscles of the body after death. 4—Off the coast of Ireland. 5—Federal Communications Commission. 6—Kentucky, T—Iowa. 8—An instrument for the measurement of electric currents in terms of the unit called the ampere. 8 # 2

ASK THE TIMES

Inclose a 3-cent stamp for reply when ad i any question of fact or information to The Indianapolis Times Washington Service Bureau, 1013 13th St, N. W., Washing-

Third Section

PAGE 17

Our Tow

By Anton Scherrer * We Put Up With a Lot This Yean

AYBE you don’t know it, but compared with last year there is less to be thank= ful for today. To be sure, our rubber plant

brag about. To tell the truth, I've had to put up with a lot this year, and so have you, if you'll just put

forgotten the brazen behavior of Indianapolis women and the way they let their hats go to their heads this summer. It was called a tippy-tippy hat, as if anybody had to be told. Nor was that all. There, was the dirndl .dress, too, which by the way is still with us. Indeed, from the way things look, it’s going to take another Thanksgiving to bless Heaven for giving us . something to take its place. For

Mr. Scherrer : my part, I don’t care what it is. rea

the women had anything to do with Flat Foot Floogie, for instance, nor with the Apollo people’s policy: of

that. And the only reason I suspect the men js because the men just had to give some evidence of their ‘manly fiber, or be counted out for good. =

Indianapolis stopped laying the day after election. To say nothing of termites getting into the Uni tarian Church on Alabama St. Any way you look at it, it was a gosh-awful year. :

Well, Not a Total Loss

On the other hand, there were one or two things to be thankful for, believe it or not. I, for one, ‘was glad that the Dionne kids had their tonsils removed. Nothing ought to keep them from learning the French

“we” when by all the rules of grammar (outside of radio) she should have said “us.” Thank goodness, one by one the gods are falling off their pedestals. I bless Heaven, too, for the cultural enrichment of “Snow White and the Seven Dwarfs”; for a Curly Cu

of the Woolworth Building; for the addition to the. Postoffice. What's more, for the new address of the

to it. and gave themselves a number. It's 245 N. Meridian St. Thankful, too, am I for the violet taffeta gown by Schiaparelli which Mrs. Samuel Lewis Shank wore at the Symphony last Saturday. The society reporters said it was offset by a headdress, evening muff and gloves of shocking pink. Tou Thankful, too, am I to learn that the Second Presbyterian people have their first hundred years back, of them and that the Rev. Jean S. Milner will be only 145 years old when it comes time to celebrate the bi= centenary. And gosh, how it tickles me that Rotary has elevated Luther Dickerson to the presidency and that from now on the ladies will have a look in. And last, but not least, that Clifton Wheeler was made a

giving worth celebrating. : . : . i»

Jane Jordan—

Sister Only Enjoying Opposition to

we got jobs downtown and moved to a small aparte

or changed jobs he’d pop up. And she would go out with him. His wife went to our home and told daddy things about her. Of course some of them were lies, but I can’t believe a word my sister tells. She always tells untruths to cover up or make things look nico for the man. He is about 45 years old and my sister is only 21. Daddy has talked to this man and to my sister. They both promised not to see each, other any

and made my sister go out to her house and talk with her and her husband. I am thankful that nothing happened then, My sister didn’t even seem scared. This man has a second wife and three small childrens The oldest is only 62 years old. His wife will never give the man a divorce or get one herself. He wants my sister to go away with him. When he tires of her she will go the way of the other two wives, not to mention the children. Should I go to my\father and tell him that my sister is still seeing this man? I hesitate to do so because dad said he would kill this man if he heard of their being out together again. Dad is good and I don’t want anything to happen to

who could scare my sister or this man? » » »

GERTIE: Answer—These affairs thrive on opposition. The

see each other the more thrilling the chase becomes. Your sister has gained a lot of attention which she never had before. She has inspired a woman to come after her with a gun. She has awakened murderous. impulses in her father and worried her sister nearly to

have unwittingly added to this goal by your opposi=

through legitimate channels. cannot help but believe that part of the meaning of this affair is your sister's secret intent to hurt your or other, although she does it by indirect methods.

at the moment they felt angry, often do so by failing grieve him to the depths. * down to the sordid level where it belongs. When it ceases to be exciting, your sister will drop. it. 5 JANE JORDAN.

Put your problems in a letter to Jane Jordan, who will answer your questions in this column daily.

New Books Today

Public Library Presents—

EAMEN of recent years have little fear of ocean storms. The advance of wireless and teorological science has greatly minimized the d of even the much dreaded hurricanes. But occasion: ally, the strongest and cleverest defenses of man > vanquished by the hurricanes or typhoons. ‘ The English cargo-vessel, “Archimedes” was a | ship, perfectly built and equipped. In the West In ‘a typhoon of incredible fury literally caught her in midst, and in its five days duration, carried her miles from the starting point. IN HAZARD (Harp recounts the painfully realistic story of the be crippled, flooded ship in peril and her crew’s despe battle against threatened extinction. How men be

| in the face of possible death, and sleeplessness,

vation and thirst, is depicted in the varying

| tions of the officers, the Chief Engineer and

t Richard in his Wind in A

ball, but outside of that there isn’t ‘much to

double horror pictures starting with Dracula and Frankenstein. Only a man could have thought of

Postoffice. Sure, the P. O. people finally got around

grandfather just in time to make ‘this year’s Thanks

Children who lack the courage to vent their anger against a stern father by a direct encounter with him:

Including Milady's Fashions, but | It Might Have Been Worse at That.

recovered and I went the whole year with out getting my thumb caught in a bowling

your mind to it and think back. Certainly you haven't

In the meantime we can only pray. You can’t blame the ‘women for everything, however. I don’t imagine

And on top of everything else, all the hens around =

irregular verbs now. Thankful, too, am I that Doro= .| thy Thompson slipped a cog the other night and said

Beauty Shoppe in Indianapolis; for the new facade

mmr Sr pt et me rg

“|

= 4 h (|

Affair With Married Man, Girl Told. L

EAR JANE JORDAN—My sister and I worked in private homes until about two years ago when

While my sister was working in a home, one of the . a

ment rather than go home where it. was so crowded. 5] husbands followed her around. Every time she moved | |

more. The man’s wife came one night with a gun = =

4 i 1 wl

him. Could I go to a lawyer or some public official 3

father. She is getting even with him for something 9

in school, or by getting in some trouble which will = §

Deprive the affair of its drama and let it settle i

harder friends and relatives make it for the pair to :

death. What an important person she turned out to | be! Instead of detracting from her prestige by anti= = social conduct she has added to it greatly. All of you = °

tion. Withdraw it and let her learn to be important

Under the circumstances it would not be wise to ; 4 tell your father and thus ignite more fireworks. I =