The doctors are moving heaven and earth to increase their incomes. They insist that, as a group they are not earning adequate incomes, and that there is a steady falling off in patronage due to the fact that the public, in ever increasing numbers, is turning to the other and newer schools. Costs of living are mounting, it costs more time and money to aquire a medical education and competition from without their ranks has made them desperate. They have tried, by every foul means--persecution, prosecution, slander, misrepresentation, lies--to destroy competition, but its growth has been steady despite this effort.

The profession is honeycombed with graft and corruption and thoroughly imbued with the spirit of commercialism. Commercial surgery, compulsory medicine, lying propaganda, fear and every foul means of drumming up trade are employed to increase their incomes.

The Journal of the American Medical Association, Nov. 4, 1922, prints an address by Dr. W. S. Rankin, Sec. of the North Carolina State Board of Health in which he says:

"Last year we inoculated 70,000 persons against typhiod fever and 1,000 children between six and twelve years of age against diphtheria. The county Commissioner paid the local practitioner 25 cents for each complete inoculation, and that was $20,000 which went to the profession last year which otherwise would not have been received. The work of the medical profession with the State Board of Health does not stop when the 520,000. is paid. It goes on. In the dispensaries which were conducted in Union County, North Carolina, with 35,000 people, the physicians vaccinated 10,000 people in a campaign of five weeks. That was $2,500 paid to twenty physicians--only $125 each, but think of the effect on the business of the profession in keeping up that work. It goes on."

Does the last statement refer to the business the physician will receive from those who are made sick by vaccination? At least, he emphasizes the doctor's business and the increased income to him through state medicine.

In a paper entitled Medical Practice and Public Health, read before King's County (N. Y.) Medical Society, March, 16, 1926 the Hon. Louis I. Harris Dr. P. H., M. D., Commissioner of Health of the City of New York, said: "In school work we have felt rather self-satisfied and smug. During the last eighteen years, the health department has conducted the examination of children, generally without any competition from or by the medical profession. This indicates a lack of understanding by family physicians of the glorious opportunity for service which they are missing. It is no new thing that I mention. YOU Have heard it time and again. When we, in the health department send home a physical examination blank, a very simple and rudimentary one at that, and ask the parent to take the child to a physician to be examined, then, assuming that the parent follows our instructions, the physician fails to CAPITALIZE the opportunity." (caps. mine. )

The reader will readily see that the Board of Health is here trying to build business for the doctors, and Dr. Harris tells these physicians that what he is saying to them has been told to them time and again. But they don't seem to be so enthusiastic about it. Evidently not all physicians are as unscrupulous as the political doctors in the Boards of Health.

Mather Pfeiffenberger, M. D., President of the Illinois State Medical Society, in a speech before the annual Conference Illinois Health Officers, Springfield, III., Dec. 3-4, 1926, said: "Prevention practiced to the uttermost will create more work for the physician and not diminish it, for the full time health officer will be educating his community constantly. There will be more vaccination, more immunizing, more consulting and use of the physician. His services will be increased many fold.

"I am informed that epidemic and endemic infections cause only 12 per cent of all deaths and that this percentage is declining very rapidly. Only 15 per cent of all children would ever get diphtheria, even under epidemic conditions, while 100 per cent are prospects for toxin-antitoxin. The percentage who would ever get smallpox, under present time conditions, is even less; but 100 per cent are prospects for vaccination. Scarlet fever will soon come in for its 100 per cent also, as it may for measles, judging from the reports on that disease. Typhoid fever is disappearing, due to sanitation, but vaccination should be used when the individual travels into unknown territory and countries,"

Thus another medical leader tells doctors how to increase their incomes by exploiting the children and non-sick adults.