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November, 1945 editorials 523 sive presidents of the United States have publicly paid tribute to the objectives of the ILO (witness President Truman's espousal of national health insurance in a special message to Congress). Some wit has remarked that man shall not live by bread alone, but by catch-words. One of the most popular catch-words nowadays is internationalism. Under its aegis are gathered the advocates of many and varied ideologies, sure that it is broad enough to cover them all. Certainly no patriotic and far-seeing citizen would advocate our country's shirking its full share of responsibility for the maintenance of world peace. However, it is neither unpatriotic nor short-sighted to call attention to the machinations of those who are using the term "internationalism" to cover their attempts to socialize America. Such abuse of a noble word recalls Macaulay's famous phrase: "0 Liberty! Liberty! how man^ crimes are committed in thy name!" * * * * HYPERTENSION When the etiology of a disease is obscure, treatments are many. It is not surprising, then, that suggestions for the treatment of hypertension come thick and fast. Kemp-ner(1) advises a diet composed of rice, sugar, fruit, iron and vitamins, with severe restriction of salt, fats, and animal proteins. Groll-man and Harrison(2) revert to the old idea(3) of drastic salt restriction. Some observers advise reliance upon sulfocyanates*41, while others emphasize the predominance of heredity and the neurogenic element in the hypertensive syndrome. Surgery of the sympathetic nervous system has a definite but uncertain value. The removal of chromaffin tumors of the adrenal frequently produces a dramatic cure in paroxysmal hypertension. It is probable that all of these suggestions are useful in selected cases, for hypertension is not a disease, but a symptom of diverse underlying pathology. It is irrational to apply the same therapy to all patients with a syndrome produced by different etiological 1. Kempner, Walter: Compensation of Renal Metabolic Dysfunction: Treatment of Kidney Disease and Hypertensive Vascular Disease with Rice Diet, III. North Carolina M. .1. (»:6i-87 (Feb.); 117-Kil (March) 1945. 2. Grollman, Arthur; Harrison, T. K.; Mason, M. F.; Baxter, James; f'rampton, Joseph, and Reiehsman, Francis: Sodium Restriction in Diet for Hypertension, J.A.M.A. 12!): 533-537 (Oct. 20) 1945. 3. von Mueller, Friedrich D.: Anniversary Issue in Honor of Kijrhtieth Birthday, Muenchen med. Wchnsehr. 85:1409 (Sept. 16) 1938. 4. Caviness, Verne S.: The Management of Hypertension, North Carolina M. J. 6:477-480 (Nov.) 1945. factors, many of which are themselves uncertain and unproved. The hypertensive pot is boiling, and this state of activity is highly desirable in the study of a syndrome which occupies the unenviable distinction of being one of the great killers of mankind. Perhaps the safest course for the practitioner to follow is to adopt an eclectic attitude and individualize his cases, so far as modern means permit, remembering that sauce for the goose may not be sauce for the gander. 4c He sj: ;{c A COMMON OBJECTIVE On November 19 President Truman submitted a National Health Program to Congress, and on the same day the latest version of the Wagner-Murray-Dingell bill was introduced in both houses. Two weeks later the House of Delegates of the American Medical Association passed a resolution advocating the development of a national voluntary prepayment care plan, designed to coordinate all prepayment medical care plans now in operation. In September the North Carolina Eye, Ear, Nose and Throat Society had adopted a resolution* urging the President of the Medical Society of the State of North Carolina to appoint "a State wide committee to include all medical specialties, hospital service plans and hospital administrators to recommend an augmented, specific and progressive medical and hospital care program." In all these plans there is a common objective—that of providing a way whereby the people can have prepaid medical care. Messrs. Truman, Wagner, Murray, and Dingell may be quite sincere in thinking that the government-sponsored compulsory plan is best. The doctors of North Carolina and of the nation, however, know that voluntary insurance would cost the people much less, because those who administered it would feel more responsibility than would government bureaucrats; that it would ensure a far higher quality of service, because under it could be continued the sacred doctor-patient relationship; and that both doctors and patients would have far more self-respect, because they would alike maintain their independence. A common objective, yes: but how divergent the methods of attaining that objective! i * This resolution will be published in the January issue of this Journal.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 523 |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006-0537 |
Form General | Periodicals |
Page Type | all; editorial |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed61945medi_0537.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Issue Number | 12 |
Page Number | 523 |
Health Discipline | Medicine |
Full Text | November, 1945 editorials 523 sive presidents of the United States have publicly paid tribute to the objectives of the ILO (witness President Truman's espousal of national health insurance in a special message to Congress). Some wit has remarked that man shall not live by bread alone, but by catch-words. One of the most popular catch-words nowadays is internationalism. Under its aegis are gathered the advocates of many and varied ideologies, sure that it is broad enough to cover them all. Certainly no patriotic and far-seeing citizen would advocate our country's shirking its full share of responsibility for the maintenance of world peace. However, it is neither unpatriotic nor short-sighted to call attention to the machinations of those who are using the term "internationalism" to cover their attempts to socialize America. Such abuse of a noble word recalls Macaulay's famous phrase: "0 Liberty! Liberty! how man^ crimes are committed in thy name!" * * * * HYPERTENSION When the etiology of a disease is obscure, treatments are many. It is not surprising, then, that suggestions for the treatment of hypertension come thick and fast. Kemp-ner(1) advises a diet composed of rice, sugar, fruit, iron and vitamins, with severe restriction of salt, fats, and animal proteins. Groll-man and Harrison(2) revert to the old idea(3) of drastic salt restriction. Some observers advise reliance upon sulfocyanates*41, while others emphasize the predominance of heredity and the neurogenic element in the hypertensive syndrome. Surgery of the sympathetic nervous system has a definite but uncertain value. The removal of chromaffin tumors of the adrenal frequently produces a dramatic cure in paroxysmal hypertension. It is probable that all of these suggestions are useful in selected cases, for hypertension is not a disease, but a symptom of diverse underlying pathology. It is irrational to apply the same therapy to all patients with a syndrome produced by different etiological 1. Kempner, Walter: Compensation of Renal Metabolic Dysfunction: Treatment of Kidney Disease and Hypertensive Vascular Disease with Rice Diet, III. North Carolina M. .1. (»:6i-87 (Feb.); 117-Kil (March) 1945. 2. Grollman, Arthur; Harrison, T. K.; Mason, M. F.; Baxter, James; f'rampton, Joseph, and Reiehsman, Francis: Sodium Restriction in Diet for Hypertension, J.A.M.A. 12!): 533-537 (Oct. 20) 1945. 3. von Mueller, Friedrich D.: Anniversary Issue in Honor of Kijrhtieth Birthday, Muenchen med. Wchnsehr. 85:1409 (Sept. 16) 1938. 4. Caviness, Verne S.: The Management of Hypertension, North Carolina M. J. 6:477-480 (Nov.) 1945. factors, many of which are themselves uncertain and unproved. The hypertensive pot is boiling, and this state of activity is highly desirable in the study of a syndrome which occupies the unenviable distinction of being one of the great killers of mankind. Perhaps the safest course for the practitioner to follow is to adopt an eclectic attitude and individualize his cases, so far as modern means permit, remembering that sauce for the goose may not be sauce for the gander. 4c He sj: ;{c A COMMON OBJECTIVE On November 19 President Truman submitted a National Health Program to Congress, and on the same day the latest version of the Wagner-Murray-Dingell bill was introduced in both houses. Two weeks later the House of Delegates of the American Medical Association passed a resolution advocating the development of a national voluntary prepayment care plan, designed to coordinate all prepayment medical care plans now in operation. In September the North Carolina Eye, Ear, Nose and Throat Society had adopted a resolution* urging the President of the Medical Society of the State of North Carolina to appoint "a State wide committee to include all medical specialties, hospital service plans and hospital administrators to recommend an augmented, specific and progressive medical and hospital care program." In all these plans there is a common objective—that of providing a way whereby the people can have prepaid medical care. Messrs. Truman, Wagner, Murray, and Dingell may be quite sincere in thinking that the government-sponsored compulsory plan is best. The doctors of North Carolina and of the nation, however, know that voluntary insurance would cost the people much less, because those who administered it would feel more responsibility than would government bureaucrats; that it would ensure a far higher quality of service, because under it could be continued the sacred doctor-patient relationship; and that both doctors and patients would have far more self-respect, because they would alike maintain their independence. A common objective, yes: but how divergent the methods of attaining that objective! i * This resolution will be published in the January issue of this Journal. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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