derogatory or dishonourable by physicians and surgeons. And be it furthermore resolved, that, in the opinion of the Council, it is inconsistent with professional propriety and derogatory to the reputation, honour, and dignity of the College, to engage in the practice of Homeopathy or Mesmerism, or any other form of quackery as hereinbefore set forth." Why homeopathic practitioners are allowed to employ irregular and unprofessional methods (and their principles of treatment being entirely unscientific-as homeopathic literature is quite sufficient to show the average thinker-would stand them in very poor stead if it were not for these irregular methods) one may well wonder, until one realises the want of a Medical tribunal meeting seriously in order to study the interests of the profession as a whole in the United Kingdom; one fairly and fully representative, one that would be powerful and courageous enough to deal with all abuses and irregularities, whether of doctor or patient; a governing body that would take in the management of hospitals in its purview, and consider every question concerning the profession. Doctors are eminently separated individuals, the more so because amongst themselves they are extremely jealous and self-sufficient.-They need the strong forces of union and proper representation in a central governing body. No class of professional men is so weak in promoting salutary improvements needing further enactment of parliament: the more recent bills put forward have received but a very weak-kneed and disjointed backing up by the profession as a whole; they have been imperfect and disappointing. Nor is the profession properly represented in parliament: but this is chiefly the fault of the profession itself, segregate and disorganised as its members are. Doctors lose by these defects in professional constitution: but the laity does also to an incalculable extent. APPENDIX A DOCTORS' FEES BOTH the public and medical men would benefit very considerably by certain regulations to govern the fees charged by the latter to patients, in that that for which a doctor were properly paid he would at least be able to provide. How can medical men do justice to cases of serious disease when their fee is insufficient-certain poor people being unable to pay more, while the doctor feels obliged to take the low fee because he has a living to make. A medical man should not be allowed to sell three bottles of medicine for a shilling, as many find themselves constrained to do in our slums, or to undertake to visit a patient at the latter's home and provide medicine for something under a shilling. The members of the medical profession are themselves to blame for all this: their governing body should prohibit the cutting down of charges to such an extent that it is impossible for patients to receive appropriate medicines at the price or if they cannot look after their own interests to this end, it is time that His Majesty's Government regulated their practice. Such medicines as are sold for a sixpenny fee (for medicine and consultation) would not be deemed fit for the rich who suffer from similar diseases. There does not seem to be any reason why healthy competition should not lead to the cutting-down of the price of nearly everything— even food, provided it be of standard quality and purity-but in the case of attendance upon bodily disorder or disease one's very existence may be in jeopardy, necessitating adequate skilled attendance and the best of remedies. There should certainly be no difference in the quality of medicines that are to produce certain results whether a person be rich or poor. Doctors should be compelled to charge not less than an amount to be determined by those in authority, for medicine or visit and medicine; otherwise they could give their free services if they chose, and if they could afford to do so. When working under contract they should similarly receive a sum not less than a fair amount fixed. People who can afford to pay should be made to pay doctors, and pains should be taken at our hospitals to discriminate between those who are honestly entitled to charity and those who are not. A public dispensary doctor should be paid according to the value of services rendered, by so much. per annum, but certainly not the cutting contract remuneration of many of the existing medical aid and other benefit societies, such as 3d. per week for small families. Proper attendance and suitable medicine cannot possibly be supplied at something under 1/- (51d. e.g.) if a doctor is working for a living and not for charity sake, for he would be obliged at this rate to hurry over his work and would thus often commit an injustice towards the suffering poor. If asked to give reasons why we have discovered wireless telegraphy before the nature and cause of cancer, I should emphasize the fact that the rewards for discovery and advancement in the medical profession are so hypothetical and unattractive. I am of opinion that if medical men were better paid for the scientific work they engage in, the general public would be considerably the better for it. Rarely does a medical man become rich-and then it will be comparatively late in life, after he has spent many years in the hardest and most exacting labour. Mr. Lawson Tait showed the average income of medical men in England to be about £200 per annum. Com mercial pursuits are the best paid and offer the finest inducements to new discovery and advancement. Chemists and others have made fortunes out of doctors' brains. A scientific engineer can employ hundreds of men while a doctor can gain only through his own personal ability. The rewards open to medical men are obviously limited. What time has the average medical man to make discoveries? He has hardly time to get round to his poorly paying patients! He has hardly time to keep up all the knowledge expensively acquired in his student days! If medical men are to keep pace with scientists in other walks; if we are to have a solution to such a mystery as cancer, then capable men should be put down to the work and be properly paid. As soon as a submarine boat or a flying machine is wanted, plenty of money is forthcoming to help inventors who can prove themselves to have fair ability; yet practically all the hard work medical men do in hospitals is absolutely unpaid for, as is also nearly all the scientific research work done by the very best of men in the medical profession. All this is truly beautiful, and noble, and kind, I am well aware! The one side of the picture looks well enough until I show the other-members of this same noble profession giving dirt-cheap medicines to the poor of the East-end, and a tired and hasty attendance, none of which would be fit for richer people-Where is the benevolence and honesty of it? If medical and surgical advancement is to be a credit to a people who show praiseworthy general advancement, two things must occur to ensure this. The members of the medical profession must gird their loins and unite in battle in order to secure an enhanced prestige: they must eschew the undercutting evils of keen competition, claiming better pay and a higher respect. On the other hand, the general public must at the same time appreciate the fact that it is unreasonable to expect medical men to devote their lives to succouring and |