“We shall come to that presently,” said Sheep reprovingly. He went on to explain that the Dispensing Section treated all persons of the three lowest classes who did not require to go into a hospital. The doctors were municipal officials and there was no choice of doctor.
“Why do you not allow choice of doctor?” I asked.
“That would interfere with the proper classification of the diseases,” he answered. “As soon as a complaint is diagnosed, it is handed over to the appropriate doctor for treatment. The same applies to the Medical Attendance Section; but persons in the three lowest classes are not generally attended in their homes, they are brought into the hospitals. The chief work of the Medical Attendance Section is in connection with births; consequently we employ a number of women doctor-nurses in this Section. Now we come to the Special Medical Board. It is a sort of Higher General Staff. It collates the results of the work of all the other medical sections, and is responsible for the annual report. It receives the instructions of the Central Medical Department of Meccania, and sees that these are carried out. It directs special investigations in all abnormal cases. In the case of so-called incurable diseases it pronounces its decree as to whether the case is incurable, and in that event it authorises the death of the patient.”
“Authorises the death of the patient?” I said. “Without the patient’s consent?”
“The patient can hardly be the best judge,” said Sheep.
“What about the relatives then?” I asked.
“The relatives have no voice in the matter,” said Sheep.
“That sounds very drastic,” I remarked; “and what about the sort of case you mentioned a little while ago?”
“The case you mentioned?” said Sheep. “I do not remember any such cases, but if one occurred it would be dealt with under Section 143 of the Medical Regulations, which prescribes that in case of persistent disregard of the instructions of the authorised medical officer, with the consent of the Special Medical Board, the person guilty of such refusal is to be removed to an asylum for mental abnormality.”
“A lunatic asylum!”