Curiously enough, it is recorded of a British doctor that he once actually took a fee from a dead patient. Entering the bedroom immediately after death had taken place, he observed the right hand tightly clenched. Opening the fingers, he found in them a guinea. “Ah, that was clearly for me,” said the doctor, putting the gold into his pocket.
It may be remembered here, that the Royal College of Physicians, London, was founded by Thomas Linacre, physician to Henry VIII., in 1518; and that the Royal College of Physicians of Edinburgh was incorporated by Charter of Charles II., November 20th, 1681.
As to the fees paid to physicians, we find that Dr. Edward Browne, the son of Sir Thomas Browne, who became a distinguished physician in London, in his Journal, under the date of February 16th, 1664, records: “I went to visit Mr. Edward Ward, an old man in a feaver, when Mrs. Anne Ward gave me my first fee, 10 shillings.”
In a work entitled “Levamen Infirmi,” published in the year 1700, we find that the scale of remuneration to surgeons and physicians was as follows:—“To a graduate in physic, his due is about ten shillings, though he commonly expects or demands twenty. Those that are only licenced physicians, their due is no more than six shillings and eightpence, though they commonly demand ten shillings. A surgeon’s fee is twelvepence a mile, be his journey far or near; ten groats to set a bone broke or out of joint; and for letting blood one shilling; the cutting off or amputation of any limb is five pounds, but there is no settled price for the cure.”
Till recent times neither barristers nor physicians could recover their fees by legal proceedings against their clients or patients unless a special contract had been made. In the case of lawyers this custom can be traced back to the days of ancient Rome. Their services were regarded as being gratuitously rendered in the interests of friendship and justice, and of a value no money could buy. The acknowledgment given them by clients was regarded as an honorarium, and paid in advance, so that all pecuniary interest in the issue of the suit was removed, thus preserving the independence and respectability of the bar.
Equity draftsmen, conveyancers, and such like, however, could recover reasonable charges for work done.
So in the medical profession, surgeons, dentists, cuppers, and the like were always entitled to sue for their fees; but the valuable services of a consulting physician were of a different kind, not rendered for payment but acknowledged by the gratitude and honour of his patients.
But this code of honour was modified when all medical practitioners were relieved by the Act of 21 and 22 Vict. 90, which applied to the United Kingdom, and enabled them to recover in any court of law their reasonable charges as well as costs of medicines and medical appliances used. This rule applies to physicians, surgeons, and apothecaries as defined by the statute.
The following information is taken from “Everybody’s Pocket Cyclopædia” (Saxon & Co.).
London Medical Fees.