CHARITY AND CHARITIES
887
Where there is accord between charity and the poor-law pauperism may be largely reduced. The poor-law in most countries has at its disposal certain institutional relief and out-door allowances, but it has no means of devising plans of The poor law.help which may prevent application to the rates or “take” people “off the rates.” Thus a widow in the first days of widowhood applies and receives an allowance according to the number of her children. Helped at the outset by charity on some definite plan, she may become self-supporting; and if her family be large one or two of her children may be placed in schools by the guardians, while she maintains the remaining children and herself. As far as possible there should be a division of labour between the poor-law and charity. Except where some plan such as that just mentioned is adopted, one or the other should take whole charge of the case relieved. There should be no supplementation of poor-law relief by charity. This will weaken the strength and dissipate the resources of charity without adding to the efficiency of the poor-law. Unless the guardians adopt a restrictive out-door relief policy, there is no scope for any useful division of labour between them and charity; for the many cases which, taken in time, charity might save from pauperism, they will draw into chronic dependence by their allowances a very much larger number. But if there is a restrictive out-door policy, so far as relief is necessary, charity may undertake to meet on its own lines distress which the poor-law would otherwise have met by allowances, and, subject to the assistance of urgent cases, poor-law relief may thus by degrees become institutional only. Then, in the main, natural social forces would come into play, and dependence on any form of annona civica would cease.
Open-handed hospitality always creates mendicants. This is what the hospitals offer in the out-patient and casualty departments, and they have created a class of hospital mendicants. The cases are quickly dealt with, without inquiry and without regardHospitals. to home conditions. The medical man in the hospital does not co-operate with any fellow-workers outside the hospital. Where his physic or advice ceases to operate his usefulness ceases. He regards no conditions of morality. In a large number of cases drink or vice is the cause of application, and the cure of the patient is dependent on moral conditions; but he returns home, drinks and may beat his wife, and then on another visit to the hospital he will again be physicked and so on. The man is not even referred to the poor-law infirmary for relief. Nor are conditions of home sanitation regarded. One cause of constant sickness is thus entirely overlooked, while drugs, otherwise unnecessary, are constantly given at the hospital. The hospitals are thus large isolated relief stations which are creating a new kind of pauperism. So far as the patients can pay—and many can do so—the general practitioners, to whom they would otherwise go, are deprived of their gains. Still worse is it when the hospital itself charges a fee in its out-patient department. The relief is then claimed even more absolutely as a right, and the general