ART. VII.--Of pecuniary acknowledgments.

Some general rules should be adopted by the faculty, in every town or district, relative to pecuniary acknowledgments from their patients; and it should be deemed a point of honor to adhere to these rules with as much uniformity as varying circumstances will admit.

OF THE DUTIES OF THE PROFESSION TO THE PUBLIC, AND OF THE OBLIGATIONS OF THE PUBLIC TO THE PROFESSION.

ART. I.-Duties of the profession to the public.

§ 1. As good citizens, it is the duty of physicians to be ever vigilant for the welfare of the community, and to bear their part in sustaining its institutions and burdens; they should also be ever ready to give counsel to the public in relation to matters especially appertaining to their profession, as on subjects of medical police, public hygiene, and legal medicine. It is their province to enlighten the public in regard to quarantine regulations-the location, arrangement, and dietaries of hospitals, asylums, schools, prisons, and similar institutions-in relation to the medical police of towns, as drainage, ventilation, etc.—and in regard to measures for the prevention of epidemic and contagious diseases; and when pestilence prevails, it is their duty to face the danger, and to con

tinue their labors for the alleviation of the suffering, even at the jeopardy of their own lives.

§ 2. Medical men should also be always ready, when called on by the legally constituted authorities, to enlighten coroners' inquests and courts of justice, on subjects strictly medical-such as involve questions relating to sanity, legitimacy, murder by poisons or other violent means, and in regard to the various other subjects embraced in the science of Medical Jurisprudence. But in these cases, and especially where they are required to make a postmortem examination, it is just, in consequence of the time, labor, and skill required, and the responsibility and risk they incur, that the public should award them a proper honorarium.

§ 3. There is no profession by the members of which eleemosynary services are more liberally dispensed than the medical, but justice requires that some limits should be placed to the performance of such good offices. Poverty, professional brotherhood, and certain of the public duties referred to in the first section of this article, should always be recognized as presenting valid claims for gratuitous services; but neither institutions endowed by the public or by rich individuals, societies for mutual benefit, for the insurance of lives or for analogous purposes, nor any profession or occupation, can be admitted to possess such privilege. Nor can it be justly expected of physicians to furnish certificates of inability to serve on juries, to perform militia duty, or to testify to the state of health of persons wishing

to insure their lives, obtain pensions, or the like, without a pecuniary acknowledgment. But to individuals in indigent circumstances, such professional services should always be cheerfully and freely accorded.

§ 4. It is the duty of physicians, who are frequent witnesses of the enormities committed by quackery, and the injury to health and even destruction of life caused by the use of quack medicines, to enlighten the public on these subjects, to expose the injuries sustained by the unwary from the devices and pretensions of artful empirics and impostors. Physicians ought to use all the influence which they may possess, as professors in Colleges of Pharmacy, and by exercising their option in regard to the shops to which their prescriptions shall be sent, to discourage druggists and apothecaries from vending quack or secret medicines, or from being in any way engaged in their manufacture and sale.

ART. II.-Obligations of the public to physicians.

The benefits accruing to the public, directly and indirectly, from the active and unwearied beneficence of the profession, are so numerous and important, that physicians are justly entitled to the utmost consideration and respect from the community. The public ought likewise to entertain a just appreciation of medical qualifications; to make a proper discrimination between true science and the assumptions of ignorance and empiricism-to afford every encou

ragement and facility for the acquisition of medical education-and no longer to allow the statute-books to exhibit the anomaly of exacting knowledge from physicians, under a liability to heavy penalties, and of making them obnoxious to punishment for resorting to the only means of obtaining it.

FEE BILL.

THE following Table of Charges being founded on a just consideration of the professional services which the Fellows of the College are called upon to perform, it will be considered a duty on their part to conform to it, whenever the circumstances of their patients are not such as clearly to forbid such a

course.

For a single visit or for advice at office, in a case in which
no further visit or advice is required
This is not intended to apply to those cases in which
the physician is considered the regular medical attend-
ant of the individual or of his family.

For the first visit, in a case in which the physician is
in regular attendance
For each subsequent visit

Every necessary visit on the same day, whatever may be their number, to be charged at the same rate. When at the first visit in a case minute physical exploration is required in order to arrive at a correct diagnosis

$10 00

5 00

2.00

10 00

When the physician is detained, for each hour
For a visit at a time appointed by the patient or his
friends, during the daytime

5 00

5 00

For advice given at the physician's office

For such advice when minute physical exploration is

required.

For subsequent advice at office to the same individual for the same malady

For a written opinion or advice to a patient

For a visit at night, after ordinary bed-time

$5.00

15 00

2 00 20 00

5 00

For a visit after night in stormy or inclement weather
For a first visit as consulting physician

10 00

8 00

For each subsequent visit as consulting physician, in the same case

3 00

For each visit of the attending physician, in a consultation

For a visit as consulting physician during the night
In all visits to distant patients, two dollars to be added
in addition to the ordinary fee for each mile over two
between the residence of the patient and that of the
physician, without regard to the mode of conveyance.
An additional fee of $2 to be charged for crossing the
river Delaware.

An extra charge to be made for travelling at night, or on account of the badness of the roads, or the inclemency of the weather.

For an opinion involving a question of law.

3 00 15.00

25 00

For a post-mortem examination, in a case of legal investigation

30 00

For a post-mortem examination made at the request of the family or relatives of a deceased person

20 00

For a certificate of the state of health of a patient