Prevention Of Illness Among Mine Employees - Discussion

CHARLES F. WILLIS,* Bisbee, Ariz.-(written discussion?).-The consensus of the discussion of the paper of Dr. Lanza indicates that the physical examination, while it is probably a good thing, is fought by the workingman, and that, because of this fact, it has been proved unsuccessful. The physical examination standing alone is worth but little, and could easily be made a subject both of ridicule and dissension unless the company having such examination shows its own good faith in promoting a thoroughly better health program. It is easily seen why a workman would resent his employer expecting him to be physically fit, if at the same time the employer provides un-healthful, unsanitary, working conditions, or if the town in which the employees are expected to live is dirty and unkempt. One mocks the other. The employer cannot say, "You must remain healthy so that I can get by with unhealthy conditions." But if working- conditions are as good as can be obtained to keep men well, the employer can ask his men to be in a healthy condition. A State examination and standard would have many difficulties, owing to the fact that a man would pass or would not pass the standard set, thus eliminating the discretion on the part of the employer in placing men whose physical condition might well permit working in one place and not another. Any physical examination that is run for the purpose of eliminating the physically unfit is unjust, both to the worker and to the nation as a whole; a State examination would make a distinct dividing line, whereas examination by the employer is conducted with a vision of the positions available. The workman's opposition to the physical examination comes from the fact that he has been taught to believe that it is an interference in his personal affairs, that he can be clean or dirty as he chooses, that he can he healthy or unhealthy, and that it is nobody's business but his own. The war has taught us, however, that the individual is no longer the unit and that all such propositions must be based on the greatest good for the greatest number.