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Show 22 COMMXSSIONBB OF INDIAN hFFAIRS. gaged in special tUberCulo~i8 work. Systematic inapection is absolutely necee saw, and can not be carried out unleea additional inspectors are appointed. These physicians would be assigned to regular districts, where they would have immediate charge af medical matters, including supernision of physi- &an6 collection of vital statistics, and improvement of sanitary conditions on the reservations At neither agencies nor schools do phyaiciana have either time or necessary npparatus to carry on pathological work for diagnostic purposes. Were a laboratory of this kind established, samples of sputum of cases suspected of having tuberculosis could be examined by an expert in such work. The ex-amination of sputum alone would require the entire time of one pathologist Maw other problems of diagnosis are COnstantiy requiring such help as is afforded by a labomtory of this kind. There is at present only one supervisor of schools employed in the work of developing to greater emciency the teaching of home sanitation by fleld matrons and teachers of housekeeping, and the field has not yet been cover@ by her, although constantly engaged in it for the past three years. This subject is one of the most important of all those to be taught in the Indian schools, and ha8 not yet received the attention which it deserves. The medical farce as it now stands is inadequate to cope with the present health situation, and material improvement must come through substantial Increase in number and salaries of the medical corps. Indian-senice physicians are the poorest paid in the Government service, and yet their work is fully as dmcult and, in many instances, involves greater hardship than any other service except during times of war. There are at Present 52 contract physicians and 86 regular physicians. The contract physicians receive an average of $675 per year and the regular physicians an average of $1,186 per year. The oontmct physicians do not have the time nor do they receive sulUcient com. peneation, to enable them to render the amount of medical work required, and It is imoossible also to obtain efficient and satlafactom. re-m lar u.h .ss icians at the salaries now paid as is desired. There is very little chance for promotion of physicians, and no annual leave is allowed them unless s substitute is fuGished and paid for. Instead of the present low salaries and practical impossibility oi receiving promotion, physicians should be graded and allowed increased compensation commensurate with their sen.ices. Comparing the salaries received by physicians in the Indian service with those of any other bmnch of the Government, it is at once apparent that the class of men attracted by the Navy, Army, and Marine-Hospital Service is of much higher grade than that entering the Indian Service. The following is a comparative table of pay and list of medical oacers of the Onited States Navy, United States Army, tbe Public Health and Marine-Hospital Service, and the Indian aer~ice: United States PubUo united statas Navy. United states Army. Hcalth and ldarin8- Unit.ed Indian Hospital Semlee. servim. oanersl asccn. k%%director~ts~MO. Medical ian tor, S4,SW. 8twm.,&. Passed &Wt mean, 12 sro. ~&tsntsulgem, t2,zoo. Entrance sslsry, Sl Wa smgeon a m e r a l , ~ ~ . Colonel, W,CCO. Lieuteneotooionel,S4,m fijaa, $ 4 , ~ . captsln, 12.m. Fimt Usutmmt,12,000. ; Borgeon a d (5 o m. Amstant s& hen. eral HOBO. senid &gem, ~ , m . 8ur@0% 8.m. Pessed mistant mgwn, 12 MO. ~&tant mwn,u,m. |