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132 Philosophical Foundations of Health Education

into self - sufficient, intelligent behavior seeking medical and dental assistance on the

voluntary basis?

We have been at this business of teaching about health for a long time now. We

have discussed medical care in our classrooms, given free patch tests to millions,

discovered dental hazards, given free lunches, screened for vision handicaps, given

countless physical examinations, and dispersed volumes of advice. By so doing are we

teaching our people to expect something for nothing, to live on the taxes of the other

fellow, or are we teaching people to stand on their own feet?

This is a problem we have to meet head on and with full intelligence and insight.

We have invested millions of dollars in school health work, and anyone has a right to

ask us about the relationship between what we are doing and the popular or unpopular

political doctrines of the day.

Whatever we do in the name of school health education must meet the needs of

the people. But in meeting those needs for medical care or for health advice, or for

anything else, we must not destroy the capacity for self - direction and the will of the

individual to look after himself and his family. The great moral virtue of our free life

is to be found in our independence, in our freedom from indigency, in the greater

sacredness of the individual over the state. To preserve our choices, to pay our own

way, to buy and sell as we choose, to retain the honor of paying our own bills — these

are some of the values to be preserved within a free society.

We simply cannot afford to develop school health education without giving

thought to the moral values within it. If we run a low cost dental clinic for indigent

people and a well - to - do person patronizes it because there he can have his teeth fixed

more cheaply, then we have failed to develop an essential morality in that person ’s

background! If we teach youngsters to run to their school physician for every diagnosis

and treatment because it will be free, then we are destroying something important in

our culture. We simply cannot put on vision demonstrations, test thousands for hearing,

do mass tuberculosis screening, immunize people by the millions at public expense

unless these are justifiable measures in the interest of protecting the public health and

without dealing at the same time with the orientation of what we are doing with the

private free - enterprise type of medical practice.

We do these things in school not for clinical or reparative reasons, but primarily to

demonstrate and to educate. In some instances we can justify our activities on the

grounds of public protection and in others because education cannot go on economically

unless they are done. But the practices we undertake in school health education

should never undermine our evolving conception of medical and dental care. On the

contrary they should be undertaken in such form and with such discipline as to support

it. But the great effort, regardless of this relationship, must be made to meet the needs

of the people.

These then are three suggested principles or basic considerations which must

underlie our thinking and planning in school health education. The development of

practice stemming from these principles will be varied, but such variations will not

matter if the basic direction is maintained.

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