Showing posts with label Infant Mortality. Show all posts
Showing posts with label Infant Mortality. Show all posts

Saturday, December 20, 2025

Bounty babies. (1912)

From the December 1912 issue of the Socialist Standard

Smiling mothers everywhere, clasping their new arrivals as though they hadn’t a care in the world. Thus the highly coloured posters picture the thirty bob benefit, the “endowment of motherhood,” under the “People’s Insurance Act.”

In the black hells of mining villages, midst the smoky and dirt-ridden factory towns, and around the death-stricken courts and alleys of dockland—there faces you this poster. In foul St. Helens, in Dante’s Dowlais, in unprintable Canning Town—there is this cynical caricature displayed.

Mark the pink and glowing faces of the wives of workingmen, the mothers of the working class. There is no deathly pallor there, no line of sorrow or privation, no mark of haunting worry and anxiety. No, all these are wiped out by the hand that was going to “banish poverty from every hearth” in three years.

Provided they have paid in sufficient to clear administration charges, the doctor’s “eight and six,” the sanatorium’s cost, the druggist’s demands, the approved society’s levy, etc., and if they have enough then left, the mother is to get thirty bob ! But to win this she must do without sickness benefit for two weeks before and four weeks after confinement. The medical benefit also is withdrawn when the “thirty pieces of silver” come. The doctor is not supplied. He must be paid out of the money. So must the midwife, and all the other expenses. It is open to the approved society to provide these and pocket your thirty pieces. If the mother seeks the portals of the lying-in hospital, they get her money. If the child is still born, then it is a case for the referees, lawyers, medicos, etc. These are the joys that await the woman who presents her “marriage lines” to the commissioners and her babe to a grateful country.

The Liberal frauds even boast that one million mothers of the working class are going to be made happy with this thirty bob every year. It is a significant comment upon the prevailing social system that in the richest country in the world one million mothers stand in need of a thirty-shilling dole to enable them to bring their babies into the world. Think who it is that require this assistance. It is the wives of the workers, not of the idlers ; the toiling wives, not the won’t-work women, who need it—and who have to pay for it.

I have sometimes wondered what the result would be if an official called with a “maternity” benefit upon a parasitic partner—say Mrs. John Jacob Astor, the “Titanic” heroine, who brought the three-million-pound baby into the world, or Mrs. Vanderbilt, who gave birth to a millionaire child at Wimbledon lately. The idler’s wife would collapse with horror at the bare suggestion that she stood in need of such humiliating aid, and the footman would do things which hurt.

One million workers’ babies need bounties ! One million veteran and broken toilers need pensions for the December of their days. Thus confesses the Government. If the babes only knew ! If they live through the strife and struggle of the dozen years of childhood, what lies beyond ? They have to serve the sentence of close on sixty years hard labour—sixty years of servitude passed upon them by the owners, the robbers, of the world’s wealth.

Not only hard labour at bench, or machine, but hard labour in the weary, heart-breaking, never-ceasing round of visits to the slave exchange, the factories and workshops, begging a job.

There is the incentive. After sixty years of back-breaking toil they will stand in dire need of a pensioner’s dole. But the babies do not know, go they live on.

No, not all of them. Only some of the toilers’ children escape the clutches of Death. The Registrar General in bis report tells us that in the mining towns of Durham, in the Rhondda Valley, in the cotton-weaving town of Burnley, in the pottery town of Longton, and in many other places, 200 out of every 1,000 children born are done with life before they are one year old. What is being done to stop tbis murder ? Precious little, even in the face of the steadily falling birth-rate. As Father Ring and otbers have shown, as lying in hospitals have reported, the children of the transport workers died off like flies at the time of the strike because their mothers were starved by the callous scoundrels who own and control the means of life.

In textile factories, in dressmakers’ and tailors’ workshops, in pottery bakehouses, in chainmaking sheds, in jute mills and matchmakers’ mortuaries, there sweat the mothers of the toilers’ race. In creches, in nurseries, in open streets and blindalleys, and in locked rooms their loved ones must be left while they mint millions for the parasites and their pets. No wonder Lancashire doctors report that in time of strikes and lock-outs the early days are marked by declining infant mortality and illness. This is because the mothers are set free to look after their little ones. True, as in East London,, when the dispute lasts long all this improvement is wiped out by the starvation that inevitably ensues.

The children of Carthage were sacrificed to Moloch, but the quick death of these was merciful, for all its seeming barbarity, by comparison with the lingering torture of the starved mites of the modern workers. The newspapers are full of sickening stories from the “homes” where the babies are brought to die. The present Tooting case, where five infants died within a week, is an example.

Again, the Southwark Coroner pointed out on November 12 that 600 children are burnt to death every year in England—mainly the tragedy of flannelette ! Flannel is not for the infants of the working class.

After infancy, school, for a meagre and begrudged apology for education, rushed through in the shortest possible space of time. The Board of Education tells us that of those fourteen years of age only 36 per cent. are at day school—the rest are at work !

The masters, however, want, the children before they are fourteen. The Interdepartmental Committee on the Partial Exemption of School Children (1909) said (vide Report): “It was most strongly represented to us by millowners round Bradford and Halifax that any restriction, on the supply is liable to cause inconvenience to employers.” The half-time system meets the masters’ demands in that it is cheap and the children are docile.

Ever since 1900 the number of half-timers has steadily risen. It rose from 74,000 in that year to 78,000 in 1903, 80,000 in 1904, 82,000 in 1906, 85,000 in 1908. At twelve years of age the boys and girls are busy in the heated sheds and mills, grinding out profits for those who own. Although the Board of Education states that over 60 per cent. of the children attending school are defective in health, Mr. W. Sykes, of the Teachers’ Union, stated that in 24 years’ experience he had never known a child rejected, as physically unfit, although some of them were not robust enough to be employed in the playground. (Before the Board of Education, Nov, . 4, 1907.)

What is the lot of the children working half-time at twelve years ? The Committee referred to told the Government that “their progress is retarded, if not absolutely brought to a standstill. The children come to school tired and sleepy. . . . They are unable to pay proper attention to their school work. The boy . . . loses a large part of his education . . at a time when the value of education ought to become greater to children.”

They tell us that “the results of several statistical investigations made in more than one half-time town indicate distinctly that the weight and chest measurement, and sometimes the height, of half-time children, are less than half those of full-time children in the same place and of the same age.”

What shall you think, then, of the Labour Party members who try to keep the little ones in the mills to be murdered ? Mr. Shackleton, before he got his present job, supported with might and main the maintenance of the half-time system, and his fellow Labour members resented any attack upon this masters’ man. Now Mr. W. A. Gill, a shining light of the Labour Party in the House of Commons, opposes the abolition of the half-time system. In the half-time debate on April 26, 1912, he said he “agreed with those who believed that in letting them (the children) go to school half the day and be trained to work during the other half, they were doing what was best for their children.” One almost fancies one can hear the bosses telling him to say it.

Bad as half-time is for children of twelve and thirteen, the labour leaders have done their best to force the children into the mills and fields full time at those ages. In short, they have helped the murderers of the children in their nefarious work, and, like Shackleton, they will get jobs.

In May, 1906, Sir John Brunner, the millionaire chemical-factory owner, introduced into Parliament a Bill “to amend the Education Act.” This Bill bore the names of its backers, Mr. Will Crooks, of the Labour Party, and also Mr. Ramsay MacDonald, its secretary.

While Mr. MacDonald’s party were “pledged” to fight for the raising of the school age, he fought to lower it. Whilst twelve and thirteen were the earliest ages for partial exemption from day school, he tried to make them the statutory ages for total exemption !—conditional always, upon their being driven to night school to have their tired brains racked with education.

We opened with the blessings of childhood, but the blessings belong to those who do the children in—to the Penruddocks and the Wilesmiths ; to the Abkar Reformatory rulers and the Tooting philanthropists, the thoughtful factory owners and the rural lordlings. The blessings will fall upon the children when, through the triumph of Socialism, the power of property over human existence has gone for ever.
Adolph Kohn

Monday, August 4, 2025

Baby Week. (1917)

From the August 1917 issue of the Socialist Standard

The re-shaping of old morals to suit new circumstances. 
The city of London has been en fete for a whole week. Members of the idle master class gathered in large numbers at classic Westminster in order to do honour to the resurrection era of King Baby. Never since the days following the Great Plague has “Mother’s boy” been so sincerely greeted, and fondled, and feted, as during this right royal national reception. Ladies of the highest title and social standing took upon themselves the honourable task of tickling the tootsiess of mere working-class kiddies what time they showered congratulations upon their beaming mothers.

Let it be most distinctly understood that the object of all this chivalrous attention was to do honour to WORKING-CLASS babies. Should you be so indiscreet as to inquire why the “sunbeams” of our particular class should be singled out for this shower of sentiment I should merely suggest that it arises from the fact of these ladies of title having no children of their own, comparatively speaking.

Why have they no children of their own, you ask. Well, sir, my lady has her form to consider, as well as her position in society, in addition to which, childbirth is a rather painful and disagreeable process.

And how comes, you again ask, that, during the progress of the world’s greatest war so many ladies—and gentlemen—are able to find so much time to spare when so many humbler folk are in the trenches or the munition works ? Ah ! to be coloured like a canary or disfigured in an explosion is not fashionable in high society, nor, come to that, is—WORK !

But what is the reason for this celebration of “Baby Week” ? It appears to our masters that the male population of the British Isles is falling to alarmingly proportions, and that the death rate among children of working-class parentage has increased to dangerous limits. The reasons advanced for the high mortality are many and varied. One newspaper ascribes it to “Slums, dirt, disease, drink, ignorance, and virmin.”

The inclusion of drink as a contributary cause is only to be expected, for the bosses’ agents always declare that “drink is the basic cause of poverty.” It is, of course, a deliberate lie. The working man is poverty-stricken before ever he starts to purchase drink. Apart from this, the price of drink has placed it almost beyond the reach of poor people at the very time that infant mortality is reaching its highest point.

In the present period it matters not so much whether your child is born in the legitimate manner or not, so strangely has capitalist society transformed its moral code in order to fall in with supply and demand. This come-down in social morality is all the more notable because it strikes such a staggering blow at the foundation of the Christian Church. A slight idea of what is taking place may be gathered from a perusal of the following extract:
“The time has gone when people turned up their noses at illegitimate children, and now these, as well as legitimate children, are welcome, so long as they are healthy,” said Coroner Graham at an inquest held at Gateshead.”-“News of the World,” 8.7.1917.
This spectacle of the unfortunate girl who dared to give birth to a child out of wedlock now being fawned upon as a desirable member of society by those who never hesitated to ‘down” her would afford an interesting study for a cynical philosopher. Still, in these days when those who should have been the fathers of the future are dying like flies, the upkeep of the children of whatever parentage is of vital consequence to the British capitalists.

At London celebrations of “Baby Week” numerous speakers referred to the imperative duty of every working-class wife bearing children for the benefit of the State. No serious proposal, however, was made as to the State aiding her in feeding the children she bore.

The patrons of “Baby Week” would admit, doubtless, that they regard it as a matter for general regret that Mr. McNiell’s “war baby” prophecy was not more true than it proved to be. Had it been the necessity for a “Baby week” might never have arisen.

Just at the time when people are wailing about the paucity of good, healthy children it behoves us to look back in order to see how carefully babies were looked after in pre-war days. Referring to our London milk supply Lionel W. Lyde, M.A., F.R.G.S., Professor of Economic Geography in University College, London, wrote some few years back the following significant statement :
“For our huge city population the milk supply is miserably deficient. Holland, which is only about about one-tenth the size of the United Kingdom, has about 4,000,000 more cows ; more than a quarter of our milk supply is used for making butter and cheese ; hundreds of gallons go bad every day, because the poor cannot afford the price demanded for it ; and a large proportion of the milk which is sold in poor districts is watered, especially in London and on Sundays.”
When we recall that countless children of working-class parentage have died because pure milk has been beyond their mother’s slender purses, the damnable character of the practice of destroying foodstuffs in order to keep up prices becomes increasingly apparent.

As a concluding comment. I would commend to the reader the appended statement made by A. A. Phillips, M.B.C.M., late Medical Officer of Public Health, Northern Divisions of Scotland, in his book, “What a Young Husband Should Know” :
“The change in social conditions, the modern struggle for life, has brought women everywhere into competition with men. Look at as we may, like it or dislike it as it pleases us, it becomes daily more clear that women are being FORCED into sexlessness by causes which are beyond our or their control.”
When you are tired, therefore, of listening to the usual humbug of the master-class agents regarding the size of your family as distinct from their own, you might reasonably examine the Socialist case. Wake up now, for the age of enlightenment is upon you. Think out your position and study the only means whereby you may free yourself from the tyranny and oppression of capitalism. Only when you have done this can you satisfactorily solve the question of the number of children who should be brought into the world. Arm yourself against the menace of modern society, and march in the already singing army whose voice rings out the glad words : “The International unites the human.”
B. B. B.

Thursday, June 27, 2024

Behind the “Labour Unrest”. (1912)

From the June 1912 issue of the Socialist Standard

The Cause and the Remedy. 
In England, after 66 years of Free Trade, a century of Trade Unionism and of Social Reform, strikes and lock-outs are the order of the day. Cotton operatives, printers, seamen, railwaymen, carmen, miners, tailors, dockers and transport workers, are all struggling for betterment.

The “labour unrest” is “explained” by various politicians in various ways. Lloyd George tells the “Daily News” man that the cause is the low wage of agricultural labourers ; Bonar Law says it is the want of Tariff walls ; the Anti-Socialist Union hirelings fix the blame on the Socialists.

The first, playing the Cobden game of turning attention on the

SLEEPING PARTNER

—the landowner—in working-class robbery, is effectively answered by Chiozza Money (“The Star,” May 29) when he shows that agricultural workers’ real wages have suffered less than the town workers’ during the rise in prices. Mr. Bonar Law is silenced by the growing labour upheaval in Protectionist countries. Finally, the Anti Socialist Union may be reminded that the majority of those striking are, unfortunately, anti-Socialists.

Is it want of trade, Messrs. T. Reformer and F. Trader ? The Board of Trade returns show an enormous increase ! Is it want of wealth and power to produce, Mr. Malthusian ? Lloyd George told you during the “unrest” debate in the Commons that the wealth produced and the ability to make it was unparalleled in human history. Income Tax. returns have risen rapidly and recent wills prove that it is distribution, not production, at fault.

The two brothers Coats left 3½ millions ; the Duke of Fife a million, and it is reported in the “Telegraph” that Rockefeller’s income one year alone was

£27,000,000.

Mr. H. G. Wells may talk of the need for “high pressure service,” and Balfour babble of seeking “greater command over nature” : the one cause of the ferment around us is the growing pressure of poverty amidst stupendous wealth.

Said Lloyd George at Cardiff, December 2th 1911: “To-day you have greater poverty in the aggregate in the land than you have ever had. You have oppression of the weak by the strong. You have a more severe economic bondage than you probably have ever had ; for grinding labour to-day does not always guarantee sustenance or security. At any rate, that condition of things was foreign to the barbaric regime of the darker ages.” He had a few minutes before reminded us that “this is the richest empire under the sun. If there is poverty, misery and wretchedness it is not because the land is sterile and bare and does not provide enough for all.”

On the other side Mr. Bonar Law told us (Manchester Nov. 16, 1911) that: “During the last ten years there has been a considerable increase in the total wealth of the country, but in that time the condition of the working class has not improved. It has actually deteriorated. From information supplied by the Board of Trade we know that during that period

THE COST OF LIVING

has gone up 10 per cent. and wages remained stationary.”

Then at the National Conference on the Prevention of Destitution (Caxton Hall, May 31st, 1911) the Lord Mayor informed us that a hundred millions were spent on poor law relief and charity, and he asked : “Are we as a community getting the best return for that huge expenditure ? Are we making destitution any less? Are we stopping the perpetual creation of new clestitutition ? In spite of greatly improved Poor Law administration, in spite of momentary good trade, there was on the 1st of January, actually a larger number of people in the workhouses than at any previous period of our history. Moreover, the plague of vagrancy seemed to be actually increasing.”

Mark the words of the mental specialist, Sir J. Crichton Browne, at Tottenham Hospital on November 16, 1911: “We have in many of our industries adopted a policy of “speeding up,” whereby men do their work in less time than formerly, and with fewer intervals of rest allowed them in the workshops and therefore with more exacting and exhausting calls on their nerves, which probably in some measure accounts for the great increase of reputed injuries to workpeople which we have to deplore. We have been

BRINGING UP OUR BABIES

on anything but mother’s milk, and by the employment of women in factories and by giving them an unrestricted sphere of activity, have curtailed that family life in which the young nervous system thrives best.”

The result of this hustle is seen in the 65th Annual Report of the Lunacy Commissioners, which shows the number of inmates of lunatic Asylums to be 133,157, an increase of 2,604 in a year. The meaning of these terrible figures is driven home in the table showing that in 1859 the number of lunatics was only 36,762. Thus while the population increased but 85.8 per cent., the number of lunatics increased in the period 262.2 per cent.! How capitalism crushes the working class becomes plain from the fact that 121,172, or 91 per cent., of the total lunatics in 1911 were

PAUPER LUNATICS.

This was an increase of 2,271 over 1910, nearly all the year’s increase being pauper inmates !

Our teetotal fanatics often think the cause of increased lunacy is drink, but Sir J. Crichton Browne exploded that idea. He said : “Drinking is admittedly on the decrease. Sir Thomas Whittaker pointed out last year that £46,000,000 had been saved in the national drink bill, but it did not bring any diminution in the number of the mentally afflicted.” In the same speech he said that whereas in 1890 the number of suicides was 2,205, in 1910 there were 3,577, and he blames the stress of modern society. was 2,205, in 1910 there were 3,577, and he blames the stress of modern society.

The worsening of the workers’ lot is shown by the fact that the children of the toilers are driven, into the factories to a greater extent in order to “make both ends meet at home.” The Board of Education in their report quoted by Mr. Chiozza Money in the “Daily News” on May 29th, says that out of a total of 691,000 children aged 14, only 155,682, or 22 per cent., attend day school. As Mr. Money remarks, this system “compels two persons, and sometimes three persons, to work for the wage which

ONE PERSON OUGHT TO EARN.”

Schemes of social reform do not help matters. Says the Chairman of the West Ham Board of Guardians in the Annual Report just issued : “Although a large number of out relief recipients have been transferred to the Old Age Pension list, the number of applicants for out relief has been steadily ascending. One of the principal causes is said to be the disinclination of employers to engage or retain persons of advanced years or suspected of infimity.” As to indoor pauperism, the “Daily Chronicle” (Nov. 11th, 1911) said : “Indoor relief in London has risen enormously. For the year 1886-7 the average number of indoor paupers (excluding casuals) was 54,861, or 13.7 per 1,000 of the population; last year it was 78,114, or 17.3 per thousand.”

Millions never reach the Poor Law portals, but are murdered in the cradle. The National Liberal Federation says, in “A. Nation Insured” : “We have many large towns . . where 200 out of each 1,000 die within 12 months of birth. . . The wholesale sacrifice of infants is followed by the robbery of a great part of the life of those who survive. . . It is not pretended that the National Health Insurance can dispose of

THE DAMNING FACTS.”

Of course it cannot. The only remedy is our remedy—the institution of a new social system, not fiddling with the effects of the present one. The evils which give rise to the “labour unrest” which convulses society is a necessary concomitant of the present social system. They arise inevitably from its competitive institutions, and will continue to arise as long as those competitive conditions remain.

It is futile, therefore, for the master class to look for any cure for the “labour unrest,” or for the workers to seek industrial peace. Under the system the fight must go on, and battle follow battle. Let us prepare, then, to end the strife by ending the system.
Adolph Kohn

Sunday, November 26, 2023

. . . rough justice (2003)

From the November 2003 issue of the Socialist Standard

Capitalism is a system based on competition, and the criminal justice system, like all other institutions and activities, is dominated by this drive. Thus, trials of those accused of crimes are battles between the prosecution and defence teams. Being able to afford a good defence lawyer affords a greater chance of being acquitted than if a defendant is poor and has to rely on legal aid. Winning a case rather than obtaining justice for the accused is the goal. This has led to police forces presenting selective evidence in some cases and ignoring facts that could prove an accused person’s innocence. But, like other organisations, they have to produce results and investigating cases which do not result in a conviction does not help their “clear-up” rate when compared with other police forces. Innocent people have been imprisoned because the defendant’s defence team has not had access to all the information in the case.

The recent trial of Trupti Patel, charged with murdering her three children, has highlighted some of the ways the justice system works. It seems that if an infant dies suddenly there is a presumption that one of the parents – usually the mother – must have injured the baby in some way. The presumption of guilt leads to the parents being treated unsympathetically at a time when they are grieving and adds considerably to their distress.

An estimated 90 per cent of sudden infant deaths are from natural causes (Independent on Sunday 29 June) but, because the cases occur irregularly and infrequently, it is difficult to pinpoint precisely what the causes are. It is also clear, though, that social factors are involved too. The 1996 Confidential Enquiry into Stillbirths and Deaths in Infancy showed that there was a link between poverty and cot deaths. Low income, poor – and especially damp – housing were major risk factors. There is also a link between using second hand mattresses and cot deaths. And poor mothers are more likely to use them.

The 1996 Enquiry, and its link with poverty, was poorly publicised. Smoking is implicated in causing cot deaths and mothers are blamed for this behaviour. However, for a single mother or a mother in poor and stressful circumstances, smoking may be the only relief from a dreary existence and may help them to cope with their lives. Poverty, and its elimination would require a political change which the capitalist class is not prepared to contemplate. And to highlight the continuing effects of poverty and the way that it blights workers’ health as well as all other aspects of their lives would underline the failure of reformism to change the world for the better.

Governments hold enquiries when tragedies occur or when there is an outcry from the public over serious miscarriages of justice. Capitalists concede a few reforms, but it is the system which is at fault. Until the working class democratically decide that capitalism is a society which does not operate in the interests of the majority then they will choose socialism.
Carl Pinel

Thursday, August 17, 2023

50 Years Ago Irish Politics and the Church (2001)

The 50 Years Ago column from the August 2001 issue of the Socialist Standard

Mr. Ritchie Calder, writing in the “New Statesman” (28/4/51) gives an account of the dismissal from the Eire government of their Minister of Health, Dr. Noel Browne. Appalled by the high infantile death rate he proposed to give free medical services, “without any means test, to all mothers and children, to provide mothers with specialist gynaecological care, and to give health education.”

The Cabinet had not objected until the Catholic Bishops intervened, one of their objections being that “the right to provide for the health of children belongs to parents and not to the State.” They objected to the possibility of information on birth control being supplied though Dr. Browne had given safeguards on this matter.

Although Dr. Browne was able to show that Vatican spokesmen did not object, the more reactionary views of the local Catholic Bishops prevailed and Dr. Browne was dismissed.

Mr. Calder quotes some statements made by Ministers:
“As a Catholic, I obey my church authorities and will continue to do so” (Prime Minister, Mr. Costello). “There is going to be no flouting of the Bishops on Catholic morals and social teaching (Minister of Labour).
And finally Dr. Browne, describing the Health Service before his resignation, said:
“As a Catholic, I accept the ruling of their Lordship, the Hierarchy, without question.”
Mr. Calder points out that one result of these disclosures is that the Northern Ireland parties opposed to Union with Eire are using the incident effectively as propaganda among Northern Ireland Protestants, as proof of “the political duress exercised by the Catholic Church.”

(From Socialist Standard, August 1951)

Wednesday, August 9, 2023

Irish Politics and the Church (1951)

From the August 1951 issue of the Socialist Standard

Mr. Ritchie Calder, writing in the "New Statesmen” (28/4/51) gives an account of the dismissal from the Eire government of their Minister of Health, Dr. Noël Browne. Appalled by the high infantile death rate he proposed to give free medical services, "without any means test, to all mothers and children, to provide mothers with specialist gynaecological care, and to give health education.”

The Cabinet had not objected until the Catholic Bishops intervened, one of their objections being that "the right to provide for the health of children belongs to parents and not to the State.” They objected to the possibility of information on birth control being supplied though Dr. Browne had given safeguards on this matter.

Although Dr. Browne was able to show that Vatican spokesmen did not object, the more reactionary views of the local Catholic Bishops prevailed and Dr. Browne was dismissed.

Mr. Calder quotes some statements made by Ministers:
“As a Catholic, I obey my church authorities and will continue to do so " (Prime Minister, Mr. Costello).

“There is going to be no flouting of the Bishops on Catholic morals and social teaching" (Minister of Labour, Mr. William Norton, leader of Irish Labour Party).
And finally Dr. Browne, describing the Health Service before his resignation, said:—
"As a Catholic, I accept the ruling of their Lordship, the Hierarchy, without question.”
Mr. Calder points out that one result of these disclosures is that the Northern Ireland parties opposed to Union with Eire are using the incident effectively as propaganda among Northern Ireland Protestants, as proof of "the political duress exercised by the Catholic Church.”

Friday, August 19, 2022

The Economic Foundations of Ill-Health (1944)

From the August 1944 issue of the Socialist Standard

Much emphasis has been laid of late years, particularly since the war, on the importance of health education. It is a tragic fact that under the present system it takes a war to reveal the condition of the nation’s health. The Boer War revealed the harm done to the manhood of England by their employment as young children in the factories and mines. Those surviving, whilst fit enough to be alive, were not, curiously enough, sufficiently fit to die for their country. The last great war revealed a high percentage of C3s. Robert Sinclair, in “Metropolitan Man,” states (page 28) : “The position has not substantially changed since the closing year of the war, when the Ministry of National Service compiled a health census of the 2,500,000 young men who then attained their eighteenth birthday. Of this fine flower of the English race, two specimens in every three were unfit.”

Complacency during this war has not been so much disturbed by the prospective fighting men as by the condition of their children. Evacuation of the town populations to the country brought to light some startling facts. Dr. Kenneth Mellanby, quoted in “Our Towns” (page 5), suggests that 50 per cent. of the evacuated children were verminous. Their hostesses were horrified by their condition, but had they become aware of the state of the “homes” from which many had come, their horror would have been better founded.

“The New Survey of London Life and Labour,” quoted in “Our Towns” (page 40), states : “It is the exception rather than rule to have water ready at hand in unlimited quantities. In half the houses investigated water has to be fetched from outside the tenement, often from a tap on the landing, sometimes from across a yard, at others up or down three flights of stairs; nor is the place for emptying dirty water always where the tap is—it may be yet further away.”

Public health workers, such as health visitors, midwives, school nurses, are expected to be the educators of the working class living in the conditions mentioned above. Under the more passable conditions of some of the working class their advice is welcomed and followed; to those dulled by years of the most brutalising poverty, it fails to register. To the more intelligent among the poorest, however, nothing could be more exasperating. Under hopeless conditions, health talks serve to deepen frustration.

The writer recently attended a lecture on Parentcraft. As he stated his case, the lecturer cited a family of his acquaintance as an example of what parentcraft can do. They appeared to be in the direst poverty, but due to the untiring efforts of the mother, the children had survived. The writer made a reference to “Birth, Poverty and Wealth,” by R. Titmuss, a work showing how descent in the social scale, and the type of work performed by the father, condemned the children to a greater expectation of disease and early death than those of the highest professional groups, and was the greatest factor in the health of the family. The lecturer stated that, whilst he appreciated the effects, he felt that much could be done to ameliorate them by knowledge of parentcraft. What empty hopes! Reminiscent of the boy who, by holding his hand over the hole in the dyke, hoped to stem the flood. Thus do reformers waste their time and energies in trying to alleviate the direct effects of capitalism, instead of striving to abolish the cause.

Health education comprises also a knowledge of food facts. In December, 1937, the Ministry of Health and the British Medical Association worked out budgets in which the amount necessary for food lay between 5s. and 6s. a week per head at the then prevailing prices. Aleck Bourne, commenting on it in “The Health of the Future” (page 81), says : “It may be true that if such a sum were spent by a housewife with a sound practical knowledge of the vitamin and mineral content of the food exposed for sale, she might be able to feed her family without physiologial privation. But this would still not be possible, even though she could buy the food, unless she had been taught how to prepare and cook it, both to preserve the living elements and also to make it palatable and attractive.”

Let us try to imagine the mother of a large family, living, if very fortunate, in a council house; if less fortunate, in a tenement, or even in one room or less, in the worst part of an industrial town. Her vitality is diminished by repeated births and the unending struggles to wash, cook, clean and care for her little ones in surroundings not conducive to the continuance of such activities. Yes, it is very hard to imagine her sitting down and planning the day’s menus in a balanced manner; much easier to imagine her buying fish and chips, bread, marg. and jam, and washing down the mixture with over-sweetened tea as a stimulant. Under such conditions, knowledge, if imparted, could scarcely be made of use. A telling incident is recorded in “Our Towns,” showing how bad housing induces bad eating: “The motives of conduct of poverty are sometimes very far to seek for the well-to-do. An old woman who was bringing up a 10 year old grandson used, when short of money, to give him 2d. to buy two cubes of a proprietary extract. Asked why she did not buy herrings instead, she replied, ‘You see, we’ve only got one room, and the smell of fish frying turns me stomach; and it brings out the mice, and I’m afraid of mice'” (page 41).

Many of these incidents must have occurred within the experience of the average worker, but for a last damning example we will turn to America, that land of the free, and further to South Carolina, that erstwhile home of slavery, where negroes now live under conditions never equalled in the heyday of the “Southern Gentlemen.”

“Look,” an American magazine, in its June 1942 issue, published an article entitled “Parenthood U.S.A., The Story of South Carolina.” It deals with the appalling conditions in Berkeley and Lee counties, which are mainly populated with negroes. “Tucked away in the hot amiable heart of South Carolina are the counties called Berkeley and Lee. Here in two areas, each of 1,200 parched square miles, rural, agricultural, economically impotent, 70 per cent. Negro, exists a public health programme with teeth in it, obstetrical care, infant care and baby spacing are its three main functions. Nowhere in the U.S.A. was there a greater need for such a programme. In 1936, 360 South Carolina mothers died in childbirth; 5,600 infants died in their first year, a higher proportion than in any other state. In 1939, when South Carolina made baby-spacing one of its official public health services, Berkeley County instantly began functioning as an experimental centre. … If the programme works in these impoverished regions, it will work anywhere.”

Graphic descriptions follow. The main diseases rampant include V.D., malaria, rickets, pellegra. Malnutrition is common enough to be almost the rule. The article states in uncompromising terms, “Low incomes mean high infant death rates.” What, then, is the solution to the problem in South Carolina ? The obvious one of raising incomes, or of abolishing the wages system and providing plenty for all? No! what is called baby spacing is alleged to be the panacea for all ills.

Whatever so-called success attends this health drive, it can only constitute a palliative. The malaria may be treated by free quinine, but in such a district, with sanitation almost nil, re-infection will quickly occur. The treatment of syphilis is lengthy, and much of the damage done is irradicable. And the deficiency diseases, what of them ? With smaller families, the wage, such as it is, is divided among fewer mouths. But as the chief occupation is tenant farming in a dry, crop-poor land, reward for hard work is meagre. Many receive what we should term public assistance, and this, we know, maintains life, but not necessarily health. An excellent example this of capitalist reforms; surface scratching, leaving the hard core, the root cause untouched. After all the teaching of parentcraft, birth control and what you will, Berkeley and Lee will remain to their unfortunate inhabitants 2,400 parched square miles where they are compelled to sell their labour power at a bare existence price, or seek some other place. But wherever they go, they will be, whilst working, exploited; if idle, forming part of the industrial reserve army, and, finally, join the scrap heap.

When the worst anomalies are removed, others more subtle become apparent. An excellent exposition of the effects of poverty on the mentality of the school child is given in a work entitled, “A Pen’orth of Chips” by C. S. Regal. This school teacher, working in the Royal Borough of Kensington, found children living in over-crowded surroundings, getting little sleep, and that disturbed, having the well-known diet of bread and marg., getting little fresh air, with a greater preponderance of dullness than those living in less poverty-stricken districts. Dullness is a physical condition that may be inherited, but it may also be acquired. The difference in the stature of the elementary schoolboy and the public schoolboy is well known, but is the difference in the mental stature and its cause so readily appreciated?

It will take more than parentcraft, baby spacing, school meals, etc., to remove the effects of poverty in a world of plenty; it will take a complete change in the social system to bring about production solely for people’s needs, and not in order to make a profit such as obtains to-day. Poverty for the many is inherent in the capitalist system, and we must work for Socialism in order to remove it. By Socialism we do not mean public utility corporations, State control and National Health services, which pass for it with some of our less well informed fellow-workers. By Socialism we mean a system in which all who are able participate in production, and everyone receives what he needs. Only under Socialism can the heart-breaking effects of poverty be removed and all have an opportunity of living the good life as well as enjoying good health.
W. P.