change has taken place in the practice of medicine
Since this lecture was delivered a great and, as I think, beneficial
change has taken place in the practice of medicine. The habit of the
English 'general practitioner' of making his profit out of the pills and
potions he administered was ruinous to professional advancement and the
dignity of the physician. When a half-starving medical man felt that he
must give his patient draught and boluses for which he could charge him,
he was in a pitiable position and too likely to persuade himself that his
drugs were useful to his patient because they were profitable to him.
This practice has prevailed a good deal in America, and was doubtless the
source in some measure of the errors I combated.

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