„Мизерија практичног живота“ Владана Ђорђевића

Abstract

Намера др Владана Ђорђевића да у Београду изгради приватну болницу у којој би се лечили и радници који уплате годишње здравствено осигурање изазвала је полемику у којој су учествовали др Владан и противници ове идеје, сарадници и уредници листова Радник, Враголан и Ружа. Због малог броја заинтересованих Владан је одустао од овог наума и одлучио да у својој кући отвори болницу. Добио је дозволу за рад, али не и право да ову установу назове „Приватна болница“. Као одговор на одлуку Министарства унутрашњих дела (МУД) др Владан Ђорђевић објављује расправу Санитетски послови у Србији у којој је подвргао жестокој критици рад санитетских власти. Износећи бројне примедбе на начин трошења средстава „Шпитаљског фонда“, лошу организацију санитетске службе, немар власти када је у питању јавна хигијена итд. Владан Ђорђевић даје и предлоге за решавање постојећих проблема. Неки од тих предлога су уграђени у Закон о уређењу санитетске струке и о чувању народног здравља.

During his studies, Dr Vladan Đorđević became interested in organisation of medical service, matters of public hygiene and in medical legislation. During his stay in Austro-Hungary and Germany he gained knowledge about systematic soultions which were enabling more efficient and more effective functioning of medical service. Upon his return to Serbia, he wanted to implement this knowledge in practice. With the intention of introducing health insurance for laborers, he decided to open private hospital. He notified the public about it in his Open letter which was published on March 14, 1872. He invited Belgrade laborers to pay annual insurance of 1 gold coin and become entitled to treatment at his hospital, regardless of the type of illness, duration of treatment or potential surgical interventions that might have to be made. Dr Vladan Đorđević’s intention to open private hospital which would treat anybody who pays health insurance into hospital’s fund was met with harsh criticism from socialists, gathered around publications Radnik and Vragolan. Because of small number of interested people, Dr Vladan Đorđević abandoned the idea of building a new hospital, and asked permission from the Ministry of Internal Affairs to open private hospital in his own house. Minister made the decision by which Dr Vladan Đorđević “is not forbidden” to treat patients in his house, but he was not allowed to use the term hospital for this purpose. As a response to this decision, Dr Vladan Đorđević published his debate Sanitetski poslovi u Srbiji, wherein he pointed out poor functioning of civil medical service. He stated numerous objections to the work of Serbia’s civil medical administration, to the ways of spending money from the “Hospital Fund” and to insufficient knowledge of the then head of medical service about anti-epidemic measures, as well as to lack of interest of medical administration in the matters of school hygiene, nutrition of the population, swamp draining and other matters related to public hygiene. In addition to the objections to the work of medical authorities, in this debate he also provided proposals how to improve the existing conditions. In 1879, Dr Vladan Đorđević was appointed Head of Medical Department in the Ministry of Internal Affairs, within which he would reform civil medical service with his proposal of the Law on National Health Care Fund (1879) and the Law on the organization of medical profession and preservation of people’s health (1881). The debate Sanitetski poslovi u Srbiji led to Dr Stevan Milosavljević’s crude attack not only on Vladan Đorđević and his father Đorđe, but also on Dr Jovan Valenta, Dr Josif Holec, Dr Sava Petrović, Dr Đorđe Klinkovski and Dr Jovan Mašin, who sided with Vladan in discussions regarding status of medical service in the Princedom. The attacks that he was exposed to because of his published debates made Vladan Đorđević write in his letter to Valtazar Bogišić on November 27, 1872, the following: “The entire misery of ’practical’ life came crumbling at me like the sea, and it is drowning me, and all my scrambling is not helping me.”