Public Health is focused on prevention and I think this poem illustrates the importance of prevention very well.
The Fence or The Ambulance
Joseph Malines
‘Twas a dangerous cliff, as they freely confessed,
Though to walk near its crest was so pleasant:
But over its terrible edge there had slipped
A duke and many a peasant;
So the people said something would have to be done.
But their projects did not at all tally:
Some said, "Put a fence around the edge of the cliff"
Some, "An ambulance down in the valley."
But the cry for the ambulance carried the day.
For it spread to the neighboring city:
A fence may be useful or not, it is true,
But each heart became brimful of pity
For those who had slipped o’er that dangerous cliff,
And the dwellers in highway and alley
Gave pounds or gave pence, not to put up a fence,
But an ambulance down in the valley.
"For the cliff is alright if your careful," they said,
"and if folks even slip or are dropping,
it isn't the slipping that hurts them so much
as the shock down below-when they're stopping,"
So day after day when these mishaps occurred,
Quick forth would the rescuers sally
To pick up the victims who fell off the cliff,
With their ambulance down in the valley.
Then an old man remarked, "it's a marvel to me
that people give far more attention
to repairing results than to stopping the cause,
when they'd much better aim at prevention.
Let us stop at its source all this mischief, cried he.
"Come neighbors and freinds, let us rally :
If the cliff we will fence, we might almost dispense
with the ambulance down in the valley."
"Oh, he's a fanatic." the others rejoined:
"dispense with the ambulance Never!
He'd dispense with all charities, too, if he could:
no, no! We'll support them forever.
Aren't we picking up folks just as fast as they fall?
And shall this man dictate to us? Shall he?
Why would people of sense stop to put up a fence?
While their ambulance works in the valley?"
But a sensible few who are practical too,
Will not bear with such nonsense much longer
They believe that prevention is better than cure
And their party will soon be the stronger
Encourage them, then with your purse, voice and pen
And (while other philanthropists dally)
They will scorn all pretense, and put up a stout fence
On the cliff that hangs over the valley.
Compiled by Hazel Felleman
Published by Doubleday, 1936
I love this poem. If only people would realize how much better prevention is than treatment. So many problems could be avoided if more focus was put on prevention. The dilemma is what to do with those that are already sick. There are so many people using the sick-care system in the United States that we can't afford a health-care system.
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