"The Fence or the Ambulance"
Earlier in the week, we wrote an editorial about a proposal for a public safety sales tax. I wrote in my blog that they won't get my vote unless a good portion of that money goes for prevention.
The discussion reminded me of one of my favorite parables about the importance of prevention. It is a poem by Joseph Malines, an American physician, one source says. It's called the "Fence or the Ambulance." There is a nice, frameable presentation of this with artwork on the Internet, but here's the basic text. In truth, of course, whether you are applying this story to dental care, mental care, education or crime, the secret is a healthy balance. Enjoy.
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.

Comments
Gail I had a question. What would happen if we had the most funding for prevention services in the State of California?
Would you see any potential negative problems?
Posted by: Rich | August 23, 2007 2:55 PM
Rich, the only potential problem I can think of for putting a high priority on crime prevention is stupidity. We could waste millions -- as many regions have -- on unproven, ineffective programs administered and staffed by greedy,incompetent unprincipled idiots.
What do you think?
Posted by: Gail Marshall | August 23, 2007 3:48 PM
Gail,
I am all for helping people with health prevention. This is the focus of what you would like to see.
My question is; What would happen if we had the most funding for (health)prevention services in the State of California?
To answer your question
I do agree tax dollars do get misappropriated across the board.
Posted by: Rich | August 23, 2007 5:27 PM
And where can I find this poem with presentation? I want to keep it for my own.
http://www.air-lifeline.com
Posted by: Ambulance Nurse | October 12, 2007 8:49 AM