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"Survey return from James Howie"Ardshealach, by Strontian.1851.RCP/COL/4/8/217 James Howie was a medical practitioner in Ardshealach and Arkaroll.At present no additional information about this location is available.
 [[Addressee]] 
 Mpr to Inverary
 Dr Howie
 Arkaroll
 Argylleshire
 By Acharacle
 Strontian
 [By]by appin
 not for appin
 Inverary1
 
 [[Survey]]
 QUERIES
 
 1. How long have you practiced in the locality you at present occupy?
 
 Seven years
 
 2. What are the ordinary and what the greatest distances which you have to travel in visiting patients?
 
 The ordinary distances are from a quarter of a mile
 to four teen miles and the greatest distances are from
 twenty to thirty
 
 3. What means of conveyance do you employ in going long journeys?
 
 I ride or sail when
 the journey can be made in either of these ways, but [afterwards] I have
 to travel on foot.
 
 4. What is the state of the roads in your neighbourhood?
 
 The Government roads are good
 but I have to make by far the greater number of my visits when
 they are of no use to me – the other roads are mere tracks over the roughest country
 
 5. Is the position of medical men in general in your quarter improved, or otherwise, of late years?
 
 When I settled here the people had some money to pay for
 medical attendance and medicine and were as willing to pay
 as others in the same situation in life, but some the
 failure of the potato crop they are reduced to
 such poverty that they are unable to pay their
 rents and have great difficulty in [procuring] even
 the necessities of life and in nineteen cases
 out of twenty I am not paid for my professional
 services.
 
 6. Supposing the people of the Highlands and Islands were generally able to pay for medical
 advice, according to rates usually observed in other parts of the kingdom, what extent of
 country in your locality would you regard as sufficient to occupy a single practitioner
 fully?
 
 In the counties of Morvern Ardnamurchanand
 Knoydart and Moidart with which I am acquainted
 the people [1 word illegible] as in other parts of the Kingdom there
 might be a medical man appointed in every twelve miles
 square.
 
 7. Mention, if you please, any special hardships incident to your situation, such as you think
 might be remedied by some general measure or enactment?
 
 The greatest hardships I have to suffer is non-
 payment for my services – I frequently
 undergo more toil in making an effort
 to obtain payment for my services than
 I had to endure in rendering these – the
 only remedy I can suggest for this hardship
 is that the Parochial Authorities
 should be compelled to accept of the
 Government Grant on the terms
 offered
 
 [[Additional text]]
 
 Ardshealach
 4th September 1851
 James Howie M.D
 Ardshealach
 By Strontian
 
 Explanatory notes:
 
 1. Written in another hand next to the address.
