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duty of the State to see to the adequate provision of the means of education, to their due distribution and to their proper organisation. At the same time we found that the obligation of the State in this respect did not necessarily involve that the whole cost of this provision should be borne at the public expense, and that no part of the burden should be placed on the shoulders of the individual parents. As regards the provision of elementary education, we indeed found that the whole burden might be legitimately laid upon the general taxpayer, upon the grounds either that the protective benefit of elementary education to the community was great, or that the hindrance opposed by the imposition of school fees to the fulfilment of a man's moral obligation to provide for the education of his children was so general that a case might be made out for freeing elementary education as a whole. But except from the position that the provision of education was a communal and not a personal obligation, we found no grounds for the contention that education throughout its various stages should be a charge upon the community as a whole. But the provision of the means of education may involve much more than the mere provision of adequately equipped school buildings and of fully trained teachers, and we have now to inquire what other provision is necessary in order to secure the after social efficiency of the children of the nation, and what part of this provision rightly may be included within the scope of the duties of the State. Is the medical inspection of children attending Public Elementary Schools one of these duties, and, if so, what action on the part of the State does this involve? The importance of the thorough and systematic medical examination of children attending school as a necessary measure to secure their after physical and economic efficiency as well as for their intellectual development and welfare during the school period has been recognised by many Continental countries. To take but one or two illustrative examples, we may note that in Brussels every place of public instruction is visited at least once in every ten weeks by one of the sixteen doctors appointed for this purpose. The school doctor amongst other duties has to report on the state of the various classrooms, their heating, lighting and ventilation, and also upon the condition in which he has found the playgrounds, lavatories and cloakrooms attache
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