Page 56 - Protestant Missionary Activity in the Arabian Gulf
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                  co-operate with missionary work, but to actually finance it
                  and help carry it out. This gesture was particularly impres­


                  sive in 1945 which was long before the discovery of oil in the
        i

                  Trucial States and at a time when the ruler could ill afford
                  such costly development projects.


                           As time went on and the costs of maintaining the hos­

                  pitals rose, it became increasingly common for the local in­
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                  habitants to bear a greater share of the Mission’s operating
        ■
                  expenses. The Mission had always followed the socialistic


                  policy of "treatment according to needs," "payment according
                  to means." Thus for the poorer patients, treatment was gen­


                  erally free, while the more wealthy patients paid a fee which


                 was used indirectly to subsidize their poorer countrymen. In
                                                                                                                              !
                  the earl}*- years this policy had meant that the Mission bore

                 most of the costs of the hospital since it was among the poor
      I           that most of the serious medical problems existed. As time




                  went on, however, and the Gulf states grew richer from the

                  oil boom economy and free government medical services were

                  offered in competition with the Mission, the economic and

                  social level of the average Mission patient changed, particu-


                  larly in Bahrain and Kuwait,                   Many of the poorer people would

                  now go to the state clinics and it                      was the wealthier mer-

                  chants and officials who would seek out the more skilled


                  medical care of the Mission doctors.                        In Bahrain the out-

                  patient load was cut down, but the number of inpatients re­

                  quiring expensive operations was up. 'They wanted to pay for


                  the best service available.                   In contrast to the Bahrain
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