Dr. Kildare Goes Home

A good entry in the Dr. Kildare series, with some aspects surprising me. First was the idea of a clinic to which people subscribe for medical care, paying ten cents a week. I had no inkling the medical insurance concept was around back in 1940. I wondered what the doctors of the era thought about that. Second, was the treatment of one of the black characters in the film, Dr. Marsh, played by Jack Carr. He is intelligent, articulate, and gets praise from Dr. Gillespie for an accurate diagnosis based on very little evidence. This was a very uncharacteristic treatment of blacks in 1940. It's a short scene that has little to do with the main plot, but it made me appreciate the film so much more.

"Dr. Kildare Goes Home," made in 1940, is a particularly interesting entry into the series.

Kildare, made a staff doctor, realizes that his dad (Samuel S. Hinds) is exhausted from keeping up with his practice and wants to help him. He takes some doctors who can't find jobs and they start a clinic in one of Kildare Sr.'s practice area.

The idea behind it is that everyone pays ten cents a week for medical care. This will keep the salaries paid and support the work needed on the ill people. Also, the emphasis of the clinic is on prevention and staying healthy.

This is health insurance today, which wants everyone to stay healthy and not need medical facilities. Instead of a dime, though, it's thousands per year. I did find that whole subject matter in 1940 fascinating.

The next fascinating thing is that Dr. Gillespie goes to watch a rare operation done by a brilliant black doctor (Jack Carr). Carr, a very well spoken actor, is uncredited in the film.

This is a different kind of depiction of blacks than one is used to seeing in these old movies, and it's similar to "Crash Dive," where a black member of the submarine unit is the same as everyone else.

These things make "Dr. Kildare Goes Home" a cut above, and the story moves along with Kildare and Mary setting the date.

I love the scenes between Mary Boyd (Alma Kruger) and Dr. Gillespie (Lionel Barrymore) the best. When he compliments her appearance, he says, "You must have lost 15 pounds." She says, "I've gained eight. What do you want me to do that's illegal?" Highly entertaining.

I was casually watching this movie today when the action shifted to an emergency surgery performed in a private home. Dr Gillespie was in attendance as was Dr. Kildare. The surgeon has his back to the camera. When he turns around he is black. Gillespie then proceeds to praise the surgeon and the surgeon responds with some thoughtful words. To see a black American treated so thoughtfully and well was simply amazing at this time in Hollywood. I couldn't find the doctor in the list of cast members. And there was no mention of the scene in the trivia section of th IMDB. The scene must have added to the script perhaps by an event that caused the writers to add it , but I'm speculating.

Dr. Leonard Gillespie (Lionel Barrymore) is being his crotchety helpful self. Dr. James Kildare (Lew Ayres) finishes his internship and becomes a resident under Gillespie. He visits home and finds his father struggling. He tries to help the practice but the patients are leery of his young age. He decides to stay for his underserved community.

It's the sixth Dr. Kildare movie and the fifth with Lew Ayres. It's a good episode and that's what these movies are becoming. In another era, they would be episodes in a TV show. The big takeaway for this one is that he is proposing what is essentially socialized medicine. It just goes to show the political movement over the years. Otherwise, this is a pretty compelling chapter in this continuing story.

... in that this one tries to tackle the issue of rural medicine and imbalances in patient care due to location versus focusing on an individual case or situation. This was a bit unusual in that so many Americans in 1940 might not live in big cities yet, but they weren't necessarily farmers either by this time.

Dr. Kildare (Lew Ayres) finishes his residency, but the happiness of that moment is short-lived when he finds out his father has been overworking himself to the point of exhaustion trying to take care of his own patients plus the patients in the neighboring town of Parkersville. The paper mill there closed and the doctors left, leaving Dr. Stephen Kildare to fill the void, and it's killing him. So Dr. Kildare - and Gillespie (Lionel Barrymore) for that matter - lie to the elder Kildare and tell him Dr. Gillespie is going for a yearlong treatment for his health out west so that James Kildare will be free to help take the load off of his dad.

A possible solution is found in getting some doctors who can't find positions in New York to move to Parkersville and open a clinic in which everybody in the town pays a low fee every week in return for medical care when they need it. But they need the endorsement of a Parkersville town leader to convince the people of the plan's feasibility and he's dubious about the whole thing.

It's odd to see modern problems such as these - unemployment compromising community medical care, doctors not wanting to serve rural and semi-rural areas, and the unaffordability of going into private practice being discussed in a pre WWII film. An odd scene that was the type you usually didn't see pre WWII - Gillespie goes to a poor neighborhood to watch a black doctor operate on a patient using pioneering techniques. This sort of dignified role for an African American, even as short as this scene is, would not be common for another ten years.