|OFFICE OF MEDICAL HISTORY AMEDD REGIMENT AMEDD MUSEUM|
HISTORY OF THE OFFICE OF MEDICAL HISTORY
JOSEPH LOVELL (December 22, 1788 - October 17, 1836), Surgeon General of the United States Army, April 18, 1818 - Oct. 17, 1836, was born in Boston, Mass., the son of James S. and Deborah (Gorham) Lovell. His father attained the grade of major in the Continental Army during the Revolutionary War and his grandfather, James Lovell, was an active member of the Whig organization in Boston before the Revolution, and was a member of the Continental Congress from 1777 to 1782. He was one of the prime movers in the scheme to supplant General Washington as commander-in-chief by General Horatio Gates. He was an original member of the Massachusetts Society of the Cincinnati.
Joseph Lovell obtained his early education in the Boston schools, after which he entered Harvard College, where he graduated in 1807. He began the study of medicine with Dr. William Ingalls of Boston and was graduated from the Harvard Medical School in 1811, with the first class to receive the degree of M. D. With the practical certainty of a second war with Britain, Congress passed an act on January 11, 1812 (2 Stat. 671), increasing by thirteen regiments the military forces of the country, and providing a surgeon and two surgeon's mates for each regiment. On May 15, 1812, Lovell was appointed major and surgeon, 9th Infantry. With an unusually thorough medical education, he early became an outstanding medical officer. When, late in 1812, the troops were moved to the Canadian border, general hospitals were established at Plattsburg, N. Y., and at Burlington, Vt., Lovell was detached from his infantry regiment and placed in command of the Burlington Hospital. During this time, while the hospitals as a whole came under severe criticism the Burlington Hospital was held up as a model of what a hospital should be. Lovell attracted attention not only as a skilled practitioner but as an officer of marked executive ability. In recognition of his exceptional service he was selected for appointment to the grade of hospital surgeon on June 30, 1814. During the latter part of the war his longest service was in the hospital at Williamsville, N. Y., which received the casualties for the operations along the Niagara river.
In 1817, Lovell, then chief medical officer of the Northern Department, addressed to Major General Jacob Brown, the department commander, a letter dealing with the Sick Report of the Northern Division for the Year ending June 30, 1817, in which he discussed not only the cause of disease in the army, but also gave his views upon the duties of medical officers and their responsibility for the sickness occurring among the troops.
During the winter and spring of 1818 Congress was engaged on a bill for the reorganization of the staff of the army. This bill, passed April 14, 1818 (3 Stat. 426), repealed certain previous legislation in regard to the medical department and carried the following section:
Pursuant to this legislation Lovell was appointed Surgeon General to date from April 18, 1818, with Hospital Surgeons Tobias Watkins and James C. Bronaugh, assistants, one for each of the two divisions of the army. Apothecary General Le Barron was retained in his old position. Though only in his thirtieth year, his services in the hospitals on the northern frontier during the war and his appreciation of the needs of the service as evidenced by his reports made Lovell the logical choice for head of the service. Thus was established for the first time a permanent medical department organization. For the first time a career medical officer was made chief of the service. All of the former chiefs had been appointed to meet the emergency of war, real or expected, with an organization to serve the forces in the field. Again, for the first time was bestowed upon the service chief the title of surgeon general, which has survived to the present day. Immediately following Lovell’s appointment the following order was issued by the War Department:
Lovell saw as an early duty the revision of the Medical Regulations. The regulations of December 1814 had been superseded by those of April 24, 1816, but these were defective in that they were not adapted to the new organization or to the provisions of the order quoted above. The result was the Regulations of the Medical Department, September 1818. In his first report to Secretary of War Calhoun in November 1818, he dwelt upon the difficulty of obtaining from medical officers compliance with orders, particularly in regard to reports and returns. In reply the Secretary called upon him for recommendations for the improvement of the medical service. Lovell began his recommendations with the statement that the first requisite was to make the position of a medical officer such that he would place some value upon the retention of his office, at that time held in low esteem. Recruitment of officer personnel was difficult and the retention of suitable men even more so. He asked an increase in the number of medical officers and an increase in their pay and allowances. With officers with a sense of responsibility he promised appreciable economies in medical supplies. He recommended further that the Apothecary General be authorized to make all purchases of medical supplies and that purchasing officers be bonded for the proper application of public funds. Though no immediate legislation ensued, the changes advocated were all brought about during Lovell's term of office.
On March 2, 1821 (3 Stat. 615), Congress passed an act reducing the army and reorganizing the staff corps. Section 10 defined the future medical staff as follows:
Thus was abolished the old system of titles which had stood since the Revolution, with the substitution of a new system which was to last for nearly ninety years, though military rank and titles came in 1847. This reorganization brought about the discharge of the Apothecary General and his assistants. In 1825 a new edition of the Medical Regulations was issued. It was essentially the same as that of 1818, except as to phraseology to conform to the new designations of the medical officers. The office of Assistant Surgeon General was changed to that of Medical Director of Department and the duties of the Apothecary General and his assistants were assigned to officers detailed to the purveying department. An important addition was a paragraph calling for the examination by a board of three medical officers of all applicants for the position of assistant surgeon. This provision was not put into effect until after the issue by the War Department of General Orders, No. 58, July 7, 1832, which defined the requisites for appointment. Thus was initiated the foremost factor in the high professional standing of the corps to the present day. An act of Congress of June 30, 1834 (4 Stat. 714), confirmed the provisions for entrance examinations and fixed the pay and allowances of medical officers relative to those of other officers of the service.
A dangerous crisis developed in 1830, when, in the midst of agitation for retrenchments, Secretary of War Eaton suggested the abolition of the office of Surgeon General. In a letter to Congress in support of his administration, Lovell was so far successful that he not only saved his own office but obtained an increase in the number of officers in the corps.
During Lovell's term of office occurred the Black Hawk War and the beginning of the long continued struggle with the Seminoles of Florida. In 1832, incident to the trouble with the Sacs and Foxes in Illinois and Wisconsin, troops were sent to that section by way of Buffalo and the Great Lakes. Cholera broke out on two boats en route from Buffalo to Chicago. The troops were debarked in the vicinity of Detroit and put into camp. Nearly four hundred cases developed with eighty-eight deaths. The Seminole War began on Dec. 28, 1835, when the Indians, under Osceola, ambushed and destroyed two companies of the 4th Infantry under command of Major Dade. The anxieties incident to furnishing medical service for the troops collecting for the punitive campaign weighed heavily upon Lovell. He established a medical supply depot at Tampa and a general hospital at St. Augustine. He asked for an increase of medical officers and a small addition was authorized on July 4, 1835. The report of June 4 with its request for additional officers was his last important act. His wife, to whom be was deeply attached, died about this time and the double burden of anxieties was too much for an always delicate constitution. He died in Washington on Oct. 17, 1836, near the end of his forty-eighth year.
Less than thirty years of age and with but six years of service when he became Surgeon General, Lovell's eighteen years' tenure of office were marked by constant improvement in the efficiency of the service and in the status of the officers of the corps. With a wholesome pride in his office and in the service which he represented, he strove to foster that same pride throughout the corps and to render the military establishment conscious of its obligations to the medical service. Quite beyond the medical department he rendered conspicuous service to every branch and department of the army. More than any other person he was responsible for the abolition of the whiskey ration which was making drunkards throughout the army. He was largely instrumental in the passage by Congress of a bill by which unsuitable and inefficient officers could be eliminated from the army by action of a board of officers. From his personal observations he was able to make recommendations which brought about notable improvements in the ration and clothing of the soldier. One of his first acts as Surgeon General was to require from all army posts quarterly reports by the medical officers on weather conditions and on the incidence and causes of diseases. The compilations of these reports have high historic value. The weather reports thus begun were the beginning of the present Weather Bureau. A notable service by Lovell was the encouragement and official assistance which he gave to Surgeon William Beaumont in the study of gastric physiology. The year 1836 is given as the time when in Lovell's office was begun the collection of books which was to become the Army Medical Library.
Lovell's death, preceded by a few months by that of his wife, Margaret Mansfield Lovell, left an orphaned family of eleven children. A son, Mansfield Lovell, graduated from West Point and became a major general and corps commander in the Confederate army.
In 1842, the officers of the medical corps testified to their appreciation of Lovell's services to them and to their personal esteem for him by the erection of a handsome monument over his grave in the Congressional Cemetery in Washington.
Sources: F. F. Harrington, Harvard Medical School, Vol. II (1905); H. E. Brown Medical Department of the U. S. Army from 1775 to 1873 (1873); J. E. Pilcher Surgeon Generals of the Army (1905); Dictionary of American Biography, Vol. II (1933); National Intelligencer, Washington, Oct. 19, 1836.
[Extracted from "Chiefs of the Medical Department, U.S. Army 1775-1940, Biographical Sketches," Army Medical Bulletin, No. 52, April 1940, pp. 27-32, compiled by James M. Phalen, Colonel, Medical Corps, U.S. Army retired]