historyWellcome Collection1st–4th century CE · Ancient Greece and Rome
Early Christian saint-doctors called the Unmercenaries treated patients for free and refused payment
In Greek, the anargyroi, or Unmercenaries, were physicians who treated patients without charge, and the Greek word means 'silverless'. The earliest were said to be the sisters Zenaida and Philonella from first-century Tarsus, who competed with pagan doctors selling amulets. The most famous were the brothers Cosmas and Damian, Arabian-born physicians later venerated as saints, who became patrons of physicians. The Hippocratic tradition supported this ethic: a doctor should prioritise treatment over fees and sometimes give services for nothing. Ancient Greek and Roman communities also paid doctors from public funds, although these systems mostly served citizens and soldiers rather than the poorest.
The Unmercenaries show that the idea of medicine as a shared duty, not just a business, is ancient. Their charity helped shape the Christian hospitals of the Middle Ages, and the same tension between fees and care runs through modern health systems.
Public health funding has an ancient history: Greek communities paid physicians from tax revenue, and medieval hospitals grew out of monasteries that cared for the sick and poor.
Cosmas and Damian are regarded as patron saints of physicians and surgeons.
Wellcome Collection · CC BY 4.0
Illustrative photo · Jean Bourdichon, Public domain, via Wikimedia Commons
