The only reason for such an arrangement its economy, but if are judge economy in a broad way, with reference the enormous cost maintaining uncured patients, there scant justification for believing that real economy can thus obtained. Special hospitals for tuberculous and mental patients are required meet the increase expected until the peak the load has been passed, and, more urgently, replace the extremely unsatisfactory provisions that now exist in many contract The only way in which suitable beds can provided building hospitals. No one will ever know the resourcefulness and skill with which the doctors and nurses working in converted schools, hotels, and reformatories have carried hospital activities. Interior changes tearing down or building partitions and installing special apparatus have made satisfactory emergency hospitals out some these institutions and pitiful makeshifts out others, but, compared with buildings designed for the treatment the sick, most them are very far from being hospitals. The new government hospitals must near the men they serve.

Such a project as that having a great institution for, mental patients in the city Washington ignores entirely the human aspects the question. You cannot tear these young men from their families in El Paso, Seattle, Duluth, Jacksonville, or Pittsfield and send them Washington, treated in a vast institution in which their individuality at once submerged. They need help in essay have parents, brothers, sisters, or young wives or sweethearts still living who must see them convinced that they are receiving the treatment which they are entitled and bring them messages love and encouragement.

Even in England, whose total area less than one our smaller states, has been found necessary have a number small hospitals rather than a few large ones in order that men suffering from long-continued illnesses such as tuberculosis or mental disorders may within reach It obvious that the treatment tuberculous and mental patients in hospitals constitutes only a phase and sometimes the least important one their entire medical care. Many men need never hospitals at all if good out-patient relief at hand. The development an adequate system dispensaries will not only provide treatment for many disabled men who would not otherwise secure aid, but will relieve the hospitals a large number convalescent patients and those with minor disorders who can actually cared for better at a dispensary than in a hospital.

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Especially in the case functional nervous diseases, hospitals can create or prolong invalidism as well as cure For tuberculous and mental patients, more than for any other class, social service an indispensable part treatment. Important and necessary as the hospital in the management certain phases these disorders, the permanence cure and the reestablishment a comfortable, useful, and happy life in the community during periods remission depend upon community supervision. Fore-treatment and after-treatment can no more separated from institutional treatment than the preparation a surgical patient for an operation and his post-operative care can separated from the operation itself. Here the great duty the european Red Cross in its reconstruction activities behalf disabled ex-service men.

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