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Bangor our down-east brethren will become the banner State in possessing one-half instead of one-fifth of the hospitals of any given State. They must certainly succeed, because, 1st, The State Society is the moving body. 2d, The members are cooperating heartily. 3d, They are planning to enlist popular approval. 4th, This one defeat will be followed by more systematic and earnest work.

In passing to the next State we shall certainly realize that "extremes meet," and Oregon will next claim our attention. It has already built one insane asylum — that at Salem. The total population is only 325,000, and the number of homoeopathic physicians is ninety; yet when, in 1890, more accommodations. were needed members of our school, as Dr. Osman Royal says, were watching, and if a new building had been erected, instead of adding a wing to the old building, we should have asked for its care."

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The next State for our consideration is Kansas. It has already two asylums, one at Osawatomie and another at Topeka. The homoeopathic physicians now number between four and five hundred, and the population is a little less than 1,500,000. Dr. E. R. McIntyer reports that members of our school presented a bill to the last legislature, in 1891, asking for an asylum, "but that it failed, owing to the extreme economic views of the Alliance members; although some of the county jails contain one or more insane patients, because of lack of room in the asylums." Another effort will be made at the next session of the legislature, in 1893.

California will claim our attention next, but only for a moment. The State already has four large asylums, two being.at Stockton, and one each at Napa and Agnews. Another is needed, and the homoeopaths will probably ask for its control of the next legislature.

In Kentucky active work by the State Society has already been begun. An attempt has just been made, in 1892, to obtain control of one of the three existing asylums, but it has failed.. This lack of success can easily be accounted for, when we know Ist, That it is almost impossible for an opposing medical school to obtain possession of an active and successful institution. 2d, That the society cannot claim more than one hundred members. 3d, That organization and experience are the results of time and defeat. It is probable that a medical college will be opened within a year or two, and that the work necessary for its establishment and success will develop the cooperation and experience necessary for obtaining a due share in the State institutions.

There are three other States in which the subject of homœo

pathic asylums has been brought before the legislatures or the societies. In Wyoming a bill was presented to its legislature about three years ago, and failed, as my informant stated at the time, by only one vote. In Texas, last year, there was a similar movement; but the details of the matter are not at hand. And, lastly, in Illinois an active effort has been made recently. No State appears more hopeful of successful result than this, with its hundreds of physicians, and its colleges, journals, and hospitals. It needs only a hospital for the insane before the opening of the Columbian Exposition to stand before the world wellrounded in the front of the homoeopathic ranks.

In conclusion, then, What do we find? We find three chartered homœopathic hospitals in active operation - Middletown, Westborough, and the Third Minnesota, and our method of treatment also in the Ionia asylum. We also discover that active work has been done in nine other States Pennsylvania, Maine, Oregon, Kansas, California, Kentucky, Wyoming, Texas, and Illinois. Within the next year or two successful results will be evident in one or more of them. As the number of homœopathic physicians increases in any given State a demand will be made for a share in its public institutions. This demand will certainly be accorded as rapidly as the public become acquainted with its justice and the gratifying results it has always shown among the insane. Within the lives of members now assembled here there will come the time when homoeopathic hospitals for the insane will be found in every State of the Union.

In order to reach this result, it is advisable for those in the future who decide to engage in such undertakings to know, at the beginning, what are the lessons learned from past successes. They are three: 1st, That some one man, prominent, tactful, and diplomatic must give much of his time to organizing the movement in each State, so that the whole mass of physicians and their adherents may act as a unit. 2d, The people throughout the State must be kept informed, through the local papers, of what is demanded; they must be convinced of its advantage and its justice, and their assistance must be invited. 3d, The fight, when once begun, must be carried on to victory, even through many disappointments, as shown by the three years' struggle in New York, and the four years in Massachusetts. That the right is on our side is evidenced by the uniformly high rates of recoveries shown by each of our hospitals as rapidly as they are established. It is plain, too, that this success does not all depend upon the physician in charge, nor upon the locality, nor upon the construction of the buildings, but upon the system the principle of similia.

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1

1879. 1880. 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890.

19.11 23-33 16.00

22.74 25.41 20.45 17.55 21.82 14 52 20.89 13.60 16.30 16.45 20.06 19.53
....17.02 22.00 22.00 26.01 21.80 22.20 28 30 20.70 23.40 29.90
9.00 11.00 9.00 18.00 18.00 21.00 13.00 17.00 20.00 18.00 21.00 18.00
28.91 32.79 28.64 29.11 26.03 23.52 2006 19.51 20.55 19.76 18.84 18.16 23-82

Average percentage of three old schools.

Average percentage of the Middletown State Homoeopathic Hospital for the same period

19.48

..23.82

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Average percentage of the three old school hospitals...

Average percentage of the Middletown State Homœopathic Hospital for the same period..

.6.13

4.06

TABLE No. 4.

Percentage of deaths on daily number of residents.

Percentage

for whole

period.

Year.

Utica..

1879 1880 1881. 1882. 1883 1884 1885 1886 1887. 1888. 1889. 1890. 7.73 6 8 8 15 9.17 9.64 9.13 6.84 9.01 10.25 9.98 10.69 13.46 20.00 6.04 15.00 12 90 8.50 7.63 11.60 11.10 9.90 10.21 10.00 15.00 13.00 15.00 11.00 14.00 12.00 10.00 12.00 9.00 10.00 8.00] 9.00 6.99 7.42 8.43 6.79 7.25 8.20 4.14 4.71 7.11 2.79 5.19' Average percentage of the three old school hospitals... Average percentage of the Middletown State Homœopathic Hospital, same period........

Buffalo..

Hudson River.

Middletown..

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...10.70

..........

6.51

OLD SCHOOL.

TABLE No. 5.

Poughkeepsie, Buffalo and Utica State Hospitals The Middletown State Homeopathic Hospital.

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NEW SCHOOL.

1883.

2017 131 6.49

1884... 1885. 1886... 1887 1888.. 1889. 1890

2187 148 6.76
2251 117 5.19
2364 122 5.16 967

872

242

922

2367
2371 144

240 30.92 1883
27-75 1884
247 26.78 1885.
217 22.44 TN86.
1521 6.41 1014 283 27.81 1887.
6.07 919 260 28.29 1888..
2512 153 6.09 963 318
38.02 1889.
709 15 2.11
2809 181 6.44
928
361
38.90 1890.... 802 30 3.741

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COMPARATIVE TABLE.

Showing the proportion of Patients discharged as Recovered, Improved, Unimproved, and Dead.

Compiled from the reports of the State Commission in Lunacy, and the several hospitals named.

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74:379 61:1073 81:313 67:1083 103:353 63:1162 119:462 80:1247

87:467 81:1273

Worcester Lunatic Hospital..

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