determination to keep the Chicago Medical Society before the public, regardless of its affiliations, but it has imitated right successfully the French and German commercialism by alternating a page of reading matter with a page of advertising. On page 9 in the proposed amendment to the by-laws it warns the medical profession of Chicago that lack of organization has worked havoc in England and Germany and threatens us because of breeches of ethical conduct which are evidently being tolerated in Chicago, such as the wholesaling of emergency surgery, corporation work, contracts with hospitals and fraternal societies. Facing it is a tempting offer to invest the illgotten gains thus in alluring bonds, and those who may not be straight-laced can become so by purchasing a Pomeroy corset to which attention is called in the space opposite page 7, where "Kilkenny Cats" are outdone in a story concerning the sisters of the Women's Medical Society of Chicago. It may be easy, after following for some time this commercial path, to be able to invest in the 6 per cent. first mortgages advertised on page 14, opposite to the page on which Dr. Humiston, who indorses the commercial spirit, congratulates the Bulletin on having become a newspaper, which is really Chicagoesque and consistent, for the newspaper has been the great boom for the medical profession of Chicago without effective protest from, and to the great scandal and discouragement of, the ethical medical profession, which has a right to expect of the organized medical society of the second largest city in this country, that it would conduct itself in keeping with recognized ethical principles. Why the second largest medical society in the United States should be obliged to stoop to such commercialism as is exhibited in the June 13 number of the official Bulletin of the Chicago Medical Society goes beyond the comprehension of the ordinary mind. But such is Chicago and such are its methods. It will not be long before the reaction sets in, for there are in the "windy city" a very large number of very ethical, hightoned physicians who are hiding their faces in shame because of the conduct of their "newspaper" and "politician" members. OBITUARY NICHOLSON C. WASHINGTON, M.D. Dr. Nicholson C. Washington, a graduate of the Washington University Medical School, 1867, for more than forty years a practitioner in St. Louis, died at his home in that city May 6, age seventy. FRANK H. NETTLES, M.D. Dr. Frank H. Nettles, of Cape Girardeau, a graduate of Washington University Medical School 1905, died at his home, May 11, age forty-two, from Bright's disease. Dr. Nettles had been ill for some time, but bravely peradvice of physicians until he was compelled to sisted in his labors despite the warnings and passed away although conscious until just becease from his labors. He sank rapidly and fore he died. Dr. Nettles received his early education in the common schools in his county after which he studied pharmacy and took his degree in that profession. He was elected coroner of Cape Girardeau County and served four years. He was a member of the county and state medical associations. C. F. WAINWRIGHT, M.D. Dr. C. F. Wainwright, former dean of the University Medical College in Kansas City and a widely known physician and medical instructor, died at his home in Englewood, N. J., May 7, of heart disease. In recent years he was a lecturer on internal medicine at the PostGraduate Hospital in New York, but because of ill health he gave up the position a year ago and with his wife and daughter took up his residence at Englewood. Dr. Wainwright was 56 years old. He was born in Lewis County, Missouri, July 11, 1858, and was graduated from Bellevue College. He became dean of the University Medical College in Kansas City in 1890 and rapidly won a place among the leading practitioners of the city. He was an active member in the county and state medical societies, and was widely known socially. In 1901 he moved to New York where he won recognition in the medical profession of that state. NEWS NOTES DR. THOMAS J. HARVEY of St. Louis, died at his home in that city, April 22, aged 38. THE Jasper County Medical Society is after the quacks in Joplin. One man recently was arrested. The Joplin News Herald is cooperating with the physicians. THE Nebraska State Medical Association is investigating the feasibility of establishing a journal of their own, the journal to be owned and controlled by the Association. THE State Board of Health held a meeting in St. Louis, June 15, 16 and 17 to examine applicants for license to practice. DR. R. E. CASTELAW, Kansas City, has resigned as Superintendent of the General Hospital. It is said the new board of health wants its "own" man as Superintendent. DR. J. J. FULKERSON, of Lexington, died at his home June 6, aged 65 years. He was long a member of the organization and was a very influential factor in medical work as well as in politics. THE Texas State Medical Society has adopted the defense provision to protect its members against malpractice suits. The members will be assessed $1 per year to provide the funds. THE Wisconsin State Medical Association has raised its assessment for medical defense from $1 to $2 per year. It was found that the expenses of conducting the defense of the members under the $1 assessment was rapidly exhausting the funds. DR. J. B. WRIGHT, of Trenton, has sailed for Europe. He will attend the Clinical Congress of Surgeons in London, July 27. Before his departure he was entertained at a luncheon at the Hotel Robidoux, of St. Joseph, by some of his medical friends in that city. THE Ohio State Medical Association has begun preparations to establish medical defense for its members against malpractice suits. A committee was appointed at the last annual session of the Association to draw up plans for inaugurating this feature of membership. CALDWELL County Medical Society has ordered the purchase of a quantity of "Men's Specialists Frauds," published by the American Medical Association. These books will be distributed among the editors of the county newspapers for their information and guidance. DRS. GRACE AND SIMPSON, of Chillicothe, have taken out papers of incorporation and will erect a building to cost about $10,000. On the lower floor of the building will be modern offices which the physicians will occupy, while the second story will contain apartments for families. JUNE 20 a special car was attached to the New York Limited train on the Pennsylvania Line from St. Louis to Atlantic City to accommodate a party of St. Louis physicians, and physicians in other parts of the state attending the American Medical Association. Four physicians from Oklahoma were in the party. THE Iowa Medical Journal has discontinued publication. Since the establishment of The Journal of the Iowa State Medical Association the field has been quite barren for other medical journals. This leaves Iowa with no other medical publication except the Iowa Homeopathic Journal and the Bulletin of the Iowa State Board of Health. DR. GUY B. MITCHELL, of Branson, Taney County, is a candidate for the legislature from that county. Dr. Mitchell has been a member of the medical organization for many years and is well equipped to fill the position to which he aspires. He is a graduate of the University Medical College of Kansas City, 1901, and practiced in Kansas City for four years before going to Branson. DR. S. J. CRUMBINE, the energetic secretary of the Kansas State Board of Health, has developed a plan for organizing the pupils in the schools into a health brigade. Each week one pupil is appointed health officer for the week. It is his duty to watch the children and instruct them in the rules of hygiene and sanitation. He says the plan has resulted in much good in the Topeka schools and he hopes to put it in practice in all the schools of Kansas. THE Nebraska State Medical Association changed its defense laws at this year's meeting making it obligatory for all members to pay the assessment of $1 for the defense fund. Hitherto the payment of the special assessment for the defense was optional with the members. "This benevolent action was taken by the sheer force of the great good which has been done by the few dollars hitherto collected," says the Western Medical Review, in which the official proceedings were published. DR. JOHN S. WALLACE, of Brunswick, is a candidate for State Senator from the Sixth District which includes the counties of Chariton, Linn and Sullivan. Dr. Wallace has been identified with the medical organization for many years and has held a number of positions in his county, including that of coroner for four years. He was for a number of years the editor of the Chariton County Brunswicker, and has been identified with all movements that made for progress in his district. He is a graduate of the Bellevue Hospital Medical College, 1873. He is a member of the County and State Associations and a Fellow of the American Medical Association. HERE is the way the Nebraska State Medical Association tackles the fee-splitting evil among its members. "A committee was provided for, whose sole duty will be to investigate information to the effect that members give and take divisions of fees without the knowledge of the patients. The machinery is furnished to promptly and effectively investigate every complaint and it provides the punishment that fits. the crime, to-wit: two years' expulsion from the county society, when so ordered by this committee; disobedience of the county society to be followed equally promptly by discipline from the Nebraska State Medical Association. Should the culprit after reinstatement be found to return to his dishonorable practices, he is then to be expelled for life." SOCIETY PROCEEDINGS Missouri State Medical Association Fifty-Seventh Annual Meeting, held at Joplin, May 12-14, 1914 MINUTES OF THE HOUSE OF DELEGATES Carnegie Library Tuesday, May 12, 1914-Morning Session The House of Delegates was called to order by the President, Dr. E. H. Miller of Liberty, at 9:30 a. m., in the Carnegie Library. The roll call was answered by the following members: County Audrain. Barry... Bates. Boone Butler. Caldwell. Callaway. Carter-Shannon. Clay.. Cooper. Daviess. Dent.. Dunklin. Gas.-Maries-Osage. Gentry... Hoshaw, Ulysses G., Joplin. Isherwood, Hortense L., Carl Junction. Korn, Adolf L., Joplin. Greene. Delegate .J. G. Moore, Mexico W. M. West, Monett .C. A. Lusk, Virginia .G. L. Noyes, Columbia .T. J. Redwine, Poplar Bluff J. A. Waterman, Breckenridge Martin Yates, Fulton T. W. Cotton, Van Buren Frank H. Matthews, Liberty .J. F. Roberts, Boonville .W. L. Brosius, Gallatin .T. G. Hunt, Salem Paul Baldwin,_Kennett .J. O. Cooper, Freeburg ...John W. Rice, Berlin W. P. Patterson, Springfield .J. F. Fair, Trenton R. D. Haire, Clinton H. C. Brookshire, Hermitage .J. H. Elliott, West Plains J. D. Griffith, Kansas City .Wm. Frick, Kansas City F. E. Murphy, Kansas City .J. N. Jackson, Kansas City .C. C. Conover, Kansas City .J. B. Henderson, Kansas City .J. Q. Chambers, Kansas City E. H. Thrailkill, Kansas City ..J. B. Taulbee, Joplin O. B. Hall, Warrensburg G. W. Fredendall, Lexington ..John C. Nunn, Maywood .E. S. Smith, Macon W. S. Alee, Olean A. E. Monroe, Sedalia .S. L. Baysinger, Rolla T. Guy Hetherlin, Louisiana Spence Redman, Platte City ...C. B. Clapp, Moberly .D. F. Manning, Marshall .F. J. Tainter, St. Charles St. Joseph-Buchanan-Andrew. W. T. Elam, St. Joseph St. Charles. St. Joseph-Buchanan-Andrew. .Daniel Morton, St. Joseph Edwin Schisler, St. Louis Robert Barclay, St. Louis St. Louis. St. Louis. St. Louis. Johnson, Clarence A., Los Angeles, Cal. St. Louis. .O. H. Brown, St. Louis Walter B. Dorsett, St. Louis .Robert M. Funkhouser, St. Louis . Albert F. Koeter, St. Louis .J. H. Amerland, St. Louis W. H. Stauffer, St. Louis Walter Baumgarten, St. Louis .A. H. Hamel, St. Louis St. Louis. St. Louis.. Taney. Wright... Wm. T. Coughlin, St. Louis . Robert E. Schlueter, St. Louis Dr. Jackson, Kansas City, moved that the minutes of the previous meeting be approved as published in the JOURNAL. Seconded and carried. The President stated he had no formal message but that he would incorporate in his presidential address the recommendations he intended to offer. Dr. J. H. Taulbee, Joplin, Chairman of the Committee on Arrangements, made a verbal report on the accommodations and entertainments provided for the members while they are in the city. The Chairman of the Judicial Council not being present, that report was postponed. The Chair called attention to the printed pamphlet in which appeared the report of the Committee on Revision of Constitution and By-Laws, as follows: Your Committee on Revision of Constitution and By-Laws recommends the following changes: Amend Chapter VIII, Section 5, by striking out all paragraphs (a) to (c), inclusive, and substituting therefor the following: Sec. 5. The Defense Committee shall consist of three members who shall, on request and in compliance with the conditions hereinafter named, aid in the defense of suits for alleged malpractice instituted or threatened against members of the Association. CONDITIONS (a) Any members whose annual dues have been received by the Secretary of this Association on or before April 1, shall have the continuous protection provided for in this section. New members have a right to defense on receipt of their dues by the Secretary of this Association. (a) Any member whose annual dues have been received on or before April 1, shall be delinquent from the first day of January of that year and shall remain so until his dues are paid. No member shall receive legal defense for any malpractice suit filed before the date of his enrollment as a member or during his delinquency; nor if the services for which malpractice is alleged were rendered wholly or in part before date of his enrollment as a member or during his delinquency. (c) Any member desiring to avail himself of the provisions of this section shall, within three days after any demand has been made on him, present his request to the Secretary of this Association, together with a complete history of the case and the services therein rendered. The committee shall then, with the aid of its counsel, advise said member up to the time of the institution of suit. Should suit be filed, a copy of the plaintiff's petition must be immediately forwarded to the Secretary of this Association. The committee shall thereupon provide such medical expert and legal services of counsel as may be necessary, but in no one case shall the cost to this Association be in excess of $100 for all such services. The Association does not obligate itself nor shall it pay in whole or in part any damages agreed on in compromise, or awarded after trial, nor shall it pay any of the expenses incident to the taking of depositions nor any of the costs of court. (d) No member shall be entitled to the above described defense should the charge of malpractice be brought jointly against him and a hospital or sanitarium in which he is, or at the time of the alleged malpractice was, financially interested. (e) Such aid as is specified in this section refers to civil malpractice only and is not to be construed to apply to criminal prosecutions. Amend Article IV. Section 2 of the Constitution, "Members," by inserting after the word "be" in the second line the words "such of," and after the last word of the section add the words "as shall be approved by this Association," so that the section shall read: Article IV, Section 2, Members. The members of this Association shall be such of the members of the component County Societies as shall be approved by this Association. A. B. MILLER, T. O. KLINGNER, Chairman, Dr. Jackson moved that the amendments be adopted as proposed by the Committee on Constitution and By-Laws. Seconded. Discussion by Drs. Baysinger, McAlester, Jackson, Elam, Griffith, Grindon and Goodwin. Dr. Baysinger of Rolla moved to amend Division (a) in Section 5 of Chapter VIII of the proposed amendment so that the words "this Association" in lines two and four be changed to read "the County Society," so that this portion of the proposed amendment shall read: "Any member whose annual dues have been received by the Secretary of the County Society on or before April 1 shall have the continuous protection provided for in this section. New members have a right to defense on receipt of their dues by the Secretary of the County Society." Seconded and carried. Dr. Breuer moved to amend Division (c) of the proposed amendment by striking out the figures $100 and in lieu thereof insert "$250," so that the section shall read: "The committee shall thereupon provide such medical expert and legal services of counsel as may be necessary, but in no one case shall the cost to this Association be in excess of $250 for all such services." Seconded. Discussion by Drs. Grindon, Jackson, McAlester and McComas. Dr. Baysinger moved to lay the whole matter on the table until we hear from the Committee on Defense. Seconded and carried. The Secretary read the proposed amendment to Article IV, Section 2 of the Constitution entitled "Members," as follows: Amend Article IV, Section 2 of the Constitution entitled "Members," by inserting after the word "be" in the second line the words "such of," and after the last word of the section add the words "as shall be approved by this Association," so that the section shall read: "Article IV, Section 2, Members. The members of this Association shall be such of the members of the component county societies as shall be approved by this Association." Discussion by Drs. Morton, Jackson, Elam, Frick and McAlester. The Secretary read the amendment to Article VIII, Section 1, introduced last year by the Committee on Constitution and By-Laws, which reads as follows: "The officers of this Association shall be a President, five Vice-Presidents, a Secretary, a Treasurer, a Chairman and Vice-Chairman of each section, a Secretary of each section, who shall be an Assistant Secretary of the Association, and twenty-nine Councilors, more or less, as shall be determined by the House of Delegates from time to time," to read as follows: "The officers of this Association shall be a President, five Vice-Presidents, a Secretary, a Treasurer and twenty-nine Councilors, more or less, as shall be determined by the House of Delegates from time to time." Dr. Jackson of Kansas City moved the adoption of the amendment. Seconded and carried. The Secretary read the amendment introduced last year to amend Article VIII, Section 3, of the Constitution, which reads as follows: "The Vice-Presidents, Councilors and members of the Committee on Public Policy and Legislation, shall be elected by the House of Delegates on the morning of the last day of the annual session, but no Delegate shall be eligible to any office named in the preceding chapter except that of Councilor, Chairman, ViceChairman or Secretary of a Section; and no person shall be elected to any office who is not in attendance at that annual session and who has not been a member of the Association for the past two years; to read as follows: "The President, Vice-Presidents, Councilors and Orators shall be elected by the House of Delegates; but no Delegate shall be eligible to any office named in the preceding Chapter except that of Councilor, and no person shall be elected to any office who is not in attendance at that annual session and who has not been a member of the Association for the previous two years." Dr. Jackson of Kansas City moved the adoption of the amendment. Seconded and carried. The Secretary read the amendment introduced last year to annul Section 4 of Article VIII, which reads as follows: "The President and the Orators shall be elected by the General Assembly on the morning of the last day of the meeting." Dr. Breuer moved the adoption of the amendment. Seconded and carried. Dr. Breuer moved to amend Section 2 of Chapter V of the By-Laws, by adding at the end of the section the following words: "Except that of President and Orators, who shall be nominated from the floor of the House of Delegates." Seconded and laid on the table for one day. Dr. Jackson moved that Dr. A. W. McAlester, Jr., of Kansas City, be made a provisional member of the Committee on Constitution and By-Laws, owing to the absence of one of the members of the committee. Seconded and carried. The report of the Committee on Scientific Work was read by the Chairman, Dr. E. J. Goodwin, and on motion was received and adopted. (See page 41.) The report of the Committee on Health and Public Instruction was read by the Chairman, Dr. A. R. McComas. On motion the report was received and adopted. (See page 42.) The report of the Defense Committee as published was, on motion of Dr. Jackson, postponed until the afternoon session. Dr. Jackson moved that the Constitution and ByLaws be printed and distributed among the members at the earliest convenience after the conclusion of this session. Seconded and carried. The report of the Publication Committee was read by Dr. W. H. Breuer, the Chairman, and on motion adopted. (See page 38.) Dr. Jackson moved, which was duly seconded, to receive the report of the Council on Medical Education as published. Carried. (See page 39.) The Secretary read his annual report. On motion the report was referred to the Judicial Council. (See page 37.) Dr. Welch read the treasurer's report. Dr. Elam moved the report be referred to the Judicial Council. Seconded and carried. (See page 38.) Dr. Grindon of St. Louis read the report of the Committee on Vaccination. On motion the report and recommendations were referred to the Committee on Health and Public Instruction. (See page 42.) Dr. McAlester of Kansas City read the report of the Committee on the Prevention of Blindness. On motion of Dr. Elam the report was received as read. (See page 44.) The Chairman of the Committee on Expert Testimony not being present, the report was passed to the afternoon session by the President without action. It was moved the report of the Committee on Necrology be received as published. Dr. Jackson moved to supplement that motion by directing that this report be incorporated in the records of the Association and a vote of thanks be extended to Dr. Harris for the splendid manner in which he has gotten up this report. Seconded and carried by rising vote. (See page 45.) The President announced the following members on the Committee on Nominations: W. S. Allee, Olean; F. H. Matthews, Liberty; S. L. Baysinger, Rolla; J. H. Elliott, West Plains; Jabez N. Jackson, Kansas City; A. E. Monroe, Sedalia; D. F. Manning, Marshall; Wm. P. Patterson, Springfield; A. F. Koetter, St. Louis. On motion the House adjourned until 3 p. m. Tuesday, May 12, 1914-Afternoon Session The House convened at 3 o'clock with Dr. E. H. Miller, the President, in the chair. The report of the Committee on Expert Testimony was read by Dr. C. R. Woodson, Chairman. (See page 34.) Dr. E. S. Smith of Macon introduced the following resolution: WHEREAS, the present system used in the employment of medical experts in legal controversy causes these experts to be arrayed against each other, and, WHEREAS, there is oftentimes an innate tendency on the part of the medical expert to be biased toward the side which has secured and paid for his services, and, WHEREAS, expert evidence is so diluted and clouded by the avalanche of objections and extraneous matter on the part of the opposing counsel that the jury is at a loss to apply the evidence intelligently in making up their verdict, and, WHEREAS, many judges express themselves as unimpressed by expert evidence and public confidence in our moral integrity is becoming sadly shaken, THEREFORE, "Be it resolved by the Missouri State Medical Association that the suggestions offered in this preamble meet with the approval of the Association and to the end that such suggestion may get to the profession at large throughout the state and through the profession to the next legislature of the state in the form of a carefully prepared bill. We do hereby pledge the Association and the members thereof to all earnest efforts to induce the next legislature of this state to enact such legislation as will prohibit the use of witnesses of specially employed Medical Experts in any litigation, whether civil or criminal, and make provision for the appointment of Court Experts in every case, whose compensation shall be fixed by the court and who shall be paid out of a fund provided for that purpose. The President, without motion, referred the resolution to the Judicial Council. Dr. Woodson moved that it is the sense of the House of Delegates that we are opposed to the receipt by any member of this Association of a contingent fee for expert testimony in any case in any of the courts of Missouri. Seconded. Dr. Clapp moved to include any physician in the state. Dr. Breuer moved to lay the motion on the table. Dr. McAlester offered a substitute as follows: That the President appoint a committee to renew negotiations with the State Bar Association in regard to the prepa |