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April 14, 1894


JAMA. 1894;XXII(15):554-555. doi:10.1001/jama.1894.02420940030005

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On Oct. 1, 1893, the new system, known as "the State care" system, went into operation, by the assumption on the part of the State Commission in Lunacy, of the financial responsibility of caring for 8,700 insane poor. This number is about half the total poor insane in the State; there are 8,800 others supported in the asylums of New York and Kings Counties. An editorial paragraph in the New York Tribune sums up the present condition of these latter asylums in the following terms:

"The management of the New York asylums has always been excellent, and there is no pressing need of the transfer of the institutions to the State, In Kings County the institutions have been brought under political influence, and their management has been fraught with incompetence and scandal. The asylums at St. Johnland and Flatbush ought to be turned over to the State. The insane patients

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