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November 7, 1903


JAMA. 1903;XLI(19):1149. doi:10.1001/jama.1903.02490380025009

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We have troubles of our own, but there is sometimes, perhaps, a little disreputable satisfaction in knowing that others have them, too. The political management of public institutions in this country has become so patent an evil that we have almost reached the point where we accept it as inevitable. In some states the political patronage theory most seriously affects the usefulness of public charitable institutions and yet politicians can not be induced to give up what they consider their perquisites. This evil, however, exists elsewhere, and it is evidence of company in our misery to read in the Intercolonial Medical Journal of Australasia that the authorities there are practically the same in their methods and ideas as here. Our confrère says: "Whenever anyone attempts to overturn the belief that political patronage is the beneficial system of administration the commotion is sure to be active and immediate," and this is

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