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Americans who find everything European superior to what we enjoy at home will do well to read the letter published by a Belgian physician in the Gazette Médicale de Liege (February 20, 1890), after a visit to this country. The letter closes as follows: "It cannot be denied that as regards hospital accommodations (to say nothing of other matters), young America has surpassed most of the old countries. What is the talisman that has so quickly produced such wonders in America while we, with no end of talent and desire, must struggle painfully along, and be satisfied often enough with a shabby result? We leave to others the task of solving this problem, merely observing that the absolute liberty of inception that prevails is sufficient to account for a large part of the results obtained. Whatever it may be, after viewing such public benefactions as these one turns to Belgium
REFLECTIONS OF A BELGIAN VISITOR.. JAMA. 1890;XIV(18):653. doi:10.1001/jama.1890.02410180025005