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November 25, 1905


JAMA. 1905;XLV(22):1659-1660. doi:10.1001/jama.1905.02510220045010

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Following the lead of certain foreign critics who some little time since charged financial extravagance in the construction and the management of quasi-public hospitals in New York City, action has been urged recently to bring about some needed reforms. It would appear that the self-perpetuating lay boards of control of some of these hospitals are largely responsible for the evils of which complaint was made, and it is a natural consequence of excessive expense in building and management that such institutions must be seriously curtailed in usefulness to the general public. As adjuncts to charity they must necessarily be a failure to a very great extent. While we are apt to be suspicious of public control of such institutions in our large municipalities, a certain amount of it might be an excellent thing and would be only a reasonable offset to the exemption from taxation which such institutions enjoy. It

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