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January 2, 1904


JAMA. 1904;XLII(1):38. doi:10.1001/jama.1904.02490460042006

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In a communication published elsewhere in this issue, a state of affairs is noticed that certainly deserves the attention of the profession, as it bears on a medical question, and a very important one—the care of the helpless insane. In the Cook County Asylum for the Insane, at Dunning, near Chicago, a labor union has been formed among the attendants and employes which is now demanding an increase of wages and a uniform scale. The former item is one for the taxpayers to consider. It seems to be a fact, however, that this institution has paid the highest wages with probably the worst service of any insane asylum in the State of Illinois, not to speak of other states where the wages are still lower.

A uniform scale, however, is a general leveling down and would make it impossible to obtain adequate service. Moreover, the mere organization of a union,

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