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March 31, 1900


JAMA. 1900;XXXIV(13):821. doi:10.1001/jama.1900.02460130053011

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Health resort states, such as Colorado and California, are beginning to complain, and with some cause, that they are made the receptacles of the physical outcasts of the country, for such they may be called. It is the custom, altogether too general, to shift public burdens without regard to justice, and the sending of consumptives to California and Colorado to become public charges is a practice that ought to be stopped. The benefits to the individual are too dubious and slight to even give it the color of justification. It has been the practice of many local charity officials to shift their insane to other communities. Some years ago the superintendent of one of our insane asylums in the Middle West published the records of a patient under his care, who had been sent by the authorities from one to another state so that he had been a public charge

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