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April 26, 1890


JAMA. 1890;XIV(17):613. doi:10.1001/jama.1890.02410170021004

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After a struggle of three years, the New York Legislature has just passed a law requiring that the pauper insane shall be provided for and maintained solely by the State instead of, as heretofore, by the counties. Exception is made of the counties of New York, Kings, and Monroe, that maintain well equipped insane asylums. The local superintendents of the poor have vigorously opposed this transfer, and successfully until this time. But the necessity of this action has been strenuously urged by some physicians and a number of unselfish ladies; and if there was any doubt regarding their good judgment it was dissipated on the publication of the first annual report of the State Commission in Lunacy for 1889.

This document is one of the most remarkable reports that has been published for a long time, and one instantly asks if the abuses it portrays are true of a State

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