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February 28, 1903

Medical News.

JAMA. 1903;XL(9):590-593. doi:10.1001/jama.1903.02490090038010

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State Care of Insane.  —In the recent annual report of the lunacy commissioner of Maryland state care of the insane is urged. "Already 5 or 6 counties send all their insane to the state institutions and many other counties care only for a few demented cases. The time is ripe for a radical change from county to state care.... Spring Grove and Springfield hospitals are models of their kind, the former adapted to the care of the more acute cases, the latter for chronic cases. It is to be regretted that Bayview, the city asylum, is not dispensed with. It is manifestly improper to attempt to care for the city paupers and the city insane under the same management. Either the city should maintain a separate asylum for its insane, apart from the almshouse, or what would be far better, acquiesce in the plan of state care. If the

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