anaheim-gazette 1906-11-22

STATE HOSPITAL ADMINISTRATION A System that Beats No System, but a Better Would Work Better By Arthur J. Pillsbury. The care of the insane and feeble minded, the epileptic and the imbecile is at once a profound charity and a tremendous burden. It takes an awful burden from the shoulders of the individual and the family, but it costs California more than a million a year to maintain its six benevolent institutions. To be more nearly exact, for the year ending June 30, 1906, the total direct and current expense of the hospital system was $1,059,749, without counting deterioration of plants or interest on the gross investment which now amounts to upward of $5,000,000 conservatively estimated. And this is one public investment that ought not to be less, but more. It affords an instance where money can be invested to a great saving of expenditures in after years, and to a greater saving in the economic productiveness of men and women returned to society healed of their mental hurts. It is one of the limitations of unregenerate humanity that men shall overvalue the interest that lies immediately at hand and undervalue those interests which are common to society at large but lie at a greater distance. We see this, for instance, where delegates to a nominating convention will ed a conclusion, he must need the other members of the lunacy mission and explain to them wants and why he wants it and their consent. This does not efficiency or expedition in the institution of the hospital department state government. Not only are the governors of state and attorney general to this burden in addition to ous and scantily paid duties respective offices, but these also constitute the state board iners and the state forestry sion. The state is riding free official horses very nearly In the public mind the chief is held responsible for the failure of all of these subord correlated boards and commit as a matter of fact he is not able. The responsibility is due a division of responsibility make for good government. For the purpose of forming contracts for each fiscal year the local suents and their stewards make covering all the articles they buy during the ensuing year estimates are submitted to boards for approval and are warded to the State Lunacy sion for revision and amend a matter of common practice tions of both the local board lunacy commissions are pr character. The work is done offices of the local superintendent stewards and revised in th the general superintendent, job it is, too. When the contracts have entered into for the ensuing price and quality, not qu local superintendent and he send up monthly estimate probable purchases during t It is one of the limitations of unregenerate humanity that men shall overvalue the interest that lies immediately at hand and undervalue those interests which are common to society at large but lie at a greater distance. We see this, for instance, where delegates to a nominating convention will swap off "unsight and unseen" votes for legislative, executive and judicial candidates in order to secure a place on a state ticket for a mere clerkship for a local citizen who desires to be thus honored. We see it where a local interest will be advocated although confessedly destructive of state or national interests. In common with similar limitations local boards of managers of state hospitals in their enthusiasm for the interests of their immediate institutional charges, overlooked the higher requirements of a sound state policy. There was little good "team work" among the several institutions for the care of the insane, and the general result was not in the highest public interest. So apparent did this finally become that the legislature enacted, and Governor James H. Budd approved, March 31, 1897, the Lunacy Commission law. This law established a general supervisory board, and commissioned a general superintendent of all the hospitals for the purpose of keeping tab on all that the institutions were doing and securing better team work from them. The lunacy commission has secured these highly desirable ends with a fair degree of efficiency. It was not at first welcomed with outstretched arms by local boards of managers, who preferred to be held accountable only to their God for the wisdom and single-mindedness of their actions. However, tactful work on the part of the commission and the general superintendent has gone far toward allaying this feeling and there is now a wholesome degree of reciprocity and co-operation all along the line. The State Lunacy Commission is composed of the governor of the state, the secretary of state, attorney general, the secretary of the state board of health, and the general superintendent of all the state hospitals. As substitutes, when certain of the above men... mission and the general superintendent has gone far toward allaying this feeling and there is now a wholesome degree of reciprocity and co-operation all along the line. The State Lunacy Commission is composed of the governor of the state, the secretary of state, attorney general, the secretary of the state board of health, and the general superintendent of all the state hospitals. As substitutes, when certain of the above mentioned members cannot act, the assistant attorney general serves in the place of the attorney general and the secretary of the state board of examiners acts as chairman when the governor is not present. These are all tremendously busy men. The business of the state of California is becoming so enormous in volume, and so important in detail that the governor thereof, though he were able to work twenty hours out of twenty-four instead of ten or twelve hours, as the present governor has done, could not keep in close touch with the interests of hospital management. The business of the office of the secretary of state has, in recent years, not only increased hugely in volume but has broadened into a sphere of utility only less wide in scope than that of the office of the chief executive. Likewise, the legal business of the commonwealth has increased in volume until it demands the entire energies of the attorney general and his corps of able assistants. Only the general superintendent, and the several local superintendents of hospitals, can keep in close touch with hospital management. Under the present system the general superintendent has not only to agree with the local superintendents and their stewards as to what it were well to undertake to do but, having reach- entirely sufficient to have mates made by the local state and his steward and then the general superintendent countants, thence going to examiners and the states. The United States governors state governments also for doing public business theeral states have generally At Washington the business is classified under department each department is given responsible to the chief executive in return, is responsible to That makes 'responsible' When things go wrong know who to blame and why the remedy. California has horticultural commission efficient than a state board nature and less costly. It was a commissioner in lunacy, superintendent of state house more efficient than a lunacy whose members can be taken a speaking acquaintance the duties of the office be enormous pressure of their positions. They must, as fact, rely upon the advice of general superintendent as to take as each issue arising elimination were made to the general superintendent filled with attaches from civil servic list or, at all personnel of the clerical have tenure of office based on efficiency and good behavior. There can be no adequatenation of a great benevolence trust like that of the care without such a continuity ment as will permit the work policies to their full frui he must needs hunt up members of the lunacy committee and explain to them what he is why he wants it and secure consent. This does not make for nor expedition in the administration of the hospital department of government. they are the governor, secretary and attorney general subjectedarden in addition to the oner-scantily paid duties of their offices, but these same men institute the state board of examination. The state forestry commission state is riding some very real horses very nearly to death. Public mind the chief executive responsible for the success or all of these subordinate and board boards and commissions, but never of fact he is not responsible responsibility is divided and man of responsibility does not good government. the purpose of forming a basis contracts for supplies for the year the local superintendents their stewards make estimates all the articles they expect to bring the ensuing year. These are submitted to the local for approval and are then forward to the State Lunacy Commission and amendment. As of common practice the function of the local boards and the commissions are pro forma in order. The work is done in the local superintendents and revised in the office of general superintendent, and big too. the contracts have been enforced for the ensuing year, as to quality, not quantity, the superintendent and his steward monthly estimates covering purchases during the ensuing year. must be those who know the business from "a" to "izzard" and they can only know it by growing up with it, year after year, administration after administration. It is all expert work and requires special knowledge, not to be gained through service in running caucuses and conventions. Local boards of managers are less necessary to the best interests of California's hospital system than is the state lunacy commission. If a local board undertakes to do more than to deal with the financial side of affairs it inevitably hampers the efforts of the local superintendent who, if he is at all fit for his position, knows more about the conducting of such an institution than he can ever teach his board, even if they were to give their whole time to study—which they never are. In fact, they seldom allow public business to interfere with their private business, and they frequently covet positions upon such a board for one of two reasons, both to their discredit—because they want a little political patronage to distribute, or a little political recognition from "the powers that be." They are busy men and it is impossible that they shall attain to specialized knowledge on the subject of the care and treatment of the insane. They seldom put themselves upon inquiry in that regard, but dispose of propositions which come to them by "main strength and awkwardness." When, as frequently happens, they love power and attempt to exercise it, they make illimitable mischief. In my judgment the legislature should simplify the whole system of hospital management by the elimination of both the lunacy commission and the local boards and erecting the office of general superintendent into a state lunacy department. The superintendent should be given an assistant and all the local superintendants should be constituted into an advisory board. The work is done in the local superintendents and revised in the office of general superintendent, and big too. The contracts have been enclosed for the ensuing year, as to good quality, not quantity, the superintendent and his steward monthly estimates covering purchases during the ensuing these also are revised and approved by the general superintendent supposed to be approved on the local boards and the stateion, but generally are not, exa formal way unless they are the normal allowance, it not other practicable or necessary safeguarding of the public int made the purchases as needteward of the local hospitals and audits the bills for them. Local boards then approve them are sent to the office of the superintendent and by him with the estimates and conces and approved or corrected items then go to the board of ex-where they are again audited item by item, and approved last two members of the board. We then sent to the state con-who gives these claims a final so item by item, and if found and correct, he draws his war-their amounts and the claim-his money. Not good for the public service it weighted down and cumber-th pro forma and perfunctoryances of public duty. It mili-gainst efficiency, causes delay is not safeguard public interests. Foregoing circumlocution the loss both the local boards and state lunacy commission could be dispensed with. It would be sufficient to have the estimate by the local superintendent his steward and then passed to general superintendent and his accents, thence going to the board directors and the state controller United States government affe-state governments a better model of public business than the services have generally made use of. Washington the business of the non-classified under departments and departments in given a head to exercise it, they make illimitable mischief. In my judgment the legislature should simplify the whole system of hospital management by the elimination of both the lunacy commission and the local boards and erecting the office of general superintendent into a state lunacy department. The superintendent should be given an assistant and all the local superintendents should be constituted into an advisory board with quarterly meetings held to discuss and act for the general welfare of the hospital service of the state. This would make for efficiency and economy. During the fiscal year ending June 30, 1906, the total expenses incurred by the state lunacy commission amounted to $16,505.98. Of this $13,886.60 was expended for salaries and $1438.10 for traveling expenses. The rest went for incidentals. The present, and only general superintendent the state has had, Dr. F. W. Hatch, is thoroughly equipped for his work and, likewise, full of enthusiasm for it. He is at once progressive and conservative, progressive in keeping abreast of the best results obtained in his line of work, and conservative in holding back local in fluences from rushing into extravagant and ill advised expenditures. He has the full confidence of all the local superintendents, and is tireless in devotion to hospital interests. Although he does not say so himself, I am sure that if he were less hampered by official "fifth wheel" he would be able to raise the hospital system of California to a higher state of efficiency. During the fiscal year ending June 30, 1906, the following sums were paid for transporting insane persons to the institutions named: Stockton hospital, $10,670.37; Napa, $9768.10; Agnew, $2,-641.20; Mendocino, $6014.75; Southern California, $5783; Home for the Feeble Minded, $1838.90; total, $36,713.32. This sum could be cut in half and the patients brought to the hospital in better plight if the several hospitals were authorized by law to send trained men and women for the patients to fetch them to the institutions. The conveying is done by deputy sheriffs who know about as much about handling insane persons as they do about training tigers, and they go about the business in a similar way. Let us never forget that insane persons are sick persons, desperately sick, many of them, and not wild animals to The phases of the moon by its relative position to the sun, so that when it in one part of the earth in all parts of the earth, its other phases. The around the earth once in days, though on account revolution around the duration of the lunar rise the time from new moon—is twenty-nine days, and forty-four minutes. The moon" is that half month during which there least at night. A Cold, Hard "Excuse me, madam,"—ah-you remember, in after the theater the owe were kind enough to hope I am not mistaken that your interest was gether"— "Oh, not at all. I reI thought for a momentthe coachman my husband a few weeks ago for love to the cook, and I you could afford to eat pensive place."—Chicago ald. Reminisce The author had written ful story, and he never ing of it. "Don't you know," s friends to another one ways reminds me of a "That's odd. How do "He's always waggins" Chamber of Co The board of director ber of commerce met on Monday evening a report from the commi to arrange an exhibit fo products to be held in December 5th next. A sign is in contemplation be composed of chile pe potatoes, oranges and t sufficient to have the estimate by the local superintendent his steward and then passed to general superintendent and his accents, thence going to the board of trainers and the state controller. United States government affairs governments a better model public business than the services have generally made use of. Washington the business of the national classified under departments and department is given a head re-ride to the chief executive who, in, is responsible to the people. takes 'responsible government. things go wrong the people who to blame and where to apply remedy. California has found a cultural commission much more than a state board of horticul-ld less costly. It would also find missioner in lunacy, or general attendant of state hospitals much efficient than a lunacy commis-sionese members can hardly main- speaking acquaintance with rules of the office because of the us pressure of their own official acts. They must, as a matter of duty upon the advice of the general superintendent as to what action as each issue arises. If this action were made the office of general superintendent should be with attaches from a classified service list or, at all events, the helm of the clerical force should ensure of office based upon effic- and good behavior. We can be no adequate adminis-ration of a great benevolent public make that of the care of the insane such a continuity of manage-ment will permit the working out of them to their full fruition. There Diplomatically Put. "I am afraid you are absolutely governed by your wife." "No," answered Mr. Meekton, who had been reading the foreign news, "I'm not absolutely governed by her, but I must admit that I am very much within her sphere of influence."—Washington Star. A Choice of Evils. Landlady—Would you advise me to send my daughter to a cooking school or to a music school? Boarder (reflectively)—Well, I think I'd send her to a cooking school. It may be more fatal in its results, but it isn't anything like so nolsy. Stingy. "It seems strange," said Deacon Mayberry as he counted the money after church, "that a large congregation can be so small."—Philadelphia Telegraph. All human power is a compound of time and patience.—Balzac. Have You A Cold Room? In most houses there is a room without proper heating facilities—to say nothing of chilly hallways. Even though the heat of your stoves or furnace should be inadequate to warm the whole house there need not be one cold spot if you have a PERFECTION Oil Heater (Equipped with Smokeless Device) It will heat a room in no time and will keep it warm and cozy. Operated as easily as a lamp and perfectly safe. Wick cannot be turned too high or too low. Gives no smoke or smell because fitted with unique smokeless device. Can be carried about, which cannot be done with an ordinary stove. The Perfection Oil Heater is superior to all other oil heaters and is an ornament to any home. Made in two finishes—nickel and japan. Brass oil fount beautifully embossed. Holds four quarts of oil and burns nine hours. Every heater warranted. If not at your dealer's write nearest agency for descriptive circular. THE Rayo Lamp is the safest and best all-round household lamp. Made of brass throughout and nickel-plated. Equipped with latest improved burner. Every lamp warranted. An ornament to any room whether library, dining-room, parlor or bedroom. Write to nearest agency if not at your dealer's. STANDARD OIL COMPANY The Moon's Phases. The phases of the moon are caused by relative position to the earth and sun, so that when it is full moon the part of the earth it is full moon parts of the earth, and so for all other phases. The moon revolves around the earth once in twenty-seven though on account of the earth's motion around the sun the mean duration of the lunar month—that is, some from new moon to new moon twenty-nine days, twelve hours forty-four minutes. The "dark of moon" is that half of the lunar night during which the moon shines at night. A Cold, Hard Snub. Excuse me, madam," he said, "but you remember, in the restaurant the theater the other night you kind enough to notice me. I am not mistaken in supposing your interest was—ah—not altoer." In, not at all. I remember now. bought for a moment that you were coachman my husband discharged two weeks ago for trying to make to the cook, and I wondered how could afford to eat in such an exeive place."—Chicago Record-Her Reminiscent. The author had written one success story, and he never grew tired talk-of-it. Don't you know," said one of his hands to another one day, "Riter alas reminds me of a pleased dog." what's odd. How does he? He's always wagging his tale. Chamber of Commerce The board of directors of the chamber of commerce met in regular session Monday evening and received report from the committee appointed arrange an exhibit for the parade of products to be held in Santa Ana onember 5th next. A very pretty de- is in contemplation, the same to composed of chile peppers, walnuts, toes, oranges and the other prod- MONEY can be borrowed on more favorable terms from the SAVINGS, LOAN and BUILDING ASSOCIATION OF ANAHEIM than from any similar institution in the State A Home Institution... conducted by home men If you want to borrow money at a low rate to pay off your present mortgage, or to build a home or to improve your present one, address or call on Fred A. Backs, Jr Secretary Anaheim Little Gem Bicycle Repair Shop. I do all the work myself, and I fully guarantee satisfaction; give me a trial. If I please you tell others. Wheels made to order. Second-hand wheels bought and sold and exchanged. The only place in town for second-hand wheels. If you want a new wheel that I have not got, please put in your order. I will get it within two days notice. You may have your choice. Wheels called for and delivery. Everything promptly done. Tel. Main 653 R. E. Henrich, Prop. Anaheim Bakery PETER SYRE, Prop. Fresh Bread Cakes and Pies Confectionery, Etc. Wedding Cakes a Specialty. LOS ANGELES and CYPRESS ST. NOTICE TO—TAXPAYERS! Notice is hereby given that the city taxes on all personal property secured by real proper- Chamber of Commerce the board of directors of the chamber of commerce met in regular session on Monday evening and received report from the committee appointed to arrange an exhibit for the parade of products to be held in Santa Ana on November 5th next. A very pretty design is in contemplation, the same to composed of chile peppers, walnuts, toes, oranges and the other products of the soil grown here in abundance. Herman Stern will be the decorator and a committee consisting of members Adams, Cailor, Armstrong and Collum will lend assistance in gathering the products. It is probable that the vehicle will be drawn to Santa Ana and the decorations there placed position, thus insuring a better effect, and avoiding the jolting the district would receive in the trip over the products arranged here. The trade will be witnessed by a large crowd and the committee will strive to make the exhibit from this city a credible one. F. Ahlborn was appointed a delegate to represent the local organization at a convention of chambers of commerce to be held in Santa Ana in near future. Pressrs. Cailor and Armstrong were pointed a committee to again appear before the city council and speed the set-paving proposition. The mat-seems to be held in abeyance and it is the purpose of the committee to try to have the matter brought up for special action. Garage of Product Dance to be given the Fraternal Brotherhood at Spurton hall, Santa Ana, Dec. 5th. Music Sabize orchestra. Admission 50c. 15-3t Confectionery, Etc. Wedding Cakes a Specialty. LOS ANGELES and CYPRESS ST. NOTICE TO— TAXPAYERS! Notice is hereby given that the city taxes on all personal property secured by real property, and on all real property in the City of Anaheim, will be due and payable on the first Monday in October, 1906, and will be delinquent on the last Monday in November, next thereafter, at 6 o'clock p.m. Unless said taxes are paid prior to the last Monday in November, 1906, at 6 o'clock p.m., five per cent. will be added to the amount thereof. Said taxes are payable to the undersigned at his office in the City Hall, in said City of Anaheim, between the hours of 10 a.m. and 12 p.m., and between the hours of 2 p.m. and 5 p.m. N. F. STEADMAN, Marshal and ex-officio Tax Collector of the City of Anaheim. sep27-9t Walk on Easy Street Get rid of that painful corn or bunion. When relief and cure are to be obtained, Indian Corn Leaf will do the work quickly and without causing a particle of pain. It is the new way of treating corns, bunions or callous. Cut off a piece of the leaf, apply it to the corn, relief comes instantly after which the corn is removed entirely. It is harmless and totally unlike any other remedy. We have testimonials from all over the U.S., of its wonderful cures, and the cost is only 2 cents, sent by mail for ten two cent stamps and our booklet how to treat the feet. "Indian Pile Ointment" cures Piles, price 50 cents. Agents make money selling these wonderful remedies. Write for terms. Address, BOND SUPPLY CO., BOND BUILDING, WASHINGTON, D.C.