34 JOHN KOREN 



Day nurseries as yet are located chiefly in a few eastern 

 states with large urban population, and are not found in 26 

 states. Of the 166 day nurseries in the United States in 1904 

 no less than 113 are maintained in four states — Massachusetts, 

 New Jersey, New York, and Pennsylvania. Thirty of the 

 entire number are under church auspices and 136 are main- 

 tained by private organizations or individuals. 



The total number reported as inmates on January 1, 1904, 

 was 7,441, of which approximately one half were in institutions 

 in the state of New York= On December 31 of the same year 

 there was an increase in attendance of 176, which is an imder- 

 statement, for a large number of institutions failed to report 



this detail. 



Of the total cost of maintenance in 1903 ($327,659) con- 

 siderably more than one half was disbursed for the support of 

 the day nurseries in Massachusetts, New Jersey, New York, 

 and Pennsylvania. Of these states New Jersey is the only one 

 in which day nurseries received assistance from the state, the 

 other notable beneficiaries being in Maryland and Tennessee. 

 The total state grants amounted to $7,675. Generally sub- 

 sidies under this head must be imderstood as coming from the 

 local community. 



Specific conclusions drawn from the number of hospitals 

 in different states in proportion to population would be mean- 

 ingless so long as it is impracticable to bring single institutions 

 and their operations into comparison. Clearly, one hospital in 

 a community may perform with even better success the work 

 divided among three or more small institutions elsewhere. 

 Yet the extent of the provisions made for the sick, as mani- 

 fested by the number of hospitals, points not merely to the 

 stress of fife under urban conditions and the like, but to prog- 

 ress in humanitarian work. The figures compel the inference 

 that hospital faciUties in many instances are not apportioned 

 among states in accordance with needs, but reflect the extent 

 of charitable enterprise. 



Attention has been drawn already to the fact that some 

 commimities prefer to subsidize hospitals operated as private 

 enterprises rather than to estabhsh institutions of their own. 

 This accounts for the proportionately small number of hospi- 



