IH n;i i \ i K i in i msri \\n i:h \\ 



and v ' old age, accident . ami 



disease, including tuU-rculosis, ami the eim li.-ld respona- 



\\itli tin- law. No >\\c\\ law exists in tin* 



I'nited States, and most of tin- private insurance companies 



avoid ftOCepting poHcy-hoklerG uith a seeming tendency U\\ard 



of tuberculosis, As another illustration of 



Utiy dilYerent conditions here and in < In-many ivrardin^ 

 our sul>j mu>t consider that every one of the forty- 



i States of the Union h:is its own sanitary la\\< and 

 latin; v differ widely in rip>r and completeness in regard 



to the prevention of tuberculosis in man as well as in beast. 



:many then- i- one homogeneous law for all the state 

 provinces: there is a ministry for "Medi/inal Angelegenheiten" 

 (medical affairs) with a cabinet officer at the head. \\h<> h 

 his advisers the highest medical authorities connected with the 

 "Reichs-Gesundheitsamt" (Imperial department of health). I 

 hope the tune is not far distant when our own beloved country 

 will have a similar institution: when all the State, county, and 

 city boards of health will look to Washington, the seat of the fu- 

 ture United States National Department of Health, of which the 

 Secretary shall.be a member of the President's Cabinet, a- their 

 supreme head and guide in medical and sanitary matters. In 

 the meantime let us labor as best we can, a* individuals, laymen. 

 and physicians; -let each State, county, and city board of health 

 do its best toward an intelligent, rigorous, and yet not too 

 oppressive public prophyla\i> <>f human and bovine tul)ercu- 

 losis; and let the people at large lend a willing hand in this 

 combat against our common foe, the "Great White Pla: 



S. A. Kv 

 16 WEST NINETY-FIFTH STREET, NEW YORK, January, 1901. 



