HAWAIIAN ISLANDS. 



the practice of medicine is well guarded. Every can- 

 didate must pass a satisfactory examination before a 

 board of examiners appointed by the governor. This 

 board consists of four members, who, to judge from the 

 character of the men who have been licensed, make no 

 farce of the examination, as is only too often done in 

 the states. The question of school is not considered, 

 all must pass the same critical test, and if found quali- 

 fied they can practice any system they please. There 

 are now about 100 licensed plrysicians in the islands, 

 about 60 in Hololulu, and the rest scattered in the 23 

 districts. 



Every district has what is called a government phy- 

 sician, who looks after the poor and sanitary matters, 

 and is paid on an average of $1,000 a year for his serv- 

 ices. These doctors make a semi-annual report of their 

 work to the board of health. Through these channels 

 the board of health reaches the most distant parts of 

 the islands, and thus insures prompt and efficient sani- 

 tation. Among the older practitioners in Honolulu be- 

 long Drs. McGrew and McKibbin and Dr. W. E. Tay- 

 lor, a retired naval surgeon. Dr. C. B. Cooper is presi- 

 dent of the territorial State Board of Health. Dr. F. 

 E. Day, a graduate of. Bush Medical College, Dr. C. B. 

 Wood, ex-interne at Cook County Hospital, and Dr. 

 Walter Hoffmann, a graduate of Germany, are the lead- 

 ing practitioners. The sick of the yellow races are 

 cared for by 12 Japanese and 2 Chinese physicians. 

 For the benefit of recent graduates I would say that 

 Hawaii has all the physicians it can well support at 

 present; it is no Paradise or Eldorado for a new begin- 

 ner. The field is well occupied, as most of the men 

 would be hard to discount, and the present depressed 

 condition of the sugar interests is felt throughout the 

 islands. There are only three or four men in Honolulu 

 who have been there for years and who are very popu- 

 lar, that can put down their annual income in five 

 figures. Some of the physicians with a smaller income 



