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it reaches its full development in 1922 and to make such further 

 provision as may be necessary for the continuance of agents of proved 

 efficiency already on the rolls, as well as to continue the intensive 

 work for the more speedy control and eradication of tuberculosis, hog 

 cholera, and the cattle tick, and other important lines of work. 

 Expenditures for these activities are investments. 



RURAL HEALTH AND SANITATION. 



The question of rural health and sanitation is one to which I have 

 given a great deal of thought. It seems to me that we should omit 

 no effort to see to it that the benefits of modern medicine accrue 

 more largely to the scattered populations of the rural districts. The 

 economic waste from insanitary health surroundings and from disease 

 is enormous. It is impossible to estimate its extent. It is even 

 more impossible to assess the amount of existing, preventable human 

 misery and unhappiness. The remedy is difficult. Many agencies, 

 including some private enterprises, are working for improvement, 

 and states and medical societies are contributing. The extension and 

 improvement of agriculture, including the drainage of lands, the 

 clearing of swamps, and the construction of good roads, make for 

 betterment. The Department of Agriculture, through its home 

 demonstration service, is giving valuable aid and the public health 

 service is increasingly extending its functions. A vast deal, however, 

 remains to be done to control such pests as mosquitoes and the hook- 

 worm, to eliminate the sources of typhoid fever, and, even more, to 

 give the country districts advantages of modern hospitals, nursing, 

 and specialized medical practice. To what extent the further pro- 

 jection of effort is a matter for state or local action remains to be 

 determined, but it seems clear that there should be no cessation of 

 activity until there has been completed, in every community of the 

 Union, an effective sanitary survey and, through the provision of 

 adequate machinery, steps taken to control and eliminate the sources 

 of disease and to provide the necessary modern medical and dental 

 facilities easily accessible to the mass of the people. 



FARM ECONOMICS AND FARM MANAGEMENT. 



I have also been keenly interested all my life in the economics of 

 agriculture, and I have therefore not only emphasized in my mind 

 the necessity for developing a strong and effective Bureau of Markets, 

 but also an organization here for the satisfactory study of the difficult 

 problems of farm economics and farm management. I have by no 

 means been satisfied with some of the work of the present Office of 

 Farm Management. I refer especially to the studies of the cost of 

 farm crops. It is unnecessary for me to point out the difficulties of 



