Am7u0iy?i9(Marm"}    Development  of  the  Medical  Laboratories.  343 
$500,000,  and  we  went  to  work.  For  the  ground  upon  which  to 
build  the  hospital  we  applied,  with  final  success,  to  the  city,  and 
then  we  essayed  the  Legislature  for  assistance  with  the  building.  I 
believe  at  that  time  no  money  had  ever  been  given  by  the  State  to 
a  hospital  not  under  State  control,  but  during  a  whole  winter  we 
met  once  or  twice  a  week,  usually  at  10  p.m.,  districted  the  State  of 
Pennsylvania,  searched  out  in  each  district  the  medical  alumni  of 
the  University,  made  out  as  far  as  possible  who  were  the  medical 
attendants  of  each  Legislator,  and  then  by  personal  letters  applied 
to  our  professional  brethren,  almost  always  with  quick  and  sure 
response,  and  so  we  obtained  our  appropriation,  At  last  the  lot, 
the  building,  and  the  first  endowment  were  obtained,  and  to  the 
medical  profession  the  University  Hospital  owes  its  existence  and 
the  possibility  of  its  ever-expanding  life. 
The  University  Hospital  spends  at  least  $75,000  a  year  above  all 
moneys  which  it  obtains  from  pay  patients.  This  sum  is  in  verity  a 
payment  for  the  clinical  material  which  under  our  present  medical 
curriculum  is  essential  for  the  teaching  during  the  third  and  fourth 
years  of  the  course.  If  to  this  money  be  added  the  interest  of  three- 
quarters  of  a  million  of  dollars,  an  under-valuation  of  the  plant  of 
the  University  Hospital,  and  our  annual  medical  class  of  students 
be  estimated  at  125,  the  cost  of  clinical  material  for  each  individual 
student  is  for  each  of  the  last  two  years  of  his  course  about  $500. 
It  is  in  providing  for  this  expenditure  that  the  medical  profession 
has  done  its  work.  Assuredly,  however,  the  time  has  come  when, 
at  least  temporarily,  the  medical  profession  should  change  the  direc- 
tion of  its  efforts.  The  deep  undermoan  of  human  suffering  fills  the 
world  always  with  the  sound  of  its  pleadings,  and  when  a  hospital 
has  reached  the  wealth  of  popularity  and  achievement  that  has 
come  to  the  University  Hospital  its  never-silenced  cry  for  greater 
powers  for  service  will  always  find  altruistic  ears  to  listen.  For  of 
such  is  the  ever-multiplying  harvest  from  the  work  of  the  great  Gal- 
ilean Master,  at  once  the  result  and  the  seal  of  His  divine  teachings. 
The  duty  of  the  medical  profession  at  the  present  moment  is  to 
make  the  world  understand  that  as  the  laboratory  underlies  medical 
teaching  so  does  it  underlie  the  art  as  well  as  the  science  of  medi- 
cine ;  and  that  to  endow  hospitals  and  to  forget  laboratories  is  to 
prune  and  train  the  upper  branches  of  that  tree  of  knowledge 
which  is  for  the  healing  of  the  people,  and  to  forget  to  keep  alive  the 
root  which  is  the  source  of  all-continuing  development  and  growth. 
