New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1893-01-04

have to be made for al increase of 440 patients for
the year ending October /, 1904 These adaomai
accommodations he supplied by 1udici0us enlarge
ment OF existing hospitals rather than by the CON
structon of new institutions. ,.o
OF course the assumption OF this puroeh py , .le
State relieves the counties to that extent In tact
the relief is much greater, for by the STATE Ce &c,
from It's provisions and those counties VIII continue
to care for their own dependtnt insane ana must
tanning the State insane. Untl they shall avail
themselves OF the privileges OF the state Care nct
the effect OF will he to afford large saving
TO almost every county In the State. 49,,
II the total cost to the state shall be In the nelgh
win be increased by nbout OF mill on last
years valuation. recommend to the legislature uat
the insane he hereafter included In one act ana tlat
the rate Of tax for this purpose be hXcd ana ieVea
government. Thus the people will always know eX
Rctly what they paying for the maintenance ana
7 am convinced from personal examination that
the policy OF the states airing for lis POOR insane IS
the county system which had prevailed for so many
years previously. and which in many cases justly ex
But the greater danger OF this assumption OF responsi-
bilty and expense by the STATE II mal1dmnist
Corruption eytIavalncc and the improper Injection
of poit into hospital management will be constant
foes. which II not combatcd and overcome will bling
ment OF much good Legislation should be designed
to require strict accountability, and al possible
avenues for extravaganza should be closed. have
observed that remarkable differences OF cost
now between the different institutions In the same
the Cost of fuel has been prOporonaely much higher
than in other institutions In another ne cnst OF
various articles of food proportODaely greater,
and so OF. The difference in environment did not
seem to account entirely for these decided variations,
and the conclusion inevitable that the management
at fault. This could all b. rcmcGiod by propCG
legislation and careful administration. As one means
Of accomplishing this end The legislature should re.
quire that all moneys should be paid the warrant
Of the Controller upon monthly estimates prepared
and approved : In the OF the state Prisons. ana
that all receipts OF the State hospitals shall be
turned into the State treasury. 1t Is worth calling
attention to that during the last three Years there
has been steady reduction In the per capita cost Of
maintenance In every hospital except two. and these
exceptions not occasioHed BY any fault In ad-
ministfation. but by changed conditions.
The hospita, buildings. which | have had the
pleasure OF Inspecting during the last wear, are with
out exception crcdtable to the State and well adapted
for their purpose The increased accommodations
provided by recent acts OF the Legislature are of
comparatively cheap type. but Of excellent material
and show Substantial workmanship.
The number OF committed insane In the State on
October /, 1892, follows.
licensed l,riyate
Asylurns Of New-Yotk and Kings counties. 1857
In county poorhouscs awaiting reinoye ....... Sos
D1