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stitution), Governor Pingree bas announced that he will soon call an extra session of the legislature to pass and submit to the people an amendment to the constitution and thus correct the error in the present constitution. We need more of such governors who are not party slaves and who work in the interest of the people. And above all, our people should be taught that the authors of our constitutions intended and desired that they should be freely amended from time to time as experience and changing conditions require."


that the law was in conflict with a certain clause of the state constitution and therefore invalid. Altho the law was eminently satisfactory to the people of the state, irrespective of party affiliations, yet there has been no movement among them to have the constitution amended so the law can be reinacted and withstand all attacks as to its constitutionality. They seem to have forgotten—or never known—that the framers of our constitution made provisions for its amendment from time to time as experience and changing conditions might require. If the inheritance law was a good law, then the clause in the constitution that caused its overthrow is bad, and it should be removed or amended. The popularity of our present National inheritance tax law and the growing popularity of such of our state inheritance tax laws as bave stood the test of constitutionality, and also the popularity of those laws in foreign countries, is conclusive proof that any clause in a constitution that prohibits such laws is decidedly erroneous and unjust. It was clearly the intention of the wise and good men who made our constitutions that in just such cases as this the constitution should be promptly amended, and they provided means whereby this can be done. They did not pretend to perfection in law making. They did not set themselves up as guardians of future generations. At the time that most of them did their great work there were no railroads, telegraphs, electrical motors, etc. They did not hand down the constitutions as perfect documents and suited to all times and conditions. In fact, if they could revisit us now, they would be sorry to know that we are allowing the minor imperfections in their work to stand in the way of progress and justice, thus tending to bring all of their work into disrepute. If they could speak to us from their graves they would say : 'Correct our mistakes; keep our noble constitutions abreast with the progress of civilization; do not allow them to fall into decay; and above all, do not allow them to be stumbling blocks in the path of progress and justice; amend them freely as occasion demands; we made ample provisions for this and we intended that those provisions should be made use of freely.'

“But Pennsylvania is not the only state that is thus discrediting the makers of our constitutions. In the last few years we have all frequently seen accounts of good laws that were past in our various states in the interest of the people, and which the people fully indorsed or demanded, being stricken down by some bad clause in the local state constitution, yet there has been no movement to remove the blotch from the constitution. But we have lately seen a notable exception to this rule. The state of Michigan has a governor who is noted above bis contemporary state governors for his strong common sense and manly courage. He is from the people, for the people and believes in government by the people. The last legislature of Michigan past a law providing for the taxation of railroad and other corporation property at its actual value the same as farm lands and other property is taxed. The courts bave lately held that the $ law is unconstitutional and hence void. But in$ stead of tamely submitting to an error in the constitution (or of the court in construing the con

The above is very clear and good, and I heartily endorse it. But there is a better way. Those who advocate Direct Legislation (consisting of the Initiative and Referendum) believe that the people should be recognized as the final authority concerning any law for their own government. Therefore the following should be a part of every Direct Legislation amendment to a state constitution:

Whenever any law or part of a law shall have been declared unconstitutional by any State court, the Executive shall submit it to all the voters the same as if it had been initiated by 2 per cent., and if approved by a majority of those voting thereon, it shall become a law of the State, potwithstanding anything in the constitution to the contrary. This will keep the constitution constantly up to date. This feature (tbe exact wording I do not now remember), is in the South Dakota amendment, adopted by the people of that state last fall. “Unconstitutional” bas grown to be to me the most disheartening and aggravating word in the English language. It has kept back progress more than any other. It has been the hope and bulwark of the privileged classes. The above plan would preserve all the safety of our constitutions and courts, and at the same time would take from them all oppressive possibilities.

Trust Methods. Trusts cannot be killed by scolding about them; and as long as they have honest and genuine economic advantages they will and should succeed. Then the best-the only-way to deal with them will be to absorb them. But in the mean time we should compel them to obey righteous law, just like a firm or individual, and take from them all artificial support that a protective tariff gives them. The following newspaper clipping will give some idea as to their methods :

Washington, June 8.-The Industrial Commission to-day resumed its investigation of trusts, the Standard Oil Company receiving especial attention. W. II Clark, of Ohio, who until last February was em. ployed by tbe Standard Oil Company in various towns in that State, but was then suspended, testified that while employed at Marietta the Standard had ousted other companies from the business by competition, and then put up the price of oil. He said that eight nominal grades of oil were sold out of only two tanks, the faucet being turned in different directions for different grades. This was done, he said, under instructions from the managers for the Standard Company, Messrs. Matthews and Hollingswortb. Mr. Clark also said that the company bought and sold turpentine, but before selling it would put six or seven gallons of gasoline in each barrel of turpen. tine.

At Columbus, Mr. Clark was the cashier of the Standard Company. At that point, he said, much of it was adulterated. For instance, miners' oil was made by mixing in a little cotton seed oil. Here the Stan. dard Company started what was called the Shoemaker Oil Company. This was a purely Standard establishment, he testified, its men being paid by the

Standard Company, but it was made to appear to be 4. All municipal work to be performed directly by the muan independent concern, and was used as a blind.

nicipality without intervention of contractors. At Springtield, Mr. Clark said, he was a wagon sales- 5. Payment of wages weekly and equal pay to women for man, and the instructions there were to get trade re. equal work performed with men. gardless of the price. Some refined oil was sold as 6. Revision and simplification of all municipal laws. low as four cents, and here also as many as four nomi. 7. Thoro revision and equalization of salaries of pubiic nal grades of oil were taken from one tank. Rebates officials. were made when necessary. When he had spoken to 8. Direct legislation thru the initiative and referendum. the management of the dishonesty of these practices he had been told that it was not for him to say about

STATE ISSUES. such matters, but to do what he was told.

1. Sanitary inspection of mines, workshops and dwellings. At Urbana, he said, he was manager for the Stan. 2. Taxation of land values, irrespective of improvements. dard Company. Here a competitor was driven out by 3. Abolition of contract prison labor. a threat to force the price down to one cent a gallon. 4. Prohibition of child labor under sixteen years. The competitor afterward went to the poor-house.

5. Compulsory education. Witness for a time was manager at Newark. Here 6. Payment of wages in lawful money and abolition of truck the work was very hard because of the great range of pay. prices. There were twenty.tive different figures used

Liability of employers for injury to health, body or loss there. One man would get oil for seven cents, while of life. bis next door neighbor would pay 9, cepts. Rebates

NATIONAL ISSUES. also were given to especially favored patrons. These

1. Abolition of national banks and substitution for their were made under the instructions of B. A. Matthews,

notes of legal tender treasury notes. Issue of all money dias were all changes in price or terms The witness testified that at Newark the company

rect by the Government, and establishment of postal deposit

and savings banks. bought a building from over a leaser's head, who was 2. Prohibition of alien ownership of land and of gambling doing a competitive business, and Mr. Clark, with

in stocks, etc. other men, went into the building in the absence of

3. Adoption of a constitutional amendment requiring the the competitor, loaded the buildi. g on carts and car. ried it away. For this he (Mr. Clark) was compli

election of President, Vice-President, Judges and Senaton bo

direct vote of the people. mented, and was to have been rewarded with a two weeks' vacation, while the competitor was so fright

4. Collective ownership by the people of all the means ened that he went out of the business. This was not

production and distribution and all means of communication

and transportation. accomplisht, however, until all his customers bad

5. Thoro revision of the judiciary laws. been located by a boy employed to follow his wagon

6. Abolition of all indirect taxes. on a bicycle. At Newark'a customer wanted oil from Cleveland. He was satisfied by supplying him out of

7. Abolition of the contract system on all public work in

all its phases. & barrel painted red and marki as if from Cleveland.

8. Rigid enforcement of the eight-bour law in all puble He received the same oil, however, that other people

departments. Equal pay for equal service for men and got.

women. The witness said that laborers for the Standard

9. Enactment of laws abolishing the sweating system. Company were generally paid seventy-five cents a day, and that they worki on an average twelve hours Number 4 under the head of National Issues is a day. There was, he said, often a difference of two cents

too extreme ; also, number 6 cannot be done suda gallou in the prices of oil between places where denly unless we, at the same time, impose income there was competition and places where there was

and inheritance taxes sufficient to produce enuf none.

revenue to run the National government. But Whether one quarrel with it or not, the situa- outside of these two planks, can you find any. tion to-day is that American manufacturers are thing to object to ? Have not these laborers so powerful that they are underselling the manu

progrest far ahead of the masses of our people in facturers of Europe in every market. Mean- their ideas of government ? The average farmer, while, they have combined to control prices ab- merchant or professional man could read the solutely in this country, and with the tariff wall, above platform with profit. Show it to your inhave thus the country that fostered them at their

timate friends and ask them what they think of mercy, while they are giving the world the bene- it. I will give other platforms from time to fit of the growth and strength that this fostering time, perhaps from as humble a source as the care has produced.-Indianapolis News,

above, for the education of those who consider

themselves far more intelligent than mechanics. Governor Mount, of Indiana, is a devoted Republican who does not favor domestic monoplies,

An Old Story, Always New. and who believes that the Republican party Several times in these columns I have referred should take action on the subject. He has said to the story of the Guernsey Market House. The that, while always a believer in protection, he is germ of truth which it illustrates lies at the very opposed to any tariff for the benefit of industries foundation of the money question. This inci. that have combined in trusts, destroyed home dent illustrates clearly that money is only a syscompetition and controlling prices.

tem of keeping accounts, which also involves

the function of facilitating exchange. “InFor the Education of the Educated." trinsic value” money is a useless waste. In spite Perhaps many of our readers remote from the of the full and free discussion of the money centers of population have an imperfect or an er

question all over this country during the past few roneous idea of the principles advocated by the years, there are yet many who say: "The mones labor organizations. In this connection some question is too deep for me," "The money quesdefinit information will be of interest. I happen tion is too difficult for ordinary men; we should to have at hand the platform of the Brooklyn leave it entirely to the financiers," etc. To al; Central Labor Union. Here it is :

these, I wish to say, read the following simple MUNICIPAL ISSUES.

and true story. Cut it out and save it, and resu! 1. Municipal service wholly divorced from partisan politics

it every time that you doubt your ability to unTenure of office during good behavior and promotion for derstand the money question. Whenever you meritorious service.

hear a man say that he can't understand the Iunicipal ownership of street railways, telephones, gas and electric light plants for public distribution of power,

money question, read this story to him. Our refheat and light. All municipal franchises to be owned and erences to this story have heretofore been rather operated by the municipality in the interest of the peopie. 3. Eight hour service for all employees engaged directly or

brief. We quote the following rather extended indirectly on municipal work.

(Continued over next leaf.)


The Medical World

The knowledge that a man can use is the only real knowledge ; the only knowledge that has
life and growth in it and converts itself into practical power. The rest hangs

like dust about the brain, or dries like raindrops off the stones.-FBOUDE.

The Medical World

1520 Chestnut Street

financial interests of the attending physician should not be entirely sacrificed to

the requiring demands of the specialist, C. F. TAYLOR, M. D.

who must have his “price,” usually a Editor and Publisher

high one, for his operation, while the real

work, worry and responsibility are borne by Subscription to any part of the United States and Canada the attending physician for weeks before

ONE DOLLAR per year. To England and the British and after the operation, which requires Colonies, FIVE SHILLINGS per year. Postage free. Single copies, Ten CENTS. These rates must be paid invariably only a few hours of the specialist's time. in advance.

We believe that the specialist should be We cannot always supply back numbers. Should a number amply paid, for special skill is frequently

fail to reach a subscriber, we will supply another, if notifled before the end of the month.

of great value ; but should he “milk” the Pay no money to agents for the journal unless publisher's

resources of the patient to the entire receipt is given.

neglect of justice to the attending physiADDRESS ALL COMMUNICATIONS TO

cian? Frequently the relatives and friends "THE MEDICAL WORLD,"

of the patient are called upon to help

make up the fee for the specialist ; but this PHILADELPHIA, PA.

is not done for the faithful, patient at

tending physician. It is not only gracious, VOL. XVII. AUGUST, 1899.

No. 8.

but just, that the specialist see that the

attendant get a reasonable share of a sum Should Specialists “ Milk” the Resources of

thus made up. Patients to the Neglect of the Claims

of the attending Physician ? Dr. Emory Lamphear recently read a Care, Control and Treatment of Inebriates. paper before the St. Louis Academy of It seems that new communities must Medical and Surgical Sciences on the sub- take the lead in many important social ject, “Shall the Specialist pay a Com

Com- needs. Old communities have crystallized mission to the General Practitioner?' around old ideals, while young communiThe following quotations represent the ties are free to lead out with new plans sentiment exprest in the paper:

and original ideas. They are untrameled “But a division of the fee' is not only by the customs and traditions of the old proper; it oftentimes is imperative, if an communities. In many ways the laws of injustice is not to be done the family doc- the younger Western States are much tor. * * * I maintain it is the duty of more progressive than the laws of the every specialist to ascertain whether or Eastern States. New Zealand and parts not the regular attendant has already of Australia are already putting into pracbeen, or will be, paid sufficiently well for tical operation, in a moderate way, Henry services rendered ; if not-then to divide George's land-value tax theory. We are the proceeds equitably.”

indebted to the antipodes for the introIt seems only just that the rights and duction and practical testing of many new

social ideas; also for new and higher social cided that we are our insane brother's ideals.

keener, as many public institutions for the I have before me a bill which has past treatment and care of the insane testify. the Legislative Council of New South Is it not time that we were taking another Wales, Australia. We have said much step, and include the irresponsible inebriabout the duty of the State in the direction ate ? "The holy ones" will say: “They of the care, control and treatment of in- should not drink; it is their own fault ebriates, but for actual law on this subject if they do." “If they have formed we now have to go to the progressive intemperate habits, they should not have antipodes. The following is an outline of done so." "Such care would only enthe bill :

courage drunkenness.”

“If drunkards A Judge or Magistrate, on application, and prefer to wallow in the gutter, let them do after evidence of medical practitioner, and on so; I do not want to be taxed to take them inspection, may make an order as to control of out of the gutter—let them help theminebriate.

selves,'' etc. Court of Petty Sessions may make an order in

We doctors know that inebriety is a discase of an inebriate frequently convicted of

ease, sometimes inherited, sometimes acdrunkenness.

Judge or Magistrate may make order as to quired. We know that the average conproperty and treatment of inebriate.

firmed inebriate is just as unable to care Court in Lunacy jurisdiction may make orders for himself as the average insane man. as to property of inebriate who is incapable. Excesses in business, religion, sexual in

Directions may be given, and orders varied dulgence, etc., lead to insanity. We do renewed or rescinded.

not refuse care to these insane because Order shall authorize attendant to prevent supply of intoxicant to inebriate.

they should not have done so." We Inebriate not to leave the Colony.

recognize that the thing has been done, Inebriate escaping from custody may be ar

and that the condition exists. So with rested,

the inebriate. When will we rise to that Inspector-general of Insane and other officers ethical height that will lead us to see the to inspect places where inebriates are under

true condition of the inebriate and respond control.

to it properly. When we do so, many Person supplying inebriate with intoxicant liable to penalty.

valuable but unfortunate members will be Proceedings not to be publisht without per

restored to society. mission. Judges may make rules.

The Treatment of Gonorrhea. Governor may license institutions for inebriates and may make regulations.

One of our subscribers writes as follows: For the purposes of this Act,

“Would it be out of place to ask for a “Inebriate” means a person who habitually general discussion of gonorrhea in the uses alcoholic liquors or intoxicating or

male, and treatment, also asking for the narcotic drugs to excess.

treatment used at the Jefferson College "Institution" means a place licenst under

Hospital ? Also the results of the use of this Act or establisht by the Govern- methylin blue in this disease, used either ment for the reception, control and treat- internally or by injection? Also the re

sults of the use of ichthyol in this disease ment of inebriates.

Two or three weeks ago I was in the comNotice the definition of “inebriate” in

pany of some twenty or thirty physicians, this Act; it means the victim, not only of and they also said that they would like to alcohol, but of “intoxicating or narcotic see this subject taken up." drugs.”

For the following information I am inThe question, “Are we our brother's debted to Dr. H. R. Loux, who is officially keeper?" is an old one. In civilized connected with the Jefferson College Hoscountries it has for many years been de- pital:

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Ichthyol has been tried, but as the re- day. The tablet and the capsule may be sults did not seem to be specially encour- taken both together or separated by an aging, it was abandoned. The early trials hour or so—it makes no difference. We of methylin blue gave sufficient encourage all know that the general custom is to give ment to justify a series of very careful copaiba after meals, to lessen the probaobservations on a large number of cases. bility of disagreement with the stomach. . One hundred cases were thus carefully The methylin blue seems to have no such observed, with the following general action. No special details of administraresults: It has been demonstrated that tion seem to be necessary, the important methylin blue will destroy the gonococci. thing being that the patient get a tablet Also it has noticeably lessened the average and capsule three times a day. period of duration of this disease. While At the same time the following astrinusing methylin blue the following facts gent injection is ordered: must be borne in mind : It changes the Plumb. acetas

gr. XXX color of the urine to indigo blue. Unless Zinc. sulf. the patient is warned of this fact it is Fl. ex, amarae likely to frighten him. As this stains the

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aa oz. j linens, the patient should be appropriately Aqua

q. 8. oz. vj warned, or before he knows it he will be M. Sig.-Inject morning and evening. placed in an embarrassing position. If a The internal treatment is continued unnocturnal emission should occur, it will be til the discharge is stopt. The injection blue also, and will stain the bed clothing is continued until convalescence, but it is if it should come in contact. Therefore, diluted one-half in the latter stages. it is a good plan for a patient taking In the outdoor department of the Jefmethylin blue to wear an apron day and ferson College Hospital the average duranight, which can be thrown away when tion of acute gonorrhea, treated as above, soiled. The inconveniences just men- is about three weeks. Some cases contioned may impress the general practi- valesce sooner, and some cases continue tioner as being objections, but we all know four weeks. how troublesome the treatment of gon- Methylin blue is not used as an injection. orrhea is, and slight objections should not It has been tried in this way but no virstand in the way of the use of what is con- tue seemed to come from it. As above sidered "one of the best remedies of the given, the dose of methylin blue is one present day” by those who have used it grain three times a day. Larger doses, extensively.

say from two to two and a half grains, are The following is the present treatment liable to produce tenesmus, which, howof a typical case of acute gonorrhea in the ever, soon passes away under the usual out-patient department of the Jefferson management, the medicine being tempo-College Hospital :

rarily stopt. It should be borne in mind After the usual general directions as to that methylin blue tends to cause constithe condition of the bowels, dietary, pation. This tendency should be comavoiding use of bicycle and physical bated by appropriate measures. It must strains of all sorts, avoiding alcoholic be borne in mind that the chief virtue of stimulants absolutely, and the society of methylin blue seems to be the destruction women as much as possible, etc., etc., the of gonococci. This remedy is of no value patient is put on the following: A one- in chronic cases where the gonococci are grain tablet of methylin blue three times not present. Here we have tissue changes a day. At the same time a capsule con- which must be treated according to the taining balsam of copaiba five minims, conditions and indications present, local and oil of cubebs ten minims three times a treatment being chiefly relied upon.

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