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Circular Letter

Circular Letter

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Published by BostonGlobe

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Published by: BostonGlobe on Aug 21, 2010
Copyright:Attribution Non-commercial

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12/02/2012

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Bn,Augu20,1810SIR,
I
hasappearedverydesirabletoamberorespectableetleme,thatahospitalorthereceptioolaticsadothersicpersossholdbeestablishedithisto.Bytheappoitmetoamberotheseetleme,earedirectedtoadoptschmethods,asshallappearbestcalclatedtopromoteschaestablishmet.Wethereorebeleavetosbmitoryorcosideratioproposalsortheistittiooahospital,adtostatetoyosomeothereasosiavoroschaestablishmet.Iisecessarytoretheproprietyadeveobliatioosccorithepoorisicess.TheealthyihabitatsothetooBostohavealaysevicedthattheycosiderthemselvesas“treasresoGodsboty”;adiChristiacotries,icotrieshereChristiaityispractised,itmstalaysbecosideredthefrstodtiestovisitadtohealthesic.Wheidistresseverymabecomesoreihbor,otolyihebeothehoseholdoaith,btevethohhismisorteshavebeeidcedbytrasressitherlesbothoreasoadreliio.Itisecessarytorethetrthadimportaceothesesetimetstothosehoarealreadyithehabitocherishithem;tothose,hoidleithetrelxryoealth,thepleasresocharity.Theqestios,hichfrstsestthemselvesothissbject,arehethertherelieaordedbyhospitalsisbetterthacabeiveiayotheray;adhetherthereareiactsomaypooramos,astoreqireaestablishmetothissort.Trelietobeaordedtothepoor,iacotrysorichasors,sholdperhapsbemeasredolybytheirecessities.Wehavethetoiqireitothesitatioothepoorisicess,adtolearhataretheirats.Ithisiqiryeshallbeledtoaserboththeqestiosabovestated.Taresome,hoareabletoacqireacompeteceihealthadtoprovidesoaraaistayordiarysicess,asthattheyshallotthebedeprivedoacomortablehabitatio,orooodorthemselvesadtheiramilies;hiletheyareotabletoderaytheexpesesomedicieadmedicalassistace.Persosothisdescriptioeverseramos.TheDispesaryivesrelietohdredseveryyear;adtheidividalshopracticemedicieratitoslyattedmaymoreothisdescriptio.Bttherearemayothersamothepoor,hohave,iemaysoexpressit,theormotheecessariesolie,ithotthesbstace.Amamayhavealodi,btitisdefcietiallthoseadvataes,hicharereqisitetothesic.Itisaarret,oracellar,ithotlihtaddevetilatio,oropetothestormsoaiclemetiter.Ithismiserablehabitatiohemayobtailibertytoremaidriailless;bt,ihoest,heisharassediththeideaohisaccmlatiret,hichmstbepaidotohistrelabors.Ithisretchedsitatiothesicmaisdestitteoallthosecommocoveieces,ithothichmostosoldcosideritimpossibletolive,eveihealth.Wholesomeoodadsfcietelareati;adhisoserisarearavatedbythecriesohrychildre.Aboveall,hesersromtheatothatfrstreqisiteisicess,aidadsillrse.Buitmaybesaidthatistacesarerareamos,hereama,holaborsithevemoderateidstry,heihealth,edresschprivatiosisicessasareheredescribed.Theyareothoeverrareamothose,hoareotidstrios;adho,evertheless,helaboridersicess,mstbecosideredashaviclaimstoassistace.Icasesoloprotracteddisease,istacesoschadescriptiodooccramostthoseothemostidstriosclass.Schistacesarestilllessrareamothoseome,hoareeitheridoed,ororsethaidoed.Ognn,knwn“TCuL,”wnnnMuGnH.
 
Ithappestooreqetlythatmodestadorthyomeareitedtome,hoareproiateaditemperate,byhomtheyarelettoedrediseaseadpovertyderthemostaravatedorms.Amothechildreoschamiliesalsoistacesareotrareorealseriisicess.Toallschashavebeedescribed,ahospitaloldspplyeverythihichiseedl,iotalltheycoldish.Iaellrelatedhospitaltheyoldfdacomortablelodiiadlyattemperedatmosphere;oldreceivetheoodbestsitedtotheirvarioscoditios;adoldbeattededbyidaddiscreetrses,derthedirectiosoaphysicia.Ischasitatiothepoorma’schaceorrelieoldbeeqalperhapstothatothemostaet,heaectediththesamedisease.Tareotherpersosalso,hoareoreatimportaceisociety,tohomtherelieaordedbyahospitalisexceedilyappropriate.Schareeerallythoseooodadidstrioshabits,hoareaectedithsicess,jstastheyareeteriitoactivelie,adhohaveothadtimetopro-videorthiscalamity.Casesothissortarereqetlyoccrri.Diseaseisoteprodcedbytheveryaxietyadexertios,hichbelotothisperiodolie;adthebestarethemostliabletoser.Oschadescriptio,casesareoteseeamojoreymemechaics,adamoservats.Junnmechaicscommolyliveismallboardihoses,heretheyhaveaccommodatioshicharesfciet,btothimorethasfciet,ihealth.—Whesic,theyareecessarilyplacedismall,cofedapartmets,oriroomscrodediththeirello-orme.Theyareshelteredromtheeather,adhaveoodosomesort,adthesemstimaycasesbetheextetotheiraccommodatios.Persosothisdescriptioolddoelltoeterahospital,eveitheyhadtopaytheexpeseotheiromaiteace.Imostcasestheyoldserless,adrecoversooerbysodoi.Whe,assometimeshappes,theyhaveotthemeasopaymet,theybecomeobjectsocharity;adtheelareoschpersossholdbecosideredamothestromotivesiavoroestablishiahospital.Sneerallyderoreaticoveiecesatleast,heaictedithsicess;adotetimesmchmorethaicoveieces.Withsomchdifcltyisthecareothemattedediprivateamilies,thatmayetlemeoldpaytheboardotheirservatsatahospital,ipreerecetohavithemsicitheirohoses.Isomecaseshoever,eitherthemasterorservatcaaordtheexpeseopropercareisicess.Notcommolyayoirlistaesicialareamily,heresheistheolyservat.Shelodesithemostremotecorerothehose,iaroomithotafre-place.Themistressissfcietlyoccpiediththesallabors,hicharethrooher,atatime,perhaps,hesheisleastfttedtoperormthem.Uderschcircmstaceshocatheservatreceivethoseattetios,hicharedetothesic.OhatseisitthatthephysicialeavesaprescriptiotobeptpattheDispesary.Heoestheextday,adfdsthattherehasotbeetime,evetoprocretheremedies,hichhehasordered;meahiletheperiod,ihichtheyoldhavebeesel,haspassedby,adtheicipietdiseaseoyesterdayhasobecomecofrmed.Pnothesedescriptiosoldotbedisposedtoresorttoahospitaloeverytrivialoccasio.Bt,heaictedithseriosidispositio,theyoldfdischaIstittioaalleviatiootheirseris,hichitmstladdetheheartothemostriidtocotemplate.Tisoeclassoserers,hopecliarlyclaimallthatbeevolececabesto,adorhomahospitalismostespeciallyreqired.Thevirtosadidstriosareliabletobecomeobjectsopbliccharity,icoseqeceodiseasesothemid.Whethose,hoareortateithisrespect,areletithotpropercare,acalamityhichmihthavebeetrasiet,isproloed
 
throhlie.Themberoschpersos,hoarerederedabletoprovideorthemselves,isprobablyreaterthathepblicimaie;adothesealareproportioclaimtheassistaceotheaet.Theexpese,hichisattachedtothecareotheisaeiprivateamilies,isextremelyreat;adschastoriaholeamily,thatispossessedoacompetecederordiarycircmstaces,hecalledpotospportoeoitsmembersithissitatio.Evethose,hocapaytheecessaryexpeses,oldperhapsfdaIstittio,schasisproposed,thebestsitatio,ihichtheycoldplacetheirortaterieds.Itisorthyotheopletmeothisto,adcosistetiththeireeralcharacter,toprovideaasylmortheisaeromeverypartothecommoealth.Btidsareraisedortheprposeproposed,itisprobablethattheLeislatreillratsomeassistace,ithavietoschaextesiooitsbeefts.Oaotherclass,hoseecessitiesoldberemovedbytheestablishmetoahospital,areome,hoareabletoprovideortheiroelareadsaety,ioeoatre’smosttryihors.Hosesorlyi-iomehavebeeodextremelyselithelarecitiesoErope;adalthohabsesmayhaveariseicoseqece,theseareschasaremoreeasilyprevetediasmall,thaialareto.Taremayothers,hooldfdreatrelieiahospital,admaytimeshaveliepreserved,heotheriseitoldbelost.Schespeciallyarethesbjectsoaccidetalodsadractres,amothepoorerclassesoorcitizes;adthesbjectsoextraordiarydiseasesiaypartothecommoealth,homayreqiretheloadcarelattetiooeitherthephysiciaorsreo.Iispossiblethatemaybeased,hetherthealmshosedoesotasertheprposes,orhichahospitalisproposed.Thatit
does not 
isverycertai.Thetoissomchidebtedtotheliberalityothoseetleme,ho,ithotcompesatio,speritedthecareothepoor,thateohtottomaethisreplyithotaexplaatio.Thetrthisthatthealmshosecoldotservetheprposeoahospital,ithotschaetirechaeithearraemetsoit,astheoverseersdooteelthemselvesathorized,tomae;adschasthetocoldotbeeasilyidcedtodirect,ortospport.Talmshosereceivesallthose,hodoottaecareothemselves,adhoaredestitteoproperty,hethertheybeoldadifrm,adabletoprovidemeasosbsistece;oraretooviciosaddebachedtoemploythemselvesihoestlabor;orareprevetedromsoemployithemselvesbyoccasioalsicess.ThisIstittiotheismadetocomprehedhatismoreproperlymeatbyaalmshose,abrideellorhoseocorrectio,adahospital.Notheecoomyadmodeoovermetcaotpossiblybeadaptedatocetoallthesevariosprposes.Itmstecessarilyhappethatimayistacestheorstmembersothecommity,thedebachedadproiate,obtaiadmissioitothishose.Heceithasbecomeisomemeasredisreptabletoliveiit,adotreqetlythose,hoarethemostdeserviobjectsocharity,caotbeidcedtoeterit.Tosomeothemdeathappearslessterrible,thaaresideceithealmshose.Iistre,thatthesicithathosearealloedsomereaterprivileesadadvataes,thaareextededtothoseihealth.Yettheeeralarraemetsadrelatiosare,ecessarily,sodieretromthosereqirediahospital,thatthesic,arromhavitheadvataesaordedbythemedicalart,haveottheairchaceorrecovery,hichatrealoeoldivethem.Mostespeciallytheyserortheatooodrses.Itheseofcersmstbeplacedtrstadcofdeceothehihestatre.Theirdtiesarelaboriosadpail.Ithealmshosetheyareselectedromamothemorehealthyihabitats—btortatelythose,hoarebest

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