Evening Star Newspaper, April 1, 1937, Page 44

“Its quicker becatise it's liquid ... iy '&f oleud’ j Just take two teaspoonfuls ofCapudine Inalittle water. Almost before you realize it he headache has eased away and you are comfortable again. Pleasant to take. No narcotics. Equally eflective for neuralgic and other pains due to functional causes. CAPUDINE $otHEADACHE Mids The Home of CRACK-SHOT is guaranteed to rid the home of roaches. Get fi 2 can now. Worry no more with these dis- ease carrving pests. Sold only at drus Medical Charity THE EVENING Control Issue Recalls Study to Set Up Plan Haste in Shifting Municipal Hospital Rule to Health Department Protested by Firends of Transfer of control over munici- pal hospitals from the Board of Public Welfare to the Health De- partment—proposed in a legislative “rider’ ‘attached to the 1938 District bill—has stirred professional and civic controversy. This is the first of a series of discussions of the principles involved in the question. BY DON S. WARREN. Conflicting theories of municipal administration have come to a head-on collision in the proposal for placing the control of municipal hospitals and medical charities in the Health Department, removing them from the welfare administration. One theory is that the Health De- partment should be given complete and direct control over hospitaliza- tion and other medical care of the city's indigent patients, since it as- sumes responsibility for public health conditions. Opposed to this is the theory that the agency which deals with the indigent, the dependent, the handi- capped and others needing aid should | have control over the whole pro-: gram of aid, including the medical phases. It is now proposed to dis- card this theory, which has been in actual practice for many years. Change Challenged. As an immediate questior, the move | of the House Appropriations Commit- tee to bring about a sudden and major reorganization of this kind by the use of a legislative in an’ appropriation measure is chal- lenged by advocates of the present system. “rider” Present System. On the other hand, some advocates of the change protest that attempts to accomplish such reorganization through action of the legislative com- mittees of Congress historically have been marked by “prolonged bickerings and elements of lethargy” and that such a course at least would delay if not frustrate the program. Seek Best Interests. Welfare officials insist they will have no quarrel with the change if it is found, after considered judgment, to be the best system for the needy sick and for the community. They believe the present plan is the better, but are prompt in praising the efficiency of the District health officer, Dr. George C. Ruhland. ‘There is a feeling of resentment, however, over the intimation in some quarters that the present organization of the District welfare departments had “grown up like Topsy” and that the present system was not planned with care. There is, in fact, nothing especially new in the thought of giving the pal hospitals for care of the poor. Advocates of that plan base much of their case on the plan drafted in 1928 by the late Dr. Paul Preble, then a surgeon with the United States Public Health Service. The report was a part of a survey conducted by the now defunct Bureau of Efficiency. Two years previously, the municipal hospitals and the medical charities were placed under the newly organized Board of Public Welfare by a special act of Congress. It was adopted after health officer control over the munici- | STAR, WASHINGTON, D. C., THURSDAY, two years of study by a commission of citizens, which had been appointed by the Commissioners, and a joint committee of the House and Senate. Indorsed Welfare Supervision. @That commission’s work was, in ef- fect, an indorsement of the practice of placing control of the hospital and medical care of the poor with the wel- fare administration. Prior to 1900 welfare work was ad- ministered by a superintendent of charities. A congressonal joint com- mittee in 1897 found the organization VIRGINI e / of charities of that day to be chaotic, and by an act of 1900 the old Board of Charities was created. This es- tablished the policy of placing welfare management in the hands of & non- salaried citizens’ board. Hospitals for care of the indigent were among agencies placed under this admins- tration. Conditions changed as the city grew. In 1920 the Commissioners named a committee to codify laws relating to children. A year later the study was broadened to include otner welfare A'SEASHORE - Golf, Ride, Relax RFOL Sunshine and salt air are Nature’s finest Spring tonics. Take your car for interesting side trips. Deli- cious meals. Radio, library; staterooms low as $L Big steel steamer your hotel and garage. Autos_farried FREE City Ticket Office 1427 H St. N.W. OLD POINT COMFORT NA. 1520—DI. 3760 SHORT LINE TO THE CAROLINAS NORFOLK-WASHINGTON LINE APRIL 1, 1837 questions. Still later the survey group was enlarged to become the Com- mission on Public Welfare Legisla- tion. Its membership was increased to 16. Willlam Hodson, then director of the Foundations Division of Child Welfare Legislation, and now com- missioner of public welfare of New York City, was obtained as consultant. His services were loaned by the Russel BUTTERED PECAN Sage Foundation of New York, at the request of the District Commis- sioners. The commission worked almost continuously for two years, beginning in January, 1924. There were no less than eight public hearings and conferences. About 50 civic and social work organizations sent representa- tives to the conferences. The results of its work was the act of Congress by which the Board of Public Welfare was created tn 1926. Advocates of the present type of administration over municipal hos- pitals point to a report by the survey commission, which declared there were 11 public institutions “which are an essential and integral part of the District public welfare organization.” ks e Cream Join the Sealtest Radio Party Every Saturday at8 P. M. {E.S. T.}) NBC Officials of the Board of Public Welfare insist there should be a| “full, fair and open discussion of the whole subject, with an oppor- tunity for presentation of all the| facts,” before action is considered. | Any one member of the House | could raise a point of order against | the “rider” and jeopardize passage. | If the “rider” is removed from the | bill, advocates of the change in| control could adopt the more de- | liberate method of seeking substantive | law to change the present system. 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