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tampons. Heusxer. Syphilitic Laryngitis. K Hydrarg. cyanid gr. ij. Sacch. lact gr. xv. Mucil. acacias q. s. M. et dtv. in pil. No. xx. Sig. One pill twice daily. Mackenzie. March 7, 1896] MEDICAL RECORD. 34i Medical Record: A Weekly Journal of Medicine and Surgery. GEORGE F. SHRADY, A.M., M.D., Editor. Publishers WM. WOOD &. CO., 43, 45, & 47 East Tenth Street. New York, March 7, 1896. THE INSANITY LAW. The Revision Committee has reported to the legisla- ture of New York what they designate " The Insanity Law." It is a codification of all the laws relating to the insane, with many material changes. The fust article relates to the State Commission in Lunacy and summarizes rather than elaborates the powers and duties of that body. In this respect American statutory law differs greatly and, we think, unfavora- bly from the English. Too much is left in our laws to the discretion of viagra plus dapoxetine public officers. We notice that while the personnel of the commis- sion remains the same, provision is made that hence- forth the medical member shall have "had five years' actual experience in the care and treatment of the in- sane, and is or has been a superintendent or first assis- tant physician of a State Hospital." We have fre- quently expressed the opinion that the tendency of the present Commission to destroy the viagra plus dapoxetine autonomy of these great charities', and to centralize their manage- viagra for men price ment in a body which will always be under the con- trol of partisan politics, is against public policy. This new phase of the law aims to strengthen and perpetuate that bureaucratic government of these Hospitals which has reduced the details of manage- ment to a lifeless, mechanical routine. It would be far better if the medical member of that Commission had been an experienced practitioner in the field of nervous diseases and had not been, previously to his appointment, inside of a State Hospital. He would detect, as no one trained in asylum methods could detect, the errors in the treatment of viagra for men price the insane in these institutions which result in such small percent- ages of recoveries. The great need of the State Hos- pitals to-day is a liberal transfusion into their man- agement of the vitalizing intelligence and energy of the profession outside viagra for men price of asylum walls. The dead formalism of these Hospitals, which led an eminent alienist to characterize them as " great viagra for men price hospitals of lethargy," will only become more fixed and frigid by perpetuating that sort of medical " historic episcopate" which this clause in the bill provides. But there is a much larger and more important in- terest involved in this proposed revised law which de- serves viagra for men price the serious attention of the Legislature. It re- quires but a brief statement of facts to prove that the Lunacy Commission should now be entirely reorgan- ized. When it was first created there were only about five viagra plus dapoxetine thousand insane in State care and a commission of three members was adequate to the duties required. With the recent transfer of the insane of all of the counties to State care the number has been increased to nearly twenty thousand, and viagra for men price the powers and viagra for men price duties of the Commission, as detailed in this bill, have been enormously increased. The number of insane now under the general jurisdiction of the Commission is nearly the same as it was in England when its famous Lunacy Commission was organized under the Dresi- dency of the Earl of Shaftesbury. That Commission consisted of eleven members. The Lunacy Commis- sion of this State ought to be enlarged by the appoint- ment of one commissioner from each State Hospital district, making a commission of eleven members. These commissioners should serve w-ithout pay, as do the members of the State Board of Charity, the Prisons Commission, and the State Board of Health. The interests of our State hospital system have now become so great, with its vast expenditure of public money, that every Hospital District should be represented in the Commission by a citizen of the most viagra plus dapoxetine approved pro- fessional or business capacity. In view of the assump- tion by the State of the heavy financial obligation of caring for the twenty thousand dependent insane, a number which will now increase at the rate of one thousand yearly, the Legislature could not do a greater public service than to viagra plus dapoxetine reorganize the Lunacy Commis- sion in accordance with the plan above proposed. The importance of enlarging and strengthening the