The medical relief list is composed of poor persons who are suffering from acute disease, and are, in consequence of their illness and extreme poverty, receiving relief in money or food. Those who are in the receipt of other relief by order of the board, and who belonged to one of the other classes, would be excluded from this list. There are two modes of regulating the medical out-door relief in kind. One mode is to require the medical officers to attend the meetings of the boards of guardians. It is their duty to report upon the state of health of each out-door sick person at specified times, and to state the kind of nutriment adapted to each case. The board is thus furnished with a sanatory report from one officer, and a report upon circumstances from the other. This is a satisfactory system. The other mode is, for the medical officer to report to the relieving officer in a prescribed form, that A B is ill with consumption, and requires ---- food per diem. The relieving officer has a veto. If, upon visiting the case, he is satisfied that the head of the family can supply the articles recommended, the relief is withheld. The case is reported to the next board, who issue the necessary instructions thereon. The first plan is undoubtedly the preferable one, in all those parishes or unions where the population is large and the area small. But in all large rural unions, where the medical officers are many and their labours great, from bad roads and extent of district, the plan would be inapplicable. As regards the second method, it would be found to prevail as a rule, that, in the majority of cases, the recommendation of the medical officer is regarded by the relieving officer as tantamount to an order. The exception would be in those unions where the board is infested by persons who know of no means of estimating the value of an officer excepting by his supposed power of reducing expenditure; and in those parishes where the inhabitants are poor and embarrassed. And it is to be feared that this evil, against which the press exclaim so loudly, will continue to predominate so long as the existing unequal charge upon parishes continues. The magnates of St. George, Hanover Square, can afford to be magnanimous and humane. In St. Luke, Middlesex, or St. Leonard, Shoreditch, where the rate-payers are poor, it is a different matter altogether. And yet it is in these poor neighbourhoods that the poor live; and where they live, there they must be relieved.