The prejudice against hospitals is strong in the negro race. In the first family I ever visited the mother, a colored woman, had been bedridden for thirteen months. According to her own account she had been "conjured," and at first the mention of a hospital made her hysterical. She consented to let a doctor, who was a friend of mine, see her, and he pronounced her disease sciatic rheumatism. He said she could never get well at home with four small, noisy children, and, besides, the walls of her house were damp. After two months of persuading, I got the mother into a hospital and the family moved into a dry house. Among the arguments that won her were my own acquaintance with the hospital nurses, and my promise to visit her frequently while there; and my further promise to see that the children were well cared for while she was away. But the argument that tipped the scale was the {103} promise to take her away to the hospital in a carriage with two horses. Among the cases in which hospital care is not practicable are those of chronic invalids, of patients too sick to be moved, and of patients able to be treated as "out-patients" in the dispensaries. Confinement cases, where there are children in the family who must be placed temporarily in institutions if the mother leaves home, are best treated in the home. There are societies that provide a nurse and baby-linen at such times. Some families are so degraded that they look forward to times of confinement as times of plenty (see family cited on p. 55), and in these cases nothing but hospital care should be offered, while we place the children temporarily in institutions or with neighbors. For the destitute sick outside of hospitals, district nurses are now provided in many cities. When these nurses are careful to instruct well members of the household in the care of the sick, their influence is especially helpful, and they are often able not only to relieve suffering, but to raise the standard of living in the home. Diet kitchens, supplying food specially {104} prepared for the sick either free or at a nominal cost, are also found in many of our cities. With all the charities provided for the sick, there is still need of better provision in this country for convalescents, who are sent from the hospitals too weak to resume work, and still needing rest, good food, and pure air to effect a complete cure.