Not to have these things means a handicap. Not to have that very watchful feeding and attention at first means a loss of nutrition, a retarding of growth, that will either never be recovered or will be recovered later at the expense of mental development or physical strength. The early handicap may also involve a derangement of the digestion, a liability to stomachic and other troubles, that may last throughout life. Not to have the singing and talking, and the varied interest of coloured objects and toys, means a falling away from the best mental development, and a taciturn nurse, or a nurse with a base accent, means backwardness and needless difficulty with the beginning of speech. Not to be born within reach of abundant changes of clothing and abundant water, means--however industrious and cleanly the instincts of nurse and mother--a lack of the highest possible cleanliness and a lack of health and vitality. And the absence of highly-skilled medical advice, or the attentions of over-worked and under-qualified practitioners, may convert a transitory crisis or a passing ailment into permanent injury or fatal disorder. It is very doubtful if these most favourable conditions fall to the lot of more than a quarter of the children born to-day even in England, where infant mortality is at its lowest. The rest start handicapped. They start handicapped, and fail to reach their highest possible development. They are born of mothers preoccupied by the necessity of earning a living or by vain occupations, or already battered and exhausted by immoderate child-bearing; they are born into insanity and ugly or inconvenient homes, their mothers or nurses are ignorant and incapable, there is insufficient food or incompetent advice, there is, if they are town children, nothing for their lungs but vitiated air, and there is not enough sunlight for them. And accordingly they fall away at the very outset from what they might be, and for the most part they never recover their lost start.