At the present time, although the old system still stands in many countries with the inert stolidity of established institutions, it no longer commands general approval. As Paul and Victor Margueritte have truly stated, in the course of an acute examination of the phenomena of state-regulated prostitution as found in Paris, the system is "barbarous to start with and almost inefficacious as well." The expert is every day more clearly demonstrating its inefficacy while the psychologist and the sociologist are constantly becoming more convinced that it is barbarous. It can indeed by no means be said that any unanimity has been attained. It is obviously so urgently necessary to combat the flood of disease and misery which proceeds directly from the spread of syphilis and gonorrhoea, and indirectly from the prostitution which is the chief propagator of these diseases, that we cannot be surprised that many should eagerly catch at any system which seems to promise a palliation of the evils. At the present time, however, it is those best acquainted with the operation of the system of control who have most clearly realized that the supposed palliation is for the most part illusory,[157] and in any case attained at the cost of the artificial production of other evils. In France, where the system of the registration and control of prostitutes has been established for over a century,[158] and where consequently its advantages, if such there are, should be clearly realized, it meets with almost impassioned opposition from able men belonging to every section of the community. In Germany the opposition to regularized control has long been led by well-equipped experts, headed by Blaschko of Berlin. Precisely the same conclusions are being reached in America. Gottheil, of New York, finds that the municipal control of prostitution is "neither successful nor desirable." Heidingsfeld concludes that the regulation and control system in force in Cincinnati has done little good and much harm; under the system among the private patients in his own clinic the proportion of cases of both syphilis and gonorrhoea has increased; "suppression of prostitutes is impossible and control is impracticable."[159]