An excellent criterion of the social status of any period in history is the genuine humanitarian purpose that animates it, and how seriously it takes the duty of caring for those who most need care is to be found in the character of its hospital buildings and their maintenance. Tried by this standard, Columbus' Century proves to be one of the greatest of the centuries of history. This will seem very surprising to most people, because the general impression has been that until our generation hospitals were rather ugly buildings of institutional type, with small windows, sordid surroundings and very unsuitable internal arrangements for the ailing. There is no doubt at all that hospital buildings just before our generation--and some of them unfortunately remain over as living witnesses--were all that has been thus suggested and if possible worse. Indeed, some of the hospital buildings of two generations ago were about as unsuitable for their purpose as could well be imagined. The general feeling with regard to this fact, however, is not so much one of blame as of pity. Most people assume that the older generations did not know how to build good hospitals. They did as well as they could, but until the development of modern knowledge of hygiene and sanitation, as well as the demand made on hospital administration by modern surgery, hospitals could scarcely be expected to be anything but the sordid piles of buildings they usually were, thought proper if they but furnished a protection from the weather and sustenance for the sick poor. Anyone who will consult the real history of hospitals, however, will be surprised to find that the worst hospitals in the world's history were built in the first half of the nineteenth century. The usual impression is that, if the hospitals of a {193} century ago were so bad, those of the century preceding that must have been much worse and so on progressively more unsuitable until in the Middle Ages they must have been unspeakable. As a matter of fact, the hospitals of the thirteenth and fourteenth centuries were beautiful buildings as a rule, quite as charming structures for their purposes as all the other architecture of that time--churches, monasteries, abbeys, castles, town halls and the rest. They had at this time a period of wonderful surgical practice, of which we have learned from the republication of their text-books of surgery only in recent years, and there is a definite, direct ratio between surgery and proper hospital organization. Whenever there is good surgery there are good hospitals, and whenever there are good hospitals, surgery will be found occupying a prominent, progressive place in the history of medicine.