This enlightened Dr. Stevenson, of Stevenson's Folly, made Maryland familiar with the process of inoculation, which antedated vaccination. He advertises in _The Maryland Gazette_ of 1765 that he is ready to inoculate "any gentlemen that are pleased to favor him in that way," and that his fees are two pistoles for inoculating, and twenty shillings per week board, the average cost to each patient being £5 14s. Ryland Randolph writes to his brother at a time when inoculation is still a new thing: "I wrote to my Mother for her consent to be inoculated for the small-pox, but since see that she thinks it a piece of presumption. When you favor me with a line, pray let me have your opinion of it!" In 1768, we find the authorities at _William and Mary_ resolving "that an ad. be inserted in the Gazette to inform the Publick that the College is now clear of small-pox," and a few days later they frame another resolution that "fifty pounds be allowed to Dr. Carter for his care and attendance on those afflicted with said disorder at the College." Meanwhile the colonists had not followed up their good beginning at Mount Malado. Hospitals had not grown with the growth of the community. Doctors had none of the advantages of the study of surgery and medicine which are given by the hospital system, but the sick were tenderly cared for, nevertheless. In Jefferson's notes on the advantages enjoyed by the Virginians, he speaks of: "their condition too when sick, in the family of a good farmer where every member is emulous to do them kind offices, where they are visited by all the neighbors, who bring them the little rarities which their sickly appetites may crave, and who take by rotation the nightly watch over them, without comparison better than in a general hospital where the sick, the dying and the dead are crammed together in the same room, and often in the same bed." When we read the accounts of hospitals in the eighteenth century, antiseptics unknown, and even ordinary cleanliness uncommon, we can readily agree with the conclusion that "Nature and kind nursing save a much greater proportion in our plain way, at a smaller expense, and with less abuse."