The program, as I believe all competent authorities in contemporary philanthropy and organized charity would agree, has been altered in aim and purpose. It was first the outgrowth of humanitarian and altruistic idealism, perhaps not devoid of a strain of sentimentalism, of an idealism that was aroused by a desperate picture of human misery intensified by the industrial revolution. It has developed in later years into a program not so much aiming to succor the unfortunate victims of circumstances, as to effect what we may term social sanitation. Primarily, it is a program of self-protection. Contemporary philanthropy, I believe, recognizes that extreme poverty and overcrowded slums are veritable breeding-grounds of epidemics, disease, delinquency and dependency. Its aim, therefore, is to prevent the individual family from sinking to that abject condition in which it will become a much heavier burden upon society. There is no need here to criticize the obvious limitations of organized charities in meeting the desperate problem of destitution. We are all familiar with these criticisms: the common indictment of "inefficiency" so often brought against public and privately endowed agencies. The charges include the high cost of administration; the pauperization of deserving poor, and the encouragement and fostering of the "undeserving"; the progressive destruction of self-respect and self-reliance by the paternalistic interference of social agencies; the impossibility of keeping pace with the ever-increasing multiplication of factors and influences responsible for the perpetuation of human misery; the misdirection and misappropriation of endowments; the absence of interorganization and coordination of the various agencies of church, state, and privately endowed institutions; the "crimes of charity" that are occasionally exposed in newspaper scandals. These and similar strictures we may ignore as irrelevant to our present purpose, as inevitable but not incurable faults that have been and are being eliminated in the slow but certain growth of a beneficent power in modern civilization. In reply to such criticisms, the protagonist of modern philanthropy might justly point to the honest and sincere workers and disinterested scientists it has mobilized, to the self-sacrificing and hard-working executives who have awakened public attention to the evils of poverty and the menace to the race engendered by misery and filth. Even if we accept organized charity at its own valuation, and grant that it does the best it can, it is exposed to a more profound criticism. It reveals a fundamental and irremediable defect. Its very success, its very efficiency, its very necessity to the social order, are themselves the most unanswerable indictment. Organized charity itself is the symptom of a malignant social disease.