It must offer substantial advantages over the home—attractions which even the most ignorant and prejudiced must be trained to appreciate. =The Value of the Sanatorium.= The sanatorium for the treatment of hopeful cases is by no means as valuable as was at first expected. The cure of tuberculosis is at best very problematical, and the sanatorium is chiefly useful to those who can control their environment upon discharge. Unless this can be done, treatment will be of little avail, although it will delay the inevitable end. The patient who comes from the alley and returns to the alley is foredoomed. And as most patients come from the alley, figuratively speaking, and are afterwards obliged to return to it, the results obtained by these sanatoriums are by no means commensurate with the expense involved in maintaining them. Whatever benefit is derived from them is for the individual, rather than for the community. In the tuberculosis campaign, the sanatorium occupies a place of secondary importance. We could fight quite as successfully without it—possibly better, since the money devoted to the upkeep of these very costly institutions could then be diverted to more radical purposes. However, the sanatorium exists, and every patient should be given his individual opportunity. It is usually more difficult to get a patient into a sanatorium than into a hospital. The former is for early or moderately advanced cases, who have a reasonable chance of improvement, therefore it would seem a simple matter to induce them to go. Yet to persuade a patient that he needs such treatment, especially when he feels well and has few symptoms, is often a difficult task. The peculiar psychology of the consumptive, his optimism and refusal to believe that he has tuberculosis, is as well marked in the early as in the later stages of the disease. On the other hand, the difficulty is often of an economic nature. When the patient stops work, his income ceases, and this often determines his refusal. This is why many patients work until they drop in harness. Through the Charity Organization, or other similar agencies, it is possible to solicit aid for a certain number of these cases, and this must always be done. Such relief, however, is very uncertain, and latent periods of considerable duration often intervene between the time it is asked for and such time as it may be given. Even when given, it very seldom approximates the wages that the patient himself has been able to earn. Thus, a patient earns twenty dollars a week; with luck, we may obtain for his family an income of eight or ten. This is no reflection upon the Charity Organization Society, which has probably pulled every conceivable wire in order to raise even that amount—but it explains why the patient refuses the sanatorium and hangs on to his job until he can work no longer.