Among the men in this institution was pointed out to me a marble-cutter, who was a thoroughly respectable, self-supporting workman. He was hurt while at work by the falling of a stone, and so disabled by an injury of the spine that he was unable to continue employment. As soon as sickness had used up what money he had, having no relatives who could help him, there was nothing left for him but to come here. One of the officers spoke of him in the highest terms, and told me how, without direction from any one else, he sought by many daily circuits of the building to strengthen his spine. I was assured by the same officer that many others who were inmates were there purely through misfortune which was from no fault of their own, but from such accidents as are likely to happen to any honest laboring-man. Now I maintain that such men ought to be treated with a decent regard for their self-respect, and given a comfortable home. It is an outrage that this marble-cutter, and others like him, are fed more shabbily than if they had been convicted of a crime. In addition to the men on Long Island, there is one ward in the hospital used for women. There were fifty-two sick women crowded into this ward at the time of my visit. There was only one nurse, an excellent woman, but with no special education for her duties. The night helper is a woman who is hired for fifty cents a day. For this ward of fifty-two sick women there was no bath-room at all. The nurse's own room was situated at the other end of the building from her ward, and she had to go across the men's ward to get to her patients at night, if she went. There was no place for insane or refractory patients, or for the dying, except in the general ward. Sometimes their cries and groans are very distressing to the other patients. In a recent case of death from mania, the whole ward was disturbed for several nights. Most of the women are kept at Rainsford Island, and there are many more reasons for criticism there than on Long Island. The only hospital there is an old smallpox hospital, more than three-score years old. This is crowded beyond all thought of the requirements of sanitary science. Think of a room for confinement cases only seven feet wide and less than twelve feet long. In the annual report of Public Institutions for 1889 we find the following statement by the then resident physician: "It is remarkable that a building which was a small-pox hospital fifty-seven years ago, and which since then has undergone no material improvement, should up to the present time be the only hospital connected with our pauper institutions." The doctor might have added that this building was abandoned a quarter of a century ago by the State, as unfit for sick persons. It is certainly no extravagance to say that these arrangements for the care of the sick on Rainsford Island are more than half a century behind the times. The only thing modern I saw was the keen-eyed physician.