Syphilis was responsible for 3 dependencies, and probably many more would respond to the Wassermann test and could be restored to health by specific treatment.
The 4 blind and aged inmates might be made to see by simple cataract operations.
Many of the inmates expressed the wish that they might be restored to health that they could go out into the world again upon their own resources. But 58 replied, when asked what they wanted to do in the future, that they wanted to stay where they were, under the friendly roof of the poorhouse.
This does not imply hopeless pauperism, however. Sick, neglected, weak and despondent--of course, they want to stay in some place, even in the poorhouse, where they are not eternally ordered to move on by the police; viewed with suspicion or fear by self-respecting citizens or in constant danger of arrest for vagrancy. Such forlorn men not infrequently commit petty crimes to guarantee their being housed in jail during a cold winter.
I am optimistic enough to believe that if the physical conditions of each inmate were studied; if his ills were cured and he was made stronger in body, he would be given courage, more ambition and more purpose in life. To this extent pauperism is directly curable.
True, there are among the destitute those who are hopelessly marked--branded by heredity; cursed by environment; wrecked by disease; deficient in body and in mind, with little or nothing to work upon. By the same token there are those in other branches of medicine who are hopelessly sick--those who are beyond the reach of the surgeon's knife or the physician's prescription. There are those among the insane who give no ray of hope to the most enthusiastic alienist.
But when we progress to the point of classifying our paupers; of studying intelligently the various causes of destitution; of endeavoring to make our almshouses places of cure rather than mere asylums for the victims of poverty, our percentage of "recoveries" will be surprisingly high.
The difference in methods between the modern insane hospital and the almshouse is striking. A man is admitted to an institution for the insane in a thoroughly irrational and excitable condition. His case is studied and it is found that he has cerebral syphilis. Proper treatment is instituted and, in all probability, the patient is returned to his family cured and a useful member of society.