board of long tenure of office, and controlled and regulated by law, has control over the establishment and management of the county asylums. We have built up a system for the care of the insane, which is as you know, I presume, becoming known throughout the country as the Wisconsin system. I believe that no other state has in its entirety and in its completeness this same system. I know that it has been recommended by those in high authority in other states, after a careful examination of it, and I have been lately informed that in two or three different states in the Union they are making advances along this line and seeking to distribute their insane of certain classification out among the counties of the state, under a combined local and state supervision, with the state supervision predominating. I trust that you shall make a critical examination of this system here upon the occasion as I understand of your first meeting in our state, for with only a limited opportunity for its examination I believe, gentlemen, that it will meet with your approval and with your critical judgment. And now let me say in conclusion that again I bid you, gentlemen, who are devoting your lives at, it seems to me, great sacrifice, to a special line of work in caring for those whose minds are affected and in providing so far as may be for their restoration, a most cordial welcome to the state of Wisconsin and I trust that your efforts, that your convention, that your work here during this week may be attended with the highest and best results. I am glad to have this opportunity to greet you and to meet you for these few moments. (Applause.)

Dr. Richard Dewey: As a matter possibly of interest to those not familiar with the American Medico-Psychological Association, I would say that it has not met in Wisconsin since the reorganization, but it is an outgrowth of an older body, the Association of Medical Superintendents of American Institutions for the Insane, which was organized in 1844 and has had a continual existence since that time with annual meetings in every part of the country. In the year 1872 or 1873 that Association met in this state, in Madison. That was, however, in the twilight of the gods, we might say, and there has been a very great expansion in all matters connected with the insane since that time. The Association is now a different and much larger body and has also taken into its membership a large number of men engaged in the practice of medicine, men of eminence in different parts of the country, who are not connected with institutions for the insane, but who are in private practice and whose reputation has been gained in neurological rather than psychological medicine. I have now the gratification of being able to introduce to you the Mayor of Milwaukee, the Hon. David S. Rose, who, for this city which welcomes us in such a friendly manner this morning, consents to speak a few words.

Mayor David S. Rose, of Milwaukee:

Mr. President, Ladies and Gentlemen: Conditions that prevail in Wisconsin give His Excellency, the Governor, advantages that I do not enjoy. He is permitted to speak of the system that has been inaugurated in Wisconsin for the treatment of the insane and for the government of institutions of this kind, and when I give you the assurance that Milwaukee keeps pace with her sister cities in the rapid march of progress, you are justified in arriving at the conclusion that because we have no insane hospitals in Milwaukee we have no insane patients to treat. It is with exceeding pleasure that I appear in behalf of the 300,000 people who make up our citizenship, to extend to you words of greeting and cordial welcome. Milwaukee has come to be the most popular convention city of the United States, because in truth we receive and entertain more national gatherings each year than any other city in the land. To you who are strangers in our midst, perhaps it will be interesting to know something of our city in advance, something of our institutions, something of our industries and of our people. I only hope that in the interims between your sessions you will find opportunity to inspect Milwaukee, to go out into our beautiful residence district, attractive and ornamental from every point of view. Our population is a cosmopolitan population and we have embraced in that population representatives from every civilized nation of earth, all working together in perfect harmony, seeking to accomplish the greatest good for the greatest number. Our public institutions will compare favorably with those of other cities of our class. Our splendid city hall, completed only a few years since at an expense of one million dollars, is one of the most commodious and most beautiful office buildings of its kind. Our magnificent museum and library building is one of the greatest educational institutions of the land. There you can go in the day or evening and you will find the youth of our city engaged in the prosecution of their studies, qualifying for business and good citizenship. Our magnificent school system forms part of the school system of the Badger state, and has placed her in the foremost rank of the sisterhood of states. Upon our schools we appropriate upwards of three-quarters of a million dollars every year. Milwaukee was confronted by the same question, the same problem that confronts the municipal government in every large city, as to whether it would be better to establish one or two large schools or a large number of small ones. In the exercise of what I esteem to be most excellent judgment, those clothed with responsibility decided upon the latter policy and in consequence we have a large number of small departments, carrying to the poor the advantages which as a rule only the rich can enjoy in cities. And then I want to call your attention to our parks; you will find them young in years, but they are beautiful and attractive. There is one fact to which we refer with pleasure and I think with pardonable pride, and that is we have in our city no tenement house districts-breeding places of crime and disease. On the contrary our people are housed in their own dwellings. Our laboring people, upwards of eighty thousand of whom are employed in our manufactories and industries, are to be found in the outlying districts, and there in the pure and strong bracing air they rear their

children to strong manhood and womanhood, and it is to that fact more than to any other we attribute the further fact that the mortality of our city is the lowest of any large city in our Union. Milwaukee is becoming one of the large manufacturing cities. Our manufactured products last year exceeded one hundred and seventy-four and one-half million dollars. We have over three thousand five hundred institutions giving employment to upwards of eighty thousand operatives. While it is true Milwaukee has obtained some celebrity because of one particular product we produce, it is likewise true that we have some of the largest manufacturing institutions of their kind in the world. The product I refer to you are at liberty to sample. If you ask me whether it is exhilarating I will say, yea, verily. If you ask me if it is intoxicating, I will say I have not knowledge or information sufficient to form a belief. Our people are a hospitable people. Our greatest pleasure is in meeting our guests and extending to them every opportunity for pleasure, and a most cordial welcome, and it is in their name that I now greet you, welcome you to our city, and express the hope that your stay with us may be filled with happy memories and pleasant recollections. I thank you. (Applause.)

Dr. Dewey: Not only the state and city in which we are meeting but also the members of the profession of medicine in the state and city are disposed to extend to us their favor at this time, and I have now the pleasure of introducing to you the President of the State Medical Society of Wisconsin, Dr. J. F. Pritchard, of Manitowoc, who will address you. (Applause.)

J. F. Pritchard, M. D., President of the State Medical Society:

Mr. President and Members of the American Medico-Psychological Association. It is a little embarrassing, after hearing so much oratory, for one not at all a public speaker to attempt to address you, but I take great pleasure in extending to you a welcome from the medical profession of Wisconsin and from the Wisconsin State Medical Society. We hope that your deliberations may not only be pleasant but profitable.

The President responded as follows:

On behalf of the American Medico-Psychological Association, I desire to thank your Excellency for the very kind welcome you have extended to us. I can assure you we appreciate your kind words and we will accept the opportunities you have given us. In regard to your remarks, your Excellency, upon the Wisconsin system, I can say that the system is well known. Every system is represented in this Association, but the system does not matter so much if we but reach the goal we are after. It may be a state system or a national system, but this Association has always stood for the humane and most scientific care of the insane, whatever the system. I have no doubt we will find all you have told us about your system to be true. It is a surprise to many of us to find that your country is not a prairie. After leaving

Illinois we come into a rolling country and we find your beautiful lakes are broadcast like jewels over the state. I am sure it will be a pleasure to every member of the Association to accept your kind invitation to examine your institutions.

Your Honor, in reply to your generous words of welcome, I desire to say that from what I know of this Association the products of Milwaukee will be well tested. Dr.Dewey, who is responsible for the arrangements for this meeting and who is one of the ex-presidents of the Association, one of our old and honored members, met me with considerable agitation and said that the Milwaukee people are a little sensitive about beer and it might be just as well to avoid that question. When he saw my look of disappointment (laughter) he modified his statement by, saying, "Well, well, if you feel like it, it is well to fill up with."

But gentlemen we are here for a serious purpose; we have a serious subject to consider. We feel that we want to be in the advance ranks of scientists and we come together in annual meetings to discuss our particular branch of medicine and the practical matters associated with our work. Fifty-seven years ago there were thirteen men who met in Philadelphia and organized this Association. To-day the Association has over three hundred members representing institutions caring for eighty or ninety thousand insane people. Without taking up any more time, I again thank you for your kind words of welcome. (Applause.)

The Committee of Arrangements, through Dr. Richard Dewey, reported as follows:

We are considerably limited in the matter of entertainment owing to the fact that the business of the Association has to take precedence. We are able to entertain one afternoon and have two evenings for relaxation. To-morrow afternoon there will be a trolley ride and a steamer ride. One is not connected with the other. Through the courtesy of Captain Davis of the revenue cutter here we shall have the privilege of a sail to-morrow afternoon. Since that is the only afternoon we have at our disposal, we have arranged for those who do not care to "go down to the sea in ships" to take a trolley ride to Wauwatosa where is located the Milwaukee Hospital for the Insane, in charge of Dr. M. J. White, which most of you are familiar with, and the Doctor will esteem it a privilege and pleasure to welcome all who will visit this institution to-morrow afternoon. And there is also the institution under the charge of Dr. William F. Beutler, for the chronic insane, which belongs to the county care system of Wisconsin, which has been a system of so much interest to the members of our Association. It is not, however, to be regarded as the same sort of asylum for the chronic insane

as are many other institutions from the fact that it has a physician, and a good one, at its head, and is managed upon a higher standard of care in many ways than the institutions throughout the state of Wisconsin, which are largely under the care of laymen. It may be interesting to you to visit this institution and others near there. Then to-morrow evening, after our annual address, there will be a very informal reception at the Deutscher Club; it will be merely a visit and what I may term a Bohemian lunch. We will have a little music and an opportunity for dancing for those who would enjoy doing so. That will comprise the entertainment provided for with the exception of a reception here at the Hotel Pfister on Thursday at 8:30 p. m. At all these entertainments we trust we shall have the pleasure of the full attendance of the members and be able to make it agreeable and pleasant for them.

The Secretary read a telegram announcing the death of Dr. W. L. Worcester of the Danvers State Hospital, a member of the Association, on June 9.

The Secretary read a letter of regret from Dr. Morel of Belgium.

REPORT OF COUNCIL.

The Secretary read the following reports from the Council: 1. The Council recommends that the dues of active members be placed at $5.00 and of associate members at $2.00 for the coming year.

On motion the report was accepted and placed on file and the recommendation adopted.

2. The Council recommends that Montreal be selected as the place for the next meeting; that the meeting be held on the second Tuesday, Wednesday, Thursday and Friday in June, 1902, and that the following Committee of Arrangements be appointed: Dr. T. J. W. Burgess, Dr. Geo. Villeneuve, Dr. A. Vallée, Dr. Jas. V. Anglin, and Dr. E. Philippe Chagnon; and that the committee be requested to invite Dr. Jas. Perrigo, President of the Montreal Medico-Chirurgical Society, to cooperate with it.

On motion the report was accepted and placed on file and the recommendations adopted.