on of the Expense of Efficient Treatment.+--Free treatment for
those who cannot afford to pay is a necessary part of the successful
operation of any scheme for the control of sexual disease. But for those
who can and are willing to pay a moderate amount for what they receive,
there should be pay clinics which will bridge the gap between the rough
and ready quality and the unpleasant associations of a free dispensary,
and the expensive luxuries of a specialist's office. This is a field
which is almost virgin in this country, and which deserves public
support. There is no reason why, for a reasonable fee, the patient with
syphilis should not secure all the benefits of hospital care, the
personal attention of specially trained men, an intelligent supervision
of his case, and the benefit of cooeperation between a hospital service
in charge of experts and the home doctor who must care for him during a
considerable part of the course of his disease. Provision of this sort
makes treatment both more attractive and more available to large numbers
of people whose pride keeps them away from the public provision for
charity cases, and whose limited means leave them at the mercy either of
quackery or of well-meaning but entirely inexperienced physicians.

+Value of Expert Services.+--The factor of expert judgment in the care
and recognition of syphilis is an important one, and a progressive
public policy will not neglect to provide for it. The state, municipal
or hospital laboratory which professes to do Wassermann tests should not
be in charge of some poorly paid amateur or of a technician largely
concerned with other matters, or its findings will be worthless. Every
clinic and hospital should also attach to its staff an expert consultant
on syphilis on whom it can draw for advice in doubtful cases and for the
direction of its methods of work. Every city health board which
undertakes a serious campaign against syphilis should not be satisfied
merely with doing Wassermanns, but should enlist in behalf of the public
consultation of the same grade which it expects to employ in the
solution of its traction and lighting problems, and in the management of
its legal affairs. No one would think nowadays of placing a physician in
charge of a great tuberculosis sanitarium whose knowledge of the chest
was confined to what he had learned in medical school twenty or more
years before--yet in a parallel situation one often finds the subject of
sy