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MADISON COUNTY RECORD
Established June 28, 1901.
FRENCH BROAD! NEWS
Established May 16, 1907.
Consolidated Noratnbcr 2, 1911 "
teat
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VOL. XXI
FOR THE HOSPITAL
i' (Marthall, N. C, March 27, 1929
The News-Record,
Marshall, N. C.
Dear Mister Editor: ,
I have read your editorials and
most of the correspondence in regard
tJ the proposed Madison County Hos
pital. I want to say I believe you have
been quite fair and seem to have the
welfare of the people at heart.
At first I could sympathiie with
the tax-payer and see why one would
naturally oppose anything which
meant higher taxes. I have been on
the farm and had the same things to
contend with. I, and my neighbors
were also clamoring for better roads,
better schools, and modern conveni
ences. It gradually dawned upon us
that it was impossible to have tne
best advantages without an increase
in taxes. The true idea then is not to
i. As. aaiav with all . taXeS DUt
try """J - - j.
where can I get the best returns for
what taxes I pay.
Madison County is offered the best
returns for what she will have to pay
of any proposition I have ever heard
"'m 11 nt a -man who Stood On
Alley ben m - ,
London Bridge all day long trying
to give gold sovereigns away and out
of that vast throng of people that
a w Via mild nrevau on only
two persons to accept the equivalent
of five dollar bills. Thii rest of the
people thought it was a hoax or that
he had an axe to grind.
The Duke Commission has no axo
to grind except that they are obli
gated to administer the ever increas
ing foundation left by Mister Duke
for the best interests of the. people.
It is a county's duty to provide for
the sick and helpless who are not able
to care for themselves. The Duke
Commission steps in and offers to go
fifty-fifty in building a hospital, and
guarantees it to be a first class i m
Ititution, then on top of that offers
to help maintain it.
Every dollar spent on maintenance
only represents the interest on the
money, or its equivalent, really given
to the county. For instance, a there
are ten charity patients on an aver
age that would be equivalent of an
endowment of sixty thousand eight
...-aa thirtv-threa and one-third
dollars. There wiU be ttthw'dwa-
tages that -would' MrMro w wwr
ate. It does look like some one i try
ing to give us not only gold sover
eigns but in the end will .amount to
thousands and thousands of dollars.
Very truly yours,
. J. C. Umberger.
OPPOSES HOSPITAL
Mars Hill, N. C, Mch 20, 1920
To the News-Record, please publish.
To the taxpayers of Madison Co.
I would like to call your attention to
some facts in regard to a certain
,0nitol Those that favor this struc
ture have never made any statement
as to what a hospital expense wouiu
be, daily or monthly. They tell you al
about the conveniences of a hospital
kf thov have never mentioned the
expense. They are just striking like a
blind moccassin in aog oay. o
ibeen led in by littles until we are
burdened about enougn.
In regard to some of the expense,
t ;n tab ahnnt 4 ianitors. a Dewe
ntyhon with a snecial nurse, 4
general nurses, 1 bookkeeper, general
supplies, such as X-R&ys and other
equipment, water expense, lights, and
fuel. - . i--.-' ' ,
So it looks like the expense is more
than, we can put. .
Remectfullv.
' " ' G. K. PONDER
TRAIN HITS SLIDE;
ENGINE AND CARS
DROP INTO RIVER
Striking a rock slide near Barnard
Tuesday elternWon. the locomotive
nrf four cars of a freight train, n
the Southern Railway turned over
several times, finally resting on tne
bed of the' French Broad river. . En
gineer Ellis and Ms fireman reached
safety by Jumping front the gang
way of the locomotive. - '
,. Rounding a sharp curve the engine
crew-suddenly saw the rock obstruc
tion directly ahead of them; - The
' engineer applied the engine and train
brakes and reversed the engine but
-could .not avoid striking the rock.
'. Traffic on this division was delay
ed for several ; hours pending , the
clearing of the main line."w' "-
.. , .. ' ' ' ' f
Fizzle Did you hear that Scotty
UacDonald committed suicide T .
' V Footle No, what was the trouble ?
. ' FizcleDurinB' a week's stay at a
hotel Scotty did all he could to econo-'
Also m his eating ana wnen ne jnua
his bill he found that the meals were
. Included in the price of the room-
'. The Pathfinder.: ' s: v.. 'v. u ". ?
.; FOR SALE CHEAP -;-
Bmiww 4-room bvogalowi
U-niU front MaasmU-CoIWr,
mmd Mara Hill Hifh School. Small
ash paynMat- BaUae eaay
tem. Writ ' ; .
C R. EDNEY .
v,', '' 4 1 k5rs 11UU N. C '. "i
THE ONLY
Reported Sent To Jail
132 Times b or Being
Intoxicated
Police authorities at Milwaukee,
Wis., say Mrs. Jacobina Rautenberg
(above) holds what is probably a rec
ord for arrests among women.
Her release the other day from the
Milwaukee House of Correction, they
claim, marked her 132nd arrest for
drunkenness.
RED CROSS
CHAPTER
RED CROSS CHAPTER FOR
MADISON COUNTY
, Miss Myers, one of the State field
;Worke ' of the American National
Red Cross, has been in Marshall this
week for the purpose of re-organizing
the Red Cross Chapter of this
county. The temporary, executive
committee met late Wednesday P. M.
and officers for the year were elect
ed, with Mr. J. H. Sprinkle for Chair
man. Various phases of the work were
discussed and it is hoped much may
be accomplished during the ensuing
year. ., ..
FOR HOSPITAL
DR. ROBERTS WRITES ABOUT
THE DUKE ENDOWMENT HOS
PITAL FOR MADISON COUNTY.
The hospital section-of : thfr Duke
Endowment is interested in the con
struction and maintenance of ade
quate hospital facilities in the Caro
linas, because the hospital is in all
probability the largest Jactot in in
fluencing and maintaining the proper
supply and distribution . pi well train
ed physicians and nurses fn the rural
or country districts. There are at
present eleven-physicians in Madison
County with a population of 20,083;
one doctor for every 1,812 people;
39 square miles of territory for each
doctor, and but one located on the
west side' of the French Broad river.
The average age of these eleven doe
tors is over 65 years; Four of these
have practically retired owing to age
and bad health, leaving but seven
active physicians in the county; In
the last ten years 27 doctors have
either died or moved away from the
county and only 8 have moved in
and stayed. Now how can we expect
to keep what we have or induce oth
ers to come unless we have aproper
ly equipped hospital. AH the recent
graduates ' In medicine are taught
the use and the necessity of well e
quipped laboratories, X-Ray machines
etc., and won't and should not prac
tice without them. So that if we ex
pect - to keep well trained physicians
andnurses and increase as needed we
must give them a place to take their
operative obstetrical and very sick
patients, where well trained nurses
and adequate' equipment are to be
had. At least one half of our people
are sot financially able to defray the
expense of- a long sojourn in a hos
pital. Now who is to look after all cf
these charity - patients? - Surely the
burden should: not fall on the doc
tors in the county." . -v ,
The Duke Endowment report of
1927 shows that the 44 hospitals
operated without loss to the taxpay
ers. On page S3, of this report we
have this statement, "In the 44 hos
pitals supported by . Duke : Endow?
ment full pay patients had 88.3 days
of care, but they paid for 62.1 per
cent of the total cost, so that in ad-,
dition to the Duke full pay and part
pay patients the hospital patients are
self supporting." If tills is true for
the whole state what-is hej.mstter
with Madison? AA'.-T.-Wi't-14:-$
V I am in favor of and also most all
of the people that I have talked to of
having four Duke holtal units ofj
30 beds each for tlad.so County; 1 1
jit Vy ' i
NEWSPAPER PUBLISHED IN MADISON
MARSHALL, N. C, FRIDAY,
:THE PUBUSIIERCOLUMN '
ABOUTgARMJS M 1TEKS
FARM AND HOME DEMONSTRATION WORK
IN SOUTH CAROLINA " ;
The legislature of South CaroUna recently passed legislation mak
ing it compulsory for every countyln the state to have both farm and
home demonstration agents. UUf that time only two or three coun-
ties in the state were without such agents. In our sister state there are
only 46 counties and the matter of improved methods in agriculture and
home condition is being more and more stressed. This act of the South
Carolina legislature takes this matter out of politics and makes these
offices an established fact. Simil legislation has been proposed for
North Carolina, but up to the present time it has not been passed.
4?H
THE TOWN ELECTION DRAWINcI NEAR
And now, before we can finishrie flection, another is coming right
on. This matter of the hospital-election is claiming the attention oi
the people of the county while te people of Marshall can begin to look
forward to the town election. In, the last twelve months we have hart
enough to last for awhile. Honestly, this writer is tired of them. Pol
itics, politics, where will it end?? When can we have a rest?
i1 "O " 1
MORE ABOUT THE HOSPITAL
The one issue which means most for the people of Madison County
today is the question of the county hospital. We have tried to give you
the facts as best we could get them. We have not given you all the
facts for that would be impossible. No man can know what the future
of any business or undertaking will be. If we could foretell the facts
in any business our fortune would be made and we would not have to
worry with a newspaper for a living.' We can only judge the future by
the past and hope for the best. If we waited to know everything about
any undertaking before we ventured, we would never venture. A
tamT hv nr rents a farm, buys fertilizer, seed, team, farming lm-
plements, and so forth and sows
ready for harvest, .and even then
get the benefits from it. W is impossible to say Deiorenanu now ma..,
pay patients or how manyharity patients would be brought to the
county hospital, and the matter of whether or not it will be self-sustain-
ing depends upon the ratio of these two classes of patients. The board
of trustees or directors could rule that only pay patients be admitted,
in which case it would undoubtedly; pay its way and leave a surplus to
reduce the cost to such patients the next year, but such a ruling would
cause the hospital to miss its purpose.
It is true that it would be a convenience and saving in many ways
to the people of Madison County, even if the rates charged pay patients
were the same as other hospitals, but the saving of lives of those not
able to pay is the prime need of the hospital. Mercy is the motive and
not profitr i ? , ',.
To the average person who has had hospital experience either in
, wdergoing operations oxjH&iiigW W1 af terwardi' usually, ;the im-
pression is made that it is an expensive luxury. The total expense is
a big item, and whether is is hospital expense or doctor's fees for pro-
fessional services 'the average person does not stop to consider. But
we should get the difference. The hospital items are one charge and
the charge for professional services is another. And the fellow who
pays has to pay enough to offset the loss from charity patients in either
One writer makeB much of the fact that the rates charged at the
Haywood County hospital are about the same they are in Asheville.
No one has tried to make the impression that there will be much differ-
ence in the charges to pay patients whether taken to Asheville or
Waynesville or Marshall. The rates must, be enough to meet the ex-
penses after figuring losses from charity patients. For instance, if the
rates to pay patients were cut too low, all charity cases would have to
be excluded in order to make the hospital meet expenses.
This Duke hospital donation is but a step toward what ought to be
the rule, and that is to let the well take care of the sick. It is misfor-
tune enough to he sick and not able to work, and then to have to meet
the bills under such circumstances is too much. We believe that doctors
ought to be paid from public funds and required to keep people well as
nearly as possible instead of living on the misfortunes of the sick and
unfortunate. However, accidents occur and there are many cases that
need medical attention that cannot be foretold or prevented. And for
that reason, hospitals will always be a necessity.
. o- ' '
HEAR DR. RANKIN NEXT WEEK ; '
In this issue as well as in the last, we give some speaking dates for
Dr. Rankin, director of the Duke Endowment. Whether you favor the
hospital or not, it might pay you to hear him. As Rev, Mr. Umberger
says in this issue, people are not accustomed to having something for
nothing, and if you were to stand on the street and pass out five-dollar
bills to people passing by, you would doubtless be called on to stop and
explain. Consequently, Dr. Rankin moat explain why they are giving
away money. ,
' 0
WRITE US ABOUT YOUR PAPER BEFORE IT STOPS
' You people who have been warned that your News-Record will
stop if arrangements are not made at onee should not get the idea that
we are wilf ally stopping your paper because you do not have the cash
on hand at once to pay op 'in full. If: you have reason ot believe you
can and will pay some Very soon, just let us hear from you. We need
yon on our list of subscrfbers and you need this paper, so write us and
let's get together.- We did not say we were going to stop your paper
if you did not pay up in full, but we did say we would stop it if we do
not bear fom you, 1VRITE US SOMETHING!
for Hot Springs, Mart HOI and Mar
shalUDuke aid has already been given
the Laurel hospital at White Rock.
Some demagogues state that Mar
shall has a corrupt -political Ring.
This is said of every county seat in
the United States, Every office seek
er from constable to senator has his
own pet theory for saving the tax
payers money, and Cursing some im
maginary ring, but there are no peo
ple in Madison County who will work
harder for these three hospitals than
the citizens of Marshall. This dema
gogic advance guard of mis-information
states all over the county that
the doctors will make a f ortuno out
of the little hospital. At the last meet
ing of the Madison County Medical
Society we agreed not to charge for
any charity case, either to the coun
ty or to the patient, and there ia not
a physician in the county that wants
a vote cast for this hospital from
friend or foe, feeling that they are
doing so for the benefit of any phy
sician, individually or collectively.
MARCH 29, 1929
his seed and works his crop till it is
a storm may destroy it before he can
If the people don't want the hos
pital and they feel that it is not a
rood thine for our neonle then thev
should bv all means vote against it.
but why accuse the doctors of having
a selfish interest in it Who stopped
the ravages; of typhoid fever, diph
theria and small pox in our county?
THE DOCTORS.. These are the dis
eases that demand such a heavy toll
in life and money. The physician re
duced the bigger part of his own sal
ary, . bo give him soma .credit and
praise and a little less cursing. A
great majority, like the Ministers, are
poorly paid, " "V ''
Asheville now has three hospitals
receiving Duke aid and the French
Broad hospital is- trying to get it
So we should wake up and realise our
needs before it ia too late, and this
more than generous offer of the Duke
Endowment is denied na, ' '
For on April the 9th, we will not
only be voting for Ourselves but for
our .children and grand children and
future generations. . .: ; . ,
"COUNTY
8 Pages This Week
The only reason I have for writing
the above statement made by some
enemy of mine, and being circulated
through the county that Dr. Roberts
is going to make a fortune out of the
hospital, or will buy it at some future
time when Duke gives it up. This
falsehood was started by a man who
Anoan't. even oav a noil tax. There
are five physicians in Madison Coun- j well-run hospital is supposed to nave,
ty that nave been practicing medi-; became too heavy for the town and
cine for forty years or longer; more it was decided that unless the plant
vears than is allotted to the average could be taken over by the four near
ohvsician. Unfortunately I belong to, by rural municipalities it would have
one of that five, and were it possible! to close. (A rural mumcipahty in
to do so from a financial standpoint, Saskatchewan corresponds to our
I have now passed the day to make county in the United States.)
a fortune from practicing medicine.. The people dsipatched Mr. Heart
I couldn't do this when I was younger well to Regina ,the Provincial capital,
much less now. ; to ask for the passage of a law which
I already have an interest in two would allow two or more municipalL
hospitals and realize that neither ties to form a district with power t
can compete with hospitals receiving issue bonds for a hospital building
Duke aid. I am perfectly willing to and authority to run it.
turn my interest in the French Broad There he was at the big Parliament
Hospital to the Duke interest and building, a one-man lobby from ,200
discontinue the little hospital in Mar- miles out in the country in the west
shall that has been making some mon- ern part of the Province somewhere,
ev if the Duke Endowment hospital The job must have been bewildering
is established in Madison County, 'but with help he got his law. It
I wonder if the people realize the authorized "union" hospitals, similar
number of 'patients in this county to our county hospitals except that
that the doctors have prescribed hos- they are supported by several munici
nital treatment for in order to save palities (or counties) rather than oy
their lives ana receivea tne iuuu's
answer, 1 am sorry uut u.
haven't got the money, and will have
to dothe best I can." Ask your fam
ily physician how often this happens.'
Now in conclusion, if this hospital is
vote4!dowh it will not affect me per
sonally or financially, and I dont
want a friend of mine to vote for the
hospital thinking it will make money
for me, as charged. I have been con
nected with hospitals for the last 20
years and I think I know the needs "f
people in this county, and therefore I
will vote for the hospital, not to help
anybody financially, but for the com
mon good. The auditor states that tha
maximum tax that can be levied is
30c on the thousand dollars worth of
property. This is less than the price
of a dozen eggs. I would like to see
some of the leading citizens from
each township visit the Duke hos
pital at Waynesville, before the elec
tion, so they could tell the voters the
facts. This will take but a few liours
and the Board of Directors willjake
pleasure in showing and explaining
how they are more than paying ex
penses in taking care of all their sick.
P FRANK ROBERTS, M. D
SUPERIOR COURT
THIS WEEK
A civil term of Superior Court be
gan Monday in Marshall with Judge
Michael Schenck presiding. Until
Thursday nearly all the week had
been taken up with a case Bullman
vs Gosnell, in which Bullman is su
ing Gosnell for damage to a child
burned by gasoline. The plaintiff is
represented by Mr. Geo. Pritchard
of Asheville and the defendant by
Attorneys Guy V. Roberts and J. H.
McElroy. Quite a number of people
have attended court.
This case was concluded Thursday,
no damage being given the plaintiff,
the cause being an accident.
PIONEERS FIND A
WAY
(An article on Hospitals by Car
roll P. Streeter, In "The Farmers
Wife" magazine for March, 1929.
Out o fa new farming country of
the north Saskatchewan, has come a
rural hospital plan -whereby farmers
can safeguard their health and at
the same time protect their pocket
books.. Not only do they know that
there is a place, nearby, where they
may be properly taken' care of when
sick, but they know also that they will
be able t pay the bill without auc
tioning off the livestock or waiting
another year to buy the new radio.
At first you thought you might not
expect such a development in a vir
gin prairie country, settled for only
a quarter century. The homesteaders,
who are still young enough to be ac
tive farmers, have had their hands
full with making their now lands pro
duce their wheat crops and with es
tablishing, homes and communities. It
seems " strange enough that they
sshould even have hospitals, for there
are a great many older farming com
munities that can not say at mucn.
Nearly, half the counties in the United
'StatesVior. example, have no hospitals
But an-idea may be born any
anywhere,' and usually where the
need for it is the greatest There was
plenty -of need for this one in the
prairie 'Village of Rosetown where the
plan originated. The nearest hospital
was 100 miles away, at Saskatoon.
- JVf: HartwelL secretary-treasurer
of the Rosetown hospital and one of
the early settlers, tells how,' years
sgOi he hurried an Injured man scores
of milea .across country with a team
and wagon only to have him die at
the hospital door. At another time he
helped a young farmer search fran
tically for the settlement's only doe
tor, who waa out in the country
somewhere, and when they finally got
back home they found the wife and
new born baby both dead. ' - r
Incidents like these convinced the
homesteaders they seeded a hospital,
1550
where such needless tragedies could
be prevented. Rosetown built one, a
little place of twenty-one beds, the
pride of the surrounding prairie. The
Angelican Order of Nursing sent two
nurses medical home missionaries,
they might have been called, although
they did not pose as such. But soon
the inevitable deficit, which every
ui.
Now the people at Rosetown were
assured their hospital. But they
weren't assured that they could afford
to use it. Like a great many farm
ers in the United States they didn't
know where the money for hospital
bills was coming from. It was the
problem which has become so famil
iar to us: the rich can pay their own
way and the county or some charity
will pay the poor mans', but there
remains the majority of folks, in av
erage circumstances, wno nave top
much pride to accept charity and too
little cash to pay hospital bills.
Dr. J. A. Perrin of Rosetown told
me that at the time, eight years ago,
he knew of twenty-five persons who
needed operations but who couldn't
pay for them and wouldn't have them
free of charge.
How the pioneers, who had con
quered so many strange obstacles,
won over this new difficulty is an in
teresting story. They were not boht
ered much by the fact that their
scheme was illegal at the time- It
was not authorized by the Provincial
government until eight years later.
Nor were they worried because it
had. never .been, tried elsewhere, so
far as they knew. -
Their plan fs to let the four mu
nicipalities in the hospital district
pay the hospital bills for all farm
families and their hired help. Since
rural municipalities do not include
towns and villages that may be with
in their borders, townsfolk do not
share the benefits except by special
arrangement. Each individual pays
his own doctor.
To be admitted to the hospital a
person must have a written order
from a physician. Then when the
patient goes home the municipality
pays the bill. It will even pay $2.50
a day (the rate in the Rosetown
wards) toward cost of treatment in
another hospital. Thus, for exam
ple, accounts have been paid in Roch
ester, Minnesota, in Chicago and in
more distant cities. In a recent
three-year period the four municipal
ities levied $92,000 hospital tax,
paid $62,000 of it in Rosetown and
the other $30,000 in tuberculosis
sanitoria and other non-local institu
tions. All of this requires a two-mill tax
levy, which amounts to $6.08 on the
average quarter-section of land.
Most farmers in south-western Sas
katchewan have a half section, so
their hospital tax is $12.16 a year.
But when they , have paid this they
have paid every hospital charge, no
matter how many members of their
families have had to go to the hospi
tal, nor for how. long. In other
words, these farmers pay a little ev
ery year, but insure themselves a
gainst paying much any year.
To illustrate, a few months ago a
farmer had a kidney operation, with
a resulting hospital bill of $800. He
had Scarcely recovered and gone
home before he was fatally injured
in a runaway, adding $200 more to
his hospital bill before he died. How
ever, his municipality paid the total
of $1,000, which gave his widow that
much more of his savings. He was
so grateful that one of his last re
quests before his death was that ,
somebody-tell farmers elsewhere a
bout th Rosetown plan.
At the time of my visit five rural
mothers and their new-born babies
were an the hospital, from homes an ,
average of seventeen miles out. The
cost of their care had averaged $52
and one mother's came to more than
$100, but all it cost their husbands
was the amount of their annual hospi
tal tax, which fh these cases came to.
an average of $812. ..-.,
Because there. are no charges any
one in the district who needs treat
ment may have it. and. have as much '
as is needed. Possibly that explains
why ninety per cent of the babies of
the whole eonn try-side are born in
hte hospital And furthermore, to
make sure that . expectant mothers
will get there in plenty of time, in
spite of storms, gumbo, roads and
other unforeseen troubles, they may
come to the. hospital seven days be
fore the baby is expected. Host wo
men take advantage of this provision ;
they know then that they are there,
no matter what happens. . t-
Think what the hospital inesrt ti
(CtiCaaW tt firtTrr)