Scientific tribunals, which should pronounce in the first instance while awaiting the definitive judgment of the public, were one of the requisites of our epoch; and thus, without any formal prescription of its successive regulations, the Academy of Sciences has been gradually led on to appoint committees to examine all the papers that have been presented to it, and to pronounce on their novelty, merit, and importance. This labour is generally an ungrateful one, and without glory, but talent has immense privileges; entrust Bailly with those simple Academical Reports, and their publication becomes an event.
M. Poyet, architect and comptroller of buildings in Paris, presented to Government in the course of the year 1785, a paper wherein he strove to establish the necessity of removing the Hôtel Dieu, and building a new hospital in another locality. This document, submitted by order of the king to the judgment of the Academy, gave rise, directly or indirectly, to three deliberations. The Academic Commissioners were, Lassone, Tenou, Tillet, Darcet, Daubenton, Bailly, Coulomb, Laplace, and Lavoisier. It was Bailly, however, who constantly held the pen. His reports have been honoured with a great and just celebrity. The progress of science would now perhaps allow of some modification being made in the ideas of the illustrious commissioners. Their views on warming-rooms, on their size, on ventilation, on general health, might, for example, receive some real ameliorations; but nothing could add to the sentiments of respect inspired by Bailly's work. What clearness of exposition! What neatness, what simplicity of style! Never did a writer put himself more completely out of view; never did a man more sincerely seek to make the sacred cause of humanity triumph. The interest that Bailly takes in the poor is deep, but always exempt from parade; his words are moderate, full of gentleness, even where hasty feelings of anger and indignation would have been legitimate. Of anger and of indignation! Yes, Gentlemen; listen, and decide!
I have cited the names of the commissioners. At no time, and in no country, could more virtue and learning have been united. These select men, regulating themselves in this respect according to the most common logic, felt that the task of pronouncing on a reform of the Hôtel Dieu imposed on them the necessity of examining that establishment. "We have asked," said their interpreter, "we have asked the Board of Administration to permit us to see the hospital in detail, and accompanied by some one who could guide and instruct us ... we required to know several particulars; we asked for them, but we obtained nothing."
We have obtained nothing! These are the sad, the incredible words, that men so worthy of respect are obliged to insert in the first line of their report!
What then was the authority that allowed itself to be so deficient in the most usual respect towards commissioners invested with the confidence of the King, the Academy, and the Public? This authority consisted of several administrators (the type of them, it is said, is not quite lost), who looked upon the poor as their patrimony, who devoted to them a disinterested but unproductive activity; who were impatient at any amelioration, the germ of which had not developed itself either in their own heads, or in those of certain men, philanthropic by nature, or by the privilege of their station. Ah! if by enlightened and constant care that vast asylum, opened to poverty and sickness, near Notre-Dame, had been then conducted, now sixty years ago, only in a tolerable way, we should have understood how, in taking human nature into consideration, the promoters of this great benefit would have repelled an examination that seemed to throw a doubt on their zeal and on their good sense. But alas! let us take from Bailly's work a few traits of the moderate and faithful picture that he drew of the Hôtel Dieu, and you shall decide, Gentlemen, whether the susceptibility of the administrators was authorized; whether, on the contrary, they ought not themselves to have anticipated the unhoped-for help from the king's power, united to science, which was now offered to them; whether by retarding certain ameliorations by a single day, they did not commit the crime of lèse-humanity.
In 1786, infirmities of all sorts were treated at the Hôtel Dieu: surgical maladies, chronic maladies, contagious maladies, female diseases, infantine diseases, &c. Every thing was admitted, but all presented an inevitable confusion.
A patient on arriving was often laid in the bed and in the sheets of a man who had had the itch, and had just died.
The department reserved for madmen being very confined, two were put to sleep together. Two madmen in the same sheets! Nature revolts at the very thought of it.
In the ward of St. Francis, reserved exclusively for men having the smallpox, there were sometimes, for want of other space, as many as six adults or eight children in a bed not a mètre and a half wide.
The women attacked with this frightful disease were mixed in the ward of St. Monique with others who had only a simple fever, and the latter fell an inevitable prey to the hideous contagion, in the very place where, full of confidence, they had hoped to recover their health.