When the preparations for the celebration of a great anniversary are identical with those for a battle, it is time to pause and reflect whether a better observance of the day might not be advisable—to ask ourselves whether one might not be planned which would honor and not dishonor a glorious memory.

When Physicians, Boards of Health and Hospital Superintendents annually prepare for the reception and treatment of hundreds, or rather thousands, who will—before the close of the day—be brought in torn, burned, blinded; when undertakers prepare for the hideous aftermath of our National Birthday; when hundreds of thousands of the sick look forward with dread to the recurrence of this season of noise, which to them brings so much distress; when fathers and mothers all over the country shudder at the thought of what the Fourth may bring to their dear ones, I believe that one is justified in characterizing as a national disgrace that pseudo-patriotism which is responsible for so much agony.

It is impossible to exaggerate the stigma of shame incurred by the intelligent, adult proportion of the population in deliberately and scientifically preparing for the massacre and maiming of the youthful, ignorant and heedless members of the community. One city, for instance, added twenty-six surgeons to its ambulance corps, while another engaged twelve distributors of tetanus antitoxin, had field dressing stations prepared by its National Volunteer Emergency Service and sent around fifteen hundred vials of antitoxin serum to its hospitals. And thus many cities anticipated the return of their Day of Carnage, preparing to bind wounds and lacking the courage required to insist on the passage of drastic prohibitive ordinances which would have rendered impossible the shedding of blood.

I am sure that the thanks of all are due to one of our medical publications which, for years past, has compiled statistics upon statistics, based upon the price that we pay for our present-day mad celebration of the Fourth, for without the splendid work of the Journal of the American Medical Association we should be unable to estimate the cost of our annual holiday. As for the figures, so laboriously compiled, they are simply amazing. To think of fifteen hundred and thirty-one deaths and thirty-three thousand and seventy-three accidents, the fearful sacrifice voluntarily offered by us, within the last seven years, to our false ideals! And yet these tables, shocking as they are, give so inadequate an idea of the suffering involved! For of these fifteen hundred and thirty-one deaths, practically none came painlessly, almost all being accompanied by the convulsions of tetanus, the torments of fire, or the shock of injuries which changed healthy, happy children into shapeless, agonizing horrors. While as for the thirty-three thousand and seventy-three who were injured, but not fatally, how many are dragging out their wretched lives, blind, maimed or crippled!

What, perhaps, is the saddest feature, is the fact that almost all the victims of the Fourth are children, whose youth and ignorance and inexperience and helplessness would certainly seem to merit all due protection at our hands. Poor little ones, who play delightedly with danger! And then how many among the victims of the Fourth are those who have not been “celebrating,” but who have been shot down or burnt to death by the wanton recklessness of Independence Day “Patriots” (God save the mark!). Bullets, cannon-crackers, blank cartridges, and strings of Chinese crackers spare none. Little babes have had their heads torn open, mothers have been killed as they sat beside their children, scores of girls have been burnt to death by having lighted firecrackers or fireworks thrown in their direction. Runaways have been frequent because hoodlums love to throw great “bombs” under frightened teams, and one of the merriest sports has been to place large torpedoes on car-tracks. In Vincennes (Indiana), for instance, one Fourth was “celebrated” by placing boxes of explosives on the tracks, by means of which car windows were shattered, passengers terrified and injured, and traffic blocked for hours; after these boxes had all been picked up it was found that two barrels of explosives had been collected. In Boston, only two years ago, seventy arrests were made for using firearms, while in Pittsburg a party of rich, young hoodlums terrorized the holiday crowds by dashing along in an automobile, firing volleys of shots up and down the streets and into the shops. Pittsburg’s arrests July 4, 1907, numbered 300. But, then, what can we expect when we repeal for a period of twenty-four hours almost all laws regarding safety and sanity?

As for the licensed recklessness, responsible for so many accidents, the recital of some of the mad acts to which it has led in the past is simply incredible. Some of these acts were: the throwing of dynamite bombs and giant crackers and the firing of revolvers into holiday crowds, the tossing of lighted firecrackers into the laps, or against the thin clothing, of women and girls, resulting in their being roasted to death; the filling of pipes and tin cans with dynamite, or the stuffing of bottles with lighted firecrackers—all with inevitable consequences. These are but a few of the acts which caused these 33,073 accidents, but the excuse for all was always the same—Patriotism! If this, however, is Patriotism, then it recalls—with but a slight variation as to meaning—that utterance of Dr. Johnson’s: “Patriotism which is the last refuge of the scoundrel.” However, it is not Patriotism, but only craving for noise and excitement and danger which kills and blinds and maims on our Day of Carnage. Some, indeed, go so far as to declare that the usual celebration of the Fourth is “due to desire to break loose into a day of savagery and wallow in the unusual.” Perhaps, if a stop is not soon put to this mad orgy, we shall find ourselves changing the words of our National Anthem, as suggested by one of our dailies, and singing:

“My country, ’Tis of Thee,

For Thou hast Crippled Me.”

However, it is not Patriotism but Hoodlumism and the desire to revel in a day from which all sane and safe restrictions have been removed, which may be said to guide most of the celebrants on the Fourth, for most of them are undoubtedly ignorant of its glorious significance. That this is true was amusingly shown in one of our large eastern cities where between thirty and forty thousand children were asked in the public schools why they celebrated the Fourth of July. The favorite answer was said to have been “For shoots,” others were: “For a band,” “For chicken to eat,” and most astounding of all “For the King of the Jews” (the similarity of sound between Jew and July doubtless suggesting the last).

The duration of our “noise-fest” varies in different localities, in some being limited to a few hours, in others being permitted to extend over several weeks. Where this premature celebration is allowed, it naturally entails great suffering on the sick, not to speak of the additional danger incurred by the youthful participants. It is this early start which, doubtless, prompted the remark: “The Fourth of July is the only holiday which begins before it happens.” As for the celebration proper, it generally starts on the evening of the third and lasts until the morning or the afternoon of the fifth. In some cities, however, it does not begin until midnight, in others not until four o’clock in the morning. However, even where the noisy period is the shortest, the suffering borne by our hospital patients is sufficient to excite the sympathy of all those with whom they come in contact.