Administration of the Royal Hospital at Manila

Sire:

I have desired that the royal hospital of this city should be served and administered with more charity, better order and a more perfect system than hitherto; for I am told and I know how much the poor thereof suffer, and of how much importance for the correction of this and of many other evils is their good comfort, assistance, and healing, spiritual and temporal—all which the hospital has in charge; and how essential it is that it should be administered by persons who are servants of God, self-denying and free from self-interest, charitable and zealous for His service and for the good of their neighbors. Hence I desire that the Order of St. Francis, because it seems to me suitable on account of its self-denial, barefootedness, and freedom from self-interest, may unite with the Confraternity of La Misericordia[1] in the charge of the hospital. I suggest that they place Page 21there four friars—two priests and two laymen; for this can be done without interfering with the conversion of the natives, and will be a thing of great service to God and your Majesty, the good of the poor and of this state, and the good order, service, and system of the said hospital. It will also remedy many of the inconveniences that may arise, and of the deficiencies from which the hospital suffers, from the want of such persons in charge of it. For these reasons I have asked that this order, associated with the Confraternity of La Misericordia, may attend to this matter, and may take under its care the government and administration of the hospital. Therefore I have set forth and enclosed separately some of the reasons for this, and the advantages which I see in this course and in joining the hospital for the slaves, which the Confraternity of La Misericordia has founded, with the royal hospital. The plan involves establishing separate quarters in the said royal hospital, that there may be a definite place for the slaves, and that slaves and Spaniards may not be mingled. In these quarters there may be a separate ward or room for needy Spanish women, mestizas, and the like, in such a way that they may be kept in separation and distinct from the slaves. There is a great need of this ward for women, for there is no place to put them in the royal hospital, and hence they are not received there. By joining the royal hospital with the hospital of the Confraternity of La Misericordia a place may be provided—which will be of great importance, help, and benefit to the necessities of poor and needy women who have not wherewithal to care for themselves in their sicknesses. It must be no little that they suffer in these Page 22regions for lack thereof, and because of their poverty; for even in health there is no little to be undergone, and many are the evils and misfortunes which may result from the lack of this provision.

The provincial and Order of St. Francis having discussed and considered this matter hesitate about it because the distance between the hospital and their monastery makes it inconvenient to keep religious in the former; but as for me, my judgment is that, as they have religious who have to go even further away in the work of instruction, they can keep them here; and that there is no lack of religious who know the language, for the work of conversion. Hence, although there will be some inconveniences, they will not be serious and important; and it seems best to overlook them, and to take account of the advantages hoped for from this work and to be expected of it, which are not few, or of small value and importance.

The deputies and Confraternity of La Misericordia were inclined to accept the suggestion, and to undertake the administration of the royal hospital jointly with that of the slaves' hospital; and the same guardian of the Order of St. Francis, before the adoption of the resolution above mentioned, approved it. In conference with the deputies with regard to the effect of it, he hesitated on one or two points. One of special importance was the question whether the expense was to be in common, and whether the expense for the slaves was to be paid out of the income of the hospital, and that for the Spaniards, in consequence, out of the alms of the Confraternity of La Misericordia. Although he made some doubt and scruple to me personally as to paying for the slaves, to whom his superiors owed Page 23the duty of support (although God knows how it was incurred) out of the funds destined for the poor Spaniards, yet on the whole he said, with my approval, that in the interim before your Majesty should be advised of the whole matter, everything should be paid for by accounts kept separately for the royal hospital and by consequence for that of the slaves likewise—as used to be done and as is done still; so that they are not connected, though the connection is desired because of the known advantages of it. But the greatest obstacle to the execution of this plan is the fear and mistrust put forward to requiring the Confraternity and deputies of La Misericordia to render accounts, exposing them to disturbance, and perhaps to expense and loss for matters their connection with which is voluntary—being assumed for charity and the service of God, and not for duty, pay, or advantage. This objection, however, was met by the consideration that the expense with its account had to pass before so many persons of honor, standing, and financial stability that there was not much ground for hesitation; since just as one superintendent or administrator paid and gave accounts, so the deputies can do the same as well or better, being more in number, and of no less financial standing, and making their expenditures with the system and general agreement which are to be desired. With all, I could not bring them to make the venture. But if this risk and obligation were absent, they would do it; this I know from some who were desirous of undertaking this work.

I give your Majesty an account of this matter, because of the importance that it may have for the Page 24service of God and your Majesty, the good of the poor, and the advantage of a work of such public necessity and importance in these regions. If your Majesty should be pleased to command that the Confraternity of La Misericordia should take charge of the administration of the royal hospital, as aforesaid, it will be necessary to come to a statement of the system to be observed in making payments for the royal hospital and that of the Confraternity of La Misericordia, by deciding whether they are to be kept separate or no. It will also be necessary, in the way in which your Majesty shall be most pleased and profited, to deal with the mistrust about the accounts, which is what causes most hesitation. Submitting myself to your royal pleasure, and suggesting as I ought what occurs to me in the matter, I propose, Sire, that payments be made only as passing through the hands of a single administrator and superintendent. In this way he will be able to give account of the expenditure. Let the manner, order, and direction of the same be in accordance with the judgment of the deputies of La Misericordia; and let the superintendent give his account of expenditures made under the direction of the deputies. On such conditions the Confraternity will take charge of the work; for it will not hand in accounts and will be called upon for no business except of charity, trust, and good administration, while the superintendent will hand in the accounts for the said Confraternity. Thus the whole, if your Majesty please, will be in one; and on other conditions the Confraternity will not undertake it. At least I regard it as a matter of the highest importance and advantage that your Majesty give commands that the archbishop and the Page 25Order of St. Francis place four religious—two priests and two laymen—in the said hospital; and that, in case this order cannot undertake it, the Society of Jesus do so, for, being persons of great charity and good government in all things, it will be of great advantage for them to have this in their charge; so that in this way it seems that many great evils would be remedied, and many great advantages result. Our Lord keep your Majesty many long years, as His Divine Majesty has power, and as we all desire and have need. Manila, July 20, 1597.

Luis Perez Dasmariñas

[Endorsed: “Let the president and auditors and the archbishop state what they think best to be done in the case; and in the meantime let them give such orders as they think best for the good conduct of the hospital.”]

Considering and reflecting that the royal hospital of this city is one of the most important and considerable establishments in this country and these islands, it is very essential to the same, for the best advantage and comfort of the poor, and for the good order and system of the administration of the hospital, that it should be under the charge of persons who are influenced by the love of God and by zeal for His service and for the welfare and advantage of His poor, and by no payment or temporal interest. Since all the other hospitals of this city have this advantage, it is a pity that it should be lacking in this one alone, which is of so much importance; and that although it has so good an income and other advantages, it should not surpass the others; and that there should Page 26be cause that many refuse to go to it to be cared for, and prefer to go elsewhere. That is proof of either carelessness and disorder, or of necessity; and, although there is some of the latter, yet I believe that it must be mainly the former. Likewise it spends and requires on its part certain salaries and expenses for persons who serve in the said hospital. Great injury is done to the service of God our Lord and of his Majesty the king, if such an institution is managed extravagantly, ineffectively, or unsystematically. At the same time other hospitals are well managed, because of being in the hands of persons who are members of religious orders and servants of our Lord; who being free and bare from personal interest, exert themselves for the good of the poor, merely for His love and service, and with charity and zeal for the good of their neighbors. This is what is done in the hospital for the natives and in that for the Sangleys, which are now well established, having their incomes and accounts separate. On this account, and because they are in charge of persons who are servants of God and have the qualities aforesaid, they are better served than when they were otherwise managed, and better than is that for the Spaniards, for lack of persons to administer and serve it through love and charity toward God and their neighbor, as has been said.