Poverty, supplemented by ignorance, and the want of the true Christian spirit, stands in the doorways of the public hospitals, infirmaries and libraries where aids to health are to be found and forbids these people to enter either on account of their color or the "want of space." Poverty keeps these people from building such institutions for themselves.
Again, the colored people of Southern cities constitute the great labor force, hence most of the diseases that result from exposure are more prevalent among them than they are among the white race.
Those diseases that result from improper foods, poor sanitation, want of pure air, need of better homes and want of public parks and baths, together with those untimely deaths due to the want of proper medical attention, good nursing and surgical operations at the right time are more extensive among the colored masses because they are the ones that suffer the privations mentioned to a greater extent than any other people.
Along with the observations already mentioned on this subject, and which observations have led me to reach the conclusion that "the want of money" is at the base of this excessive mortality, is this encouraging fact—that the colored people are not dying now as fast as they were even a decade ago. The reason of this is not far to seek. The truth of the matter is, these people are growing in wealth and intelligence and in proportion as they have acquired these essential qualities their mortality has decreased.
I have observed in my practice that those who live in good, clean, well ventilated homes have no more sickness and deaths than white citizens of equal intelligence and wealth. I now call to mind, here in Atlanta twenty homes of colored citizens which are fitted and furnished with all modern conveniences, including heating and baths. The owners are well-educated and spend much time and money in keeping their homes and yards clean and in good sanitary condition. What I wish to say is this, in twelve years' time only two deaths have occurred in that circle of twenty homes, and one of these was a baby whose death was due to an accident, and the other was an aged person whose death was the result of Bright's disease. Does not this speak volumes to prove the truth of my position? What I have observed here in Atlanta relative to the real causes and prevention of this excessive mortality is true in other Southern cities.
It is no doubt plain to the reader that I have not mentioned here a single cause upon which this excessive mortality rests, but that which money can remove. That being true, what is the conclusion of the whole matter? It is simply this:
1st. Pay the masses sufficient wages to remove their ignorance and poverty, to build better homes and to furnish and equip them with baths and other things necessary and conducive to good health, to purchase proper food-stuffs, fuel and comfortable clothing.
2d. The cities should enlarge their present hospital facilities, or build others especially for these people, cities and towns that have no such facilities should provide them at once, parks, public baths and libraries should be opened by the cities for the poor.
It is simply a matter of money, before that mighty king, ignorance and poverty, together with all their allies, take flight.