Congress to the facts I am transmitting to the Legislature and shall request them to assist the Legislature in effecting a satisfactory disposition of this matter.

"New York confronts a situation where it must spend $25,000,000 of its own money for those who are properly the charges of the national government.

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The nation is too strong, and too just, to permit this situation to continue."

Upon the receipt of Governor Glynn's message by the Senate it was referred to the judiciary committee, and a concurrent resolution was passed urging Congress to enact appropriate legislation to provide, among other things, that a part, at least, of the cost of the care of these aliens shall be a national charge; that a more careful examination of immigrants shall be made at the port of entry to insure the exclusion of aliens from the country; that a fine of $200 shall be imposed on steamship companies for bringing into this country any alien whose mental defect could have been detected at the port of embarkation; that the period of deportation be extended from three to five years, and that it be made a misdemeanor for a steamship company to refuse to sell tickets for or to receive on board and return any deportable insane alien, or insane alien who may consent to be repatriated provided his transportation is prepaid.

COST OF CARING FOR THE ALIEN INSANE

In the Commission's last report considerable space was devoted to the subject of caring for the alien insane, i. e., those who were neither citizens of the State of New York, nor of the United States. From the report of the Governor's special commission, Dr. Dawes, submitted during the current year, the following extracts will be found of considerable interest:

"From the financial standpoint there are three classes of patients in the civil hospitals of New York State, viz.:

1. Patients supported entirely by the State-these are termed non-paying patients.

2. Patients who repay to the State part or all of the bare cost of their maintenance up to $5 per week.

3. Patients who pay to the State more than $5, but not to exceed $10 per week.

The last two classes of patients are herein called paying patients.

"On September 30, 1912, the aliens in the population of the New York civil hospitals for the insane numbered 9,241, or 29.2 per cent of the total hospital population. This is probably somewhat less than the average daily alien population for 1912, as during that year 961 aliens were deported or repatriated from the New York civil hospitals by the Bureau of Deportation none of whom were in the State hospitals on September 30, 1912. Moreover it is well known that of the 402 nonresident insane returned. to other states in 1912 from the civil hospitals by the Bureau of Deportation many were aliens. In addition to this, Table 11 shows that the alien patients constituted 31.9 per cent of all the first admissions to the civil hospitals from 1905 to 1912, inclusive, and 29.3 per cent of the first admissions for 1912, which percentages are exclusive of all patients whose citizenship was unascertained. It seems reasonable, therefore, to assume that the average daily alien patient population in the civil hospitals for 1912 numbered at least 9,241.

"In April, 1913, a special census of the paying patients in the civil hospitals, taken by the State Hospital Commission, showed that 109 were known to be aliens and 103 were of unascertained citizenship. As the total number of paying patients increased 189, or 7.2 per cent, from September 30, 1912, to September 30, 1913, it is not prejudicial to the alien to assume that on September 30, 1912, there were only 212 paying patients in our hospitals who were aliens or of unascertained citizenship.

"The following is a summary and comparison of the paying and non-paying patients in the civil hospitals on September 30, 1912, classified according to citizenship:

Paying and non-paying patients classified according to citizenship

"From the first portion of the foregoing tabulation it appears that on September 30, 1912, of the total patient population in the civil hospitals of New York State (numbering 31,624) 2,613, or 8.26 per cent, were paying patients and 29,011, or 91.74 per cent were non-paying patients; that of the total citizen patient population (numbering 22,383) 2,401, or 10.73 per cent, were paying patients and 19,982, or 89.27 per cent, were non-paying patients, while of the total alien patient population (numbering 9,241) 212, or 2.3 per cent, were paying patients and 9,029, or 97.7 per cent, were non-paying patients.

"From the second portion of the above tabulation it is apparent that the citizen paying patients composed 7.59 per cent of the total patient population while the citizen non-paying patients were 63.21 per cent thereof; that the alien paying patients comprised .67 per cent of the total patient population while the alien nonpaying patients constituted 28.53 per cent of such total.

"By the third portion of the tabulation it is shown that the citizen patient population furnished 91.89 per cent of all the paying patients and 68.88 per cent of all the non-paying patients, while the alien patient population contributed 8.11 per cent of all the paying patients and 31.12 per cent of all the non-paying patients.

"The citizen population, though but 2.4 times the alien population, furnished 11.3 times as many paying patients as the latter. In other words the proportion of paying patients among the citizen population was 4.7 times as great as among the alien population.

"In 1912 the total received by the State of New York from paying patients was $500,475.82, of which 8.11 per cent, or $40,588.59 came from the alien insane patients and 91.89 per cent, or $459,887.23, was paid by the citizen insane patients. The foregoing figures are as favorable as possible to the alien paying patients as they are based upon the assumption that the average alien paying patient paid the State the same amount as the average citizen paying patient.

"An approximation of the alien per capita payment to the State of New York in 1912 is reached if the total payment to the State of New York by the alien insane in 1912, $40,588.59, is divided by 9,241. The result is $4.39, which represents the average per capita payment to the State of New York by the alien insane in 1912. If the total payment to the State by the citizen insane patients in 1912, $459,887.23, is divided by 22,383, the number of citizen insane in the State hospitals September 30, 1912, the result is $20.55, which is the average per capita payment by each citizen insane patient in 1912.

"The average daily population in the civil hospitals of New York State for 1912 was 31,580 and the population September 30, 1912, was 31,624, or 44 more than the daily average. If the $500,475.82 paid to the State in 1912 by paying patients is divided either by 31,580 or by 31,624, the result is substantially the same a trifle less than $16-which represents the average per capita payment to the State by each patient (whether citizen or alien) during the year 1912.

"It is apparent, therefore, that the patient average per capita payment to the State for 1912 ($16) was $4.55 less than the citizen per capita average ($20.55) but was $11.61 more than the alien per capita average ($4.39).

"Table 17 shows that the per capita gross cost of maintenance of all patients in the New York State civil hospitals for 1912 was $203.45. Taking from this the patient per capita average pay

ment to the State during 1912 ($16) leaves $187.45, which is the patient per capita net cost of maintenance for 1912. If this is multiplied by 9,241-the number of aliens in the civil hospitals September 30, 1912-the result is $1,732,225.45.

"If the alien per capita average payment to the State for 1912 ($4.39), instead of the patient per capita average payment ($16), is deducted from the per capita gross cost of maintenance for 1912 ($203.45) the result is $199.06 and not $187.45. This $199.06 is the alien per capita net cost of maintenance for 1912. On this basis the net maintenance cost for 1912 of the 9,241 aliens would be $1,839,513.46, or $107,288.01 more than the previous figures.

"This should be a close approximation of the net cost of the alien insane to the State of New York for hospital care alone (including food, clothes and treatment) for the year 1912.

"For the same year New York State's gross expenditure for the insane was $7,360,536.43, of which the alien patients' share was 29.2 per cent, or $2,149,276.64, and the citizen patients' share was 70.8 per cent, or $5,211,259.79. Deduct from the alien patients' share $40,588.59, the total amount received by the State in 1912 from alien paying patients, and the result is $2,108,688.05, which is the amount of the net expenditure of the State of New York for the alien insane in 1912. If the last mentioned amount is divided by 9,241, the number of alien patients on September 30, 1912, the quotient is $228.19, which is the per capita net expenditure of the State for each alien insane patient in 1912. If from the citizen patients' share of the gross expenditures, which is $5,211,259.79, is deducted $459,887.23, the total received by New York State in 1912 from citizen paying patients, the remainder is $4,751,352.56, which is the State's net expenditure for its citizen insane in 1912. Dividing the last amount by 22,383, the number of citizen patients September 30, 1912, gives $212.27, the per capita net expenditure of New York for each citizen patient in 1912. If the total net expenditure for 1912, $6,860,060.61, is divided by 31,624, the total number of patients September 30, 1912, the quotient is 216.93, the per capita net expenditure for the year for the average patient (whether citizen or alien).

"The above figures show that New York State's net expenditure in 1912 was $15.92 more for each alien insane patient than for