Tag Archives: Hospital
The most approved plan of an [military] Hospital [in Boston is] of 4000. square feet area, two stories … the rooms for the sick to be well aired …
Th:J. proposes to mr Gallatin that some such advertisement as the above be published in Washington where there are many architects who will probably compete for the premium. in the erection of public buildings, taste, convenience & economy should all be respected.
To Albert Gallatin, June 21, 1802
Patrick Lee’s Explanation
Public leaders should have strict standards for spending public money.
Congress had approved $15,000 for a hospital for ailing seamen in Massachusetts. President Jefferson wrote to his Secretary of the Treasury about soliciting architectural designs from architects in Washington and offered a $50 premium for the winning design.
Worth noting is his request that ” the rooms for the sick to be well aired.” He ascribed to a theory of healing that included fresh air as a necessary component, one not considered by most medical practioners of the day.
Jefferson noted three factors that “should all be respected” in the design of public buildings:
1. Taste – a strong and lasting visual appeal
2. Convenience – a design that facilitates the building’s intended use
3. Economy – remembering that public money was being spent
Gallatin did not issue the specifications as written by his boss. Neither did he solicit designs in Washington but only in Boston, where he said local residents would more appreciate a building designed by one of their own citizens.
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… the legislature is likely to establish a marine hospital at New Orleans, where we lose about 400. boatmen & seamen annually by sickness … I consider the nomination [of superintendent] to such a place as a sacred charge … I would greatly prefer those who have established a reputation by practice. I have however as yet but a single application from a Physician of any age & experience … the object of this letter is to ask your information of his [Dr. Barnwell of Philadelphia] character medical & moral, and that you will be so good as to write it to me candidly, unreservedly, and fully, assured that it shall be confined to myself alone …
To Caspar Wistar, March 22, 1802
Patrick Lee’s Explanation
Wise leaders need candid input on important personnel matters.
Wistar (1761-1818) was a noted Philadelphia physician and expert in anatomy, and a friend and confidante of Jefferson’s. The President expected a raft of applicants to lead the new hospital at New Orleans, but he preferred an experienced, capable doctor. He had received only one such application but didn’t know enough about the man. He sought Wistar’s opinion.
1. He needed to know about the applicant’s “character medical & moral.” Competency in medicine was not enough. He needed to be a moral man, as well.
2. He wanted Wistar to write him “candidly, unreservedly, and fully,” (emphasis Jefferson’s). His evaluation should be frank, truthful and complete.
3. He assured Wistar that his assessment would remain between the two of them only.
Wistar responded in the manner requested, but Jefferson subsequently appointed another to the position.