2. Over on the islands that lie strung along the river and far up the Sound the Nether Half hides its deformity, except on show-days, when distinguished visitors have to be entertained and the sore is uncovered by the authorities with due municipal pride in the exhibit. I shall spare the reader the sight. The aim of these pages has been to lay bale its source. But a brief glance at our proscribed population is needed to give background and tone to the picture. The review begins with the Charity Hospital with its thousand helpless human wrecks; takes in the penitentiary, where the "tough" from Battle Row and Poverty Gap is made to earn behind stone walls the living the world owes him; a thoughtless, jolly convict-band with opportunity at last "to think" behind the iron bars, but little desire to improve it; governed like unruly boys, which in fact most of them are. Three of them were taken from the dinner-table while I was there one day, for sticking pins into each other, and were set with their faces to the wall in sight of six hundred of their comrades for punishment. Pleading incessantly for tobacco, when the keeper's back is turned, as the next best thing to the whiskey they cannot get, though they can plainly make out the saloon-signs across the stream where they robbed or "slugged" their way to prison. Every once in a while the longing gets the best of some prisoner from the penitentiary or the workhouse, and he risks his life in the swift currents to reach the goal that tantilizes him with the promise of "just one more drunk." The chances are at least even of his being run down by some passing steamer and drowned, even if he is not overtaken by the armed guards who patrol the shore in boats, or his strength does not give out.
3. This workhouse comes next, with the broken-down hordes from the dives, the lodging-houses, and the tramps' nests, the "hell-box"  rather than the repair-shop of the city. In 1889 the registry at the workhouse footed up 22,477, of whom some had been there as many as twenty times before. It is the popular summer resort of the slums, but business is brisk at this stand the year round. Not a few of its patrons drift back periodically without the formality of a commitment, to take their chances on the island when there is no escape from the alternative of work in the city. Work, but not too much work, is the motto of the establishment. The "workhouse step" is an institution that must be observed on the island, in order to draw any comparison between it and the snail's pace that shall do justice to the snail. Nature and man's art have made these islands beautiful; but weeds grow luxuriantly in their gardens, and spiders spin their cobwebs unmolested in the borders of sweet-smelling box. The work which two score of hired men could do well is too much for these thousands.
4. Rows of old women, some smoking stumpy, black clay-pipes, others knitting or idling, all grumbling, sit or stand under the trees that hedge in the almshouse, or limp about in the sunshine, leaning on crutches or bean-pole staffs. They are a "growler-gang" of another sort than may be seen in session on the rocks of the opposite shore at that very moment. They grumble and growl from sunrise to sunset, at the weather, the breakfast, the dinner, the supper; at pork and beans as at corned beef and cabbage; at their Thanksgiving dinner as at the half rations of the sick ward; at the past that had no joy, at the present whose comfort they deny, and at the future without promise. The crusty old men in the next building are not a circumstance to them. The warden, who was in charge of the almshouse for many years, had become so snappish and profane by constant association with a thousand cross old women that I approached him with some misgivings, to request his permission to "take" a group of a hundred or so who were within shot of my camera. He misunderstood me.
5. "Take them?" he yelled. "Take the thousand of them and be welcome. They will never be still, by---, till they are sent up on Hart's Island in a box, and I'll be blamed if I don't think they will growl then at the style of the funeral."
6. And he threw his arms around me in an outburst of enthusiasm over the wondrous good luck that had sent a friend indeed to his door. I felt it to be a painful duty to undeceive him. When I told him that I simply wanted the old women's picture, he turned away in speechless disgust, and to his dying day, I have no doubt, remembered my call as the day of the champion fool's visit to the island.
7. When it is known that many of these old people have been sent to the almshouse to die by their heartless children, for whom they had worked faithfully as long as they were able, their growling and discontent is not hard to understand. Bitter poverty threw them all "on the county," often on the wrong county at that. Very many of them are old-country poor, sent, there is reason to believe, to America by the authorities to get rid of the obligation to support them. "The almshouse," wrote a good missionary, "affords a sad illustration of St. Paul's description of the 'last days.' The class from which comes our poorhouse population is to a large extent 'without natural affection.'" I was reminded by his words of what my friend, the doctor, had said to me a little while before: "Many a mother has told me at her child's death-bed, 'I cannot afford to lose it. It costs too much to bury it.' And when the little one did die there was no time for the mother's grief. The question crowded on at once, 'where shall the money come from?' Natural feelings and affections are smothered in the tenements." The doctor's experience furnished a sadly appropriate text for the priest's sermon.
8. Pitiful as these are, sights and sounds infinitely more saddening await us beyond the gate that shuts this world of woe off from one whence the light of hope and reason have gone out together. The shuffling of many feet on the macadamized roads heralds the approach of a host of women, hundreds upon hundreds--beyond the turn in the road they still keep coming, marching with the faltering step, the unseeing look and the incessant, senseless chatter that betrays the darkened mind. The lunatic women of the Blackwell's Island Asylum are taking their afternoon walk. Beyond, on the wide lawn, moves another still stranger procession, a file of women in the asylum dress of dull gray, hitched to a queer little wagon that, with its gaudy adornments, suggests a cross between a baby-carriage and a circus-chariot. One crazy woman is strapped in the seat; forty tug at the rope to which they are securely bound. This is the "chain-gang," so called once in scoffing ignorance of the humane purpose the contrivance serves. These are the patients afflicted with suicidal mania, who cannot be trusted at large for a moment with the river in sight, yet must have their daily walk as a necessary part of their treatment. So this wagon was invented by a clever doctor to afford them at once exercise and amusement. A merry-go-round in the grounds suggests a variation of this scheme. Ghastly suggestion of mirth, with that stricken host advancing on its aimless journey! As we stop to see it pass, the plaintive strains of a familiar song float through a barred window in the gray stone building. The voice is sweet, but inexpressibly sad: "Oh, how my heart grows weary, far from---" The song breaks off suddenly in a low, troubled laugh. She has forgotten, forgotten---. A woman in the ranks, whose head has been turned toward the window, throws up her hands with a scream. The rest stir uneasily. The nurse is by her side in an instant with words half soothing, half stern. A messenger comes in haste from the asylum to ask us not to stop. Strangers may not linger where the patients pass. It is apt to excite them. As we go in with him the human file is passing yet, quiet restored. The troubled voice of the unseen singer still gropes vainly among the lost memories of the past for the missing key: "Oh! how my heart grows weary, far from---"
9. "Who is she, doctor?"
10. "Hopeless case. She will never see home again."
11. An average of seventeen hundred women this asylum harbors; the asylum for men up on Ward's Island even more. Altogether 1,419 patients were admitted to the city asylums for the insane in 1889, and at the end of the year 4,913 remained in them. There is a constant ominous increase in this class of helpless unfortunates that are thrown on the city's charity. Quite two hundred are added year by year, and the asylums were long since so overcrowded that a great "farm" had to be established on Long Island to receive the surplus. The strain of our hurried, over-worked life has something to do with this. Poverty has more. For these are all of the poor. It is the harvest of sixty and a hundred-fold, the "fearful rolling up and rolling down from generation to generation, through all the ages, of the weakness, vice, and moral darkness of the past."  The curse of the island haunts all that come once within its reach. "No man or woman," says Dr. Louis L. Seaman, who speaks from many years' experience in a position that gave him full opportunity to observe the facts, "who is 'sent up' to these colonies ever returns to the city scot-free. These is a lien, visible or hidden, upon his or her present or future, which too often proves stronger than the best purposes and fairest opportunities of social rehabilitation. The under world holds in rigorous bondage every unfortunate or miscreant who has once 'served time.' There is often tragic interest in the struggles of the ensnared wretches to break away from the meshes spun about them. But the maelstrom has no bowels of mercy; and the would-be fugitives are flung back again and again into the devouring whirlpool of crime and poverty, until the end is reached on the dissecting table, or in the Potter's Field. What can the muralist or scientist do by way of resuscitation? Very little at best. The flotsam and jetsam are mere shreds and fragments of wasted lives. Such a ministry must begin at the sources--is necessarily prophylactic, nutritive, educational. On these islands there are no flexible twigs, only gnarled, blasted, blighted trunks, insensible to moral or social influences."
12. Sad words, but true. The commonest keeper soon learns to pick out almost at sight the "cases" that will leave the penitentiary, the workhouse, the almshouse, only to return again and again, each time more hopeless, to spend their wasted lives in the bondage of the island.
13. The alcoholic cells in Bellevue Hospital are a way-station for a goodly share of them on their journeys back and forth across the East River. Last year they held altogether 3,694 prisoners, considerably more than one-fourth of the whole number of 13,813 patients that went in through the hospital gates. The daily average of "cases" in this, the hospital of the poor, is over six hundred. The average daily census of all the prisons, hospitals, workhouses, and asylums in the charge of the Department of Charities and Correction last year was about 14,000, and about one employee was required for every ten of this army to keep its machinery running smoothly. The total number admitted in 1889 to all the jails and institutions in the city and on the islands was 138,332. To the almshouse alone 38,600 were admitted; 9,765 were 0 there to start the new year with, and 553 were born with the dark shadow of the poorhouse overhanging their lives, making a total of 48,918. In the care of all their wards the commissioners expended $2,343,372. The appropriation for the police force in 1889 was $4,409,550.94, and for the criminal courts and their machinery $403,190. Thus the first cost of maintaining our standing army of paupers, criminals, and sick poor, by direct taxation, was last year $7,156,112.94.
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 Dr. Louis L. Seaman, late chief of staff of the Blackwell's Island hospitals: "Social Waste of a Great City," read before the American Association for the Advancement of Science, l886.