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THIRD DAY.

MORNING SESSION.

Association called to order by the President at 9 A. M.

of the last meeting read and approved.

Minutes

Dr. C. A. Thompson moved that the Association adjourn at 12.30

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Dr. Hunt moved that a committee of three be appointed to notify Dr. Catlett of his election and to escort the new President to the Chair. Carried.

President appointed Drs. Brent, Jackson and Marsh that Committee.

Dr. W. J. Walker read a report on the Progress of Surgery. Discussed by Drs. Prewitt and Priest.

Dr. F. J. Lutz offered the following:

Resolved, That it is the opinion of this Association that all larger Medical Societies should demand of their members strict adherence to the Code of Ethics of the American Medical Association. Amended by Dr. C. L. Hall. "The State Association should impress upon the local societies the same injunction." Carried as amended.

Dr. C. A. Thompson moved that the President be allowed one month to make appointments on committees and the Secretary to publish the lists in the Medical Journal of the State. Carried.

Committee on Nomination made the following report:

Mr. President and Gentlemen of the Missouri State Medical Association: Your Committee on Nominations beg leave to report the result of their labors. Our deliberations have been harmonious, and while we were compelled to relinquish personal preferences we have endeavored to select gentlemen from the different portions of the State who are entirely worthy and competent to perform the duties imposed:

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Corresponding Secretary

Treasurer

R. F. BROOKS, Carthage

C. A. THOMPSON, Jefferson City

All of which is respectfully submitted,

J. M. ALLEN.
L. J. MATHEWS.

H. H. MUDD.

B. J. MILAM.

C. LESTER HALL.

Dr. O. A. Williams made the following motion:

WHEREAS, Dr. C. A. Thompson of Jefferson City, Mo., has been our Treasurer for many years; and,

WHEREAS, Said Dr. Thompson has with great labor and care discharged the duties of Treasurer with pleasure and profit to the Association. Therefore, be it

Resolved, That we hereby extend to our worthy Treasurer, Dr. C. A. Thompson, our hearty thanks for his valuable services and untiring energy and interest in the medical profession of Missouri.

Unanimously Carried.

Resolution of the McDowell Medical Association presented by Dr. Williams, and on motion of Dr. C. A. Thompson approved and referred to the Committee on State Medicine.

Resolved, That we, the members of the John McDowell Medical Association of Missouri, do hereby request the State Medical Association to use their influence in whatever manner possible in maintaining, improving and upholding the State Board of Health of Missouri.

S. H. REDMAN, Secretary.

J. B. STEWARD, President.

MORNING SESSION.

Dr. Evans of Boonville made the following motion.

Resolved, That the Committee on Publication be instructed to embody, in the form of an appendix to the printed Transactions of the Association, the Constitution and By-Laws of the State Medical Association. Carried.

Dr. J. W. Brent moved that the Code of Ethics of the American Medical Association be also printed in the Transactions. Carried. Dr. F. J. Lutz introduced the following motion, which was carried.

Resolved, That the thanks of this Society are due and are hereby expressed to the citizens and physicians of St. Joseph for the kind reception accorded to this Association; to the press and railroads for the interest shown in our proceedings, and especially to Dr. Catlett for the many courtesies shown the members and to the retiring officers for the faithful and satisfactory manner of performing their duties.

Dr. Shields made a verbal report in behalf of the Committee on State Medicine. "It had been almost impossible to secure the passage of laws restrictive of the habits and customs of the people, such as had been urged by the Association. Dr. O. A. Williams by great effort had secured the continuance of the Board of Health, which was accomplished only by compromise; provisions being introduced that were distasteful to the Association, but necessary to secure the vote of the Legislature; $6,000 was voted to defray the expenses of the Board for two years. At the last session, through the newspaper attacks on the personnel of the Board and through other hostile influences, such an opposition had been raised that five bills to repeal the Board of Health were severally introduced. These only failed because of large majorities required. A bill allowing$11,000 for the expenses of the Board was introduced by the committee in charge, but the appropriation was refused. Twenty-eight states, including Illinois, Arkansas, Iowa and Kansas surrounding Missouri have enacted statutes creating Boards of Health. Missouri is the first to refuse to sustain such a statute, hence Missouri is liable to be flooded with quacks if some means be not taken to maintain a State Board in its power. The State having refused to appropriate, the profession must be looked to to support the Board; by individual gratuitous services, as well as in every other way that shall be found essential. The Governor may think because the Legislature refused to make an appropriation, the people are opposed to the act creating the Board, which is not the case. The Profession should labor to sustain the people in the salutary object of the Board and secure their cooperation at the next meeting of the Legislature.

By expiration of term of office July 1, 1885, and by resignation, the whole personnel of the State Board of Health may change at that date. As these appointments are in the hands of the Governor, it is desirable that he should understand the present condition. Dr. Shields offered the following resolution:

WHEREAS, The Thirty-Third General Assembly in its wisdom, based on a prejudice to individual members of the State Board of Health, failed to make an appropriation for maintenance of said Board, thus jeopardizing the utility of our Practice Act, and Health laws, therefore, be it

Resolved, That this Society request the Governor to keep the Board of Health intact by filling all vacancies in such Board as they may occur. Carried.

Dr. Shields moved that these resolutions be properly engrossed and sent by the Secretary to the Governor as soon as possible. Carried.

Dr. Williams moved a vote of thanks be extended to Dr. Shields for his labors in behalf of the State Board of Health Bill. Carried.

Dr. C. A. Thompson offered to investigate the legal status of the Association which was in doubt.

Dr. Heddens made a motion accepting the offer of Dr. Thompson, and that the President with Dr. C. A. Thompson be made a committee to take charge of that business and report at the next meeting of the Association. Carried.

The committee of three appointed by the President escorted the President-elect, Dr. Catlett, to the chair, who thanked the Association for the honor conferred on him.

The outgoing officer, Dr. H. H. Middelkamp, responded to the remarks of Dr. Catlett, and surrendered formally his gavel of office. Minutes of the meeting read and approved. Association adjourned to meet in St. Louis the Monday preceding the day of meeting of the American Medical Association.

J. H. THOMPSON, Secretary.

THE PRESIDENT'S ANNUAL ADDRESS.

H. H. MIDDELKAMP, M. D.

GENTLEMEN OF THE MISSOURI MEDICAL ASSOCIATION:

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STRICTLY observed custom makes it obligatory on the president to deliver an annual address. Permit me at the outset to again thank you most cordially for the great and undeserved favor you have conferred upon me. You have my deepest and lasting gratitude, with the hope that you will extend to me your charitable forbearance for many imperfections and shortcomings. Trusting that you will lend me your kindly assistance in presiding over your deliberations, it shall be my constant aim to fill the chair in an impartial manner and to the best of my ability.

Some few thoughts that are uppermost in my mind on some of the questions that seem to engage the professional mind mostly at this time shall form the basis of my remarks, to which your attention is most respectfully invited.

MEDICAL EDUCATION.

No one will pretend to deny that the standard of medical education is being gradually and steadily elevated. Experience as well as observation indicate a healthy and a progressive advance all along the line of medical instruction. We, as Americans, can certainly feel satisfied with American efforts and accomplishments. We will surely be permitted to point to the advances and productions made in the various branches of medicine. But while we have great reasons to feel proud of the progress made, there is still a great deal to be done to raise and elevate the standard of medical education to that point it should ultimately reach in its elementary as well as in its higher branches. We instinctively turn with hopeful eyes to the teachers and leaders of our profession for still greater im

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