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ents) have amounted to over 51 millions. These figures give us some idea of the gravity of the problem in adults, towards the solution of which Mr. Watson offers some valuable suggestions, but, as in all schemes of rehabilitation, he is at last brought up with a round turn before the crucial dIfficulty-the difficulty which the sub- standard man must invariably find in competing for a livelihood in an open, and nowadays sadlv overcrowded, market. In this country we are only just beginning tc wake up to the importance of adequate ortho- paedic care and after care of accident cases; for children we have splendid orthopaedic schemes, but for adults much remains to be done, and Mr. Watson in his chapter on the American Scheme shows us how much. One must join issue with him in his sweeping comment on the value of sanatorium treatment which he describes as "still proving a danger to the national health." The charge that sana- torium treatment is useless has been frequently made, and as frequently refuted. It has re- mained for Mr. Watson to accuse this method of being even worse than useless. A good deal of space is given to the Village Settlement Scheme-the logical development to sanatorium treatment. The Village Settlement, however, although it is a contribution, and a valuable contribution, to the problem of the tuberculous wage earner, is by no means a solution to this problem. Even apart from its financial difficulties, which are sufficiently serious, it is too restricted in its appli- cation to prove a complete remedy, and neces- sarily so on medical and temperamental grounds. Many are treated but only a few can possibly be settled. It is easier for a camel to go through the eye of a needle than for a tuberculosis patient to qualify as a settler. As has already been pointed out elsewhere, a patient, before accept- ance as a settler, must be physically fit for em- ployment within the industries, and, theoretically, should not be so fit that he could follow a remun- erative occupation under ordinary conditions of life and employment. In some ways a more im- portant point still, is the fact that the patient must be temperamentally suitable for settlement life, and this postulates that he must be of good character, of a reasonable standard of intelligence and well endowed with commonsense. In other words, the type of case that is eminently suitable for settlement life is just the case that has a chance of making good outside the settlement. The Village Settlement, therefore, offers no solu tion to the problem of how to deal with the feck- less, foolish, careless. difficult consumptive, the very class of patient that constitutes the biggest problem in tuberculosis, and forms the greatest menace to the community at large. Another phase of the truth; of the dictum that "what is in the head, not what is in the lungs, determines the outlook in tubercle." Moreover, the Village Settlement cannot cater for the tuberculous wife or wife-to-be of the healthy wage earner, who although economically in a "sheltered" occupation obviously has no alternative except that of returning to a home fixed by the locus and nature of her husband's employment. All schemes of "sheltered" employment seem to indicate that the solution of the problem can only be hoped for by the establishment of an industry or combination of industries by the Government which would have to be subsidised by the State, either directly by grants or in- directly by creating a tariff protected monoply, employment within the industries and the ancil- lary callings locally dependent upon them being restricted to the tuberculous (or other variety) of the disabled population. The appendices are very useful, but Mr. Wat- son has been a little less than kind to the Welsh National Memorial Association, which caters for surgical tuberculosis cases throughout the whole of Wales, and their continued treatment clinics cover the country, being centred on the North Wales Sanatorium (for North Wales), on the Glan Ely Hospital (for South East Wales), on the Craig-y-nos Hospital (for Mid South Wales), and on the Kensington Hospital St. Brides (for West South Wales). This instructive study is fitly and rightly dedi- cated to Sir Robert Jones, and to us in Wales it ought to be a source of pride that the pioneers in the treatment, training and rehabilitation of the cripple are fellow countrymen, Hugh Owen Thomas, Robert Jones and Varrier-Jones, to whom we must add as she belongs to us by adop- tion, seeing that she lives next door and has taken us under her wing, as we have long ago 'taken her into our hearts, the distinguished founder of "Baschurch," Dame Agnes Hunt. Information concerning the activities of the League of Nations and of the League of Nations Union may be obtained from the Secretary, Welsh League of Nations Union, 10, Museum Place, Cardiff.