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UNITED STATES DEPARTMENT OF LABOR JAMES J. DAVIS, Secretary BUREAU OF LABOR STATISTICS ETHELBERT STEWART, Commissioner BULLETIN OF THE UNITED STATES 1 BUREAU OF LABOR STA TISTICS] • • • • M I S C E L L A N E O U S M A QA NO. S E R I E S CARE OF AGED PERSONS IN THE UNITED STATES OCTOBER, 1929 UNITED STATES GOVERNMENT PRINTING OFFICE WASHINGTON: 1929 For sale by the Superintendent of Documents, Washington, D. C. - Price 70 cents Acknowledgment This report was prepared by Florence E. Parker, of the U. S. Bureau of Labor Statistics, with the exception of Chapter II, prepared by Estelle M. Stewart, of the U. S. Department of Labor, and Chapters X II and X III, by Mary Conymgton, of the U. S. Bureau of Labor Statistics. Contents Page Chapter I.— Summary_________________________________________________________ Retirement and pension plans___________________________________________ Homes for the aged______________________________________________________ Chapter II.— American almshouses___________________________________________ Systems of control________________________________________________________ Systems of operation_____________________________________________________ Value of property, income, and maintenance___________________________ Chapter I I I .— Care of old people in homes for the aged___________________ Number of persons provided for________________________________________ Age of homes__________________________________________ __________________ Entrance requirements___________________________________________________ Types of persons now in homes__________ ________________ ______________ Withdrawals and dismissals__________________ __________________________ General atmosphere and spirit of homes________________________________ Duties of residents_______________________________________________________ Privileges of members, and benefits provided__________________________ Supplementary activities of homes__________________ ___________________ Maintenance and cost of homes_________________________________________ Administration of old people’s homes___________________________________ Physical conditions at the homes_______________________________________ Chapter IV .— Care of aged by the Federal Government___________________ Soldiers’ pensions_________________________________________________________ Soldiers’ and sailors’ homes______________________________________________ Chapter V .— State provision for the aged___________________________________ Public pensions for aged dependent citizens____________________________ Progress of the movement in the United States__________________ Provisions of pension laws__________________________________________ Old-age pension laws in operation__________________________________ Criticisms of old-age pension systems now in force_______________ Appraisal of pension system by counties__________________________ Homes for soldiers and sailors and their wives and widows___________ Entrance requirements______________________________________________ Medical and recreational provision_________________________________ Home location and plant____________________________________________ Other State homes for aged______________________________________________ Chapter V I.— Care of the aged by labor organizations_____________________ Old-age and disability pensions_________________________________________ Requirements for receipt of pension_______________________________ Amounts of annuity, and expenditure for pensions_______________ Source of revenues of plans_________________________________________ Basis and status of trade-union pension plans_____________________ Payments to wife, widow, or other beneficiaries__________________ Discontinued or rejected plans_____________________________________ hi 1 1 3 6 7 7 8 13 14 17 17 23 25 26 27 28 32 32 34 42 63 63 64 68 68 68 69 73 75 75 80 83 83 83 84 86 86 87 88 90 93 94 95 IV CONTENTS Chapter V I.— Care of the aged by labor organizations— Continued. Homes for the aged______________________________________________________ Carpenters’ Hom e___________________________________________________ Printing Pressmen’s H om e__________________________________________ Home for Aged and Disabled Railroad Employees_______________ Railway Conductors’ H om e________________________________________ Union Printers’ H om e_______________________________________________ Chapter V II.— Care of the aged by religious organizations_________________ Church pension and relief plans for ministers__________________________ Seventh-Day Adventists____________________________________________ Northern Baptist Convention_____________________________ ________ Congregational Church_____________________________________________ Latter Day Saints________________________________ ___________________ Methodist Episcopal Church (North)_________________ ____________ Methodist Episcopal Church, South________ ______________________ Moravian Church (Northern Province)___________________________ Presbyterian Church (N orth)_______________________________________ Presbyterian Church (South)_______________________________________ •Protestant Episcopal Church_______________________________________ Reformed Church in the United States____________________________ Roman Catholic Church____________________________________________ Unitarian Church____________________________________________________ Church of United Brethren in Christ______________________________ Other churches having pension plans______________________________ Pension and insurance plans of church fraternal organizations_______ Homes for the aged maintained by religious organizations____________ Terms of admission__________________________________________________ Rules and regulations governing home____________________________ Duties of residents__________________________________________________ Benefits provided____________________________________________________ Support and cost of homes_______________________________________ _ Land holdings______________________________________________________ ■_ Value of home property_____________________________________________ Chapter V II I.— Provision for the aged by fraternal organizations________ Fraternal insurance_______________________________________________________ Pension plans_____________________________________________________________ Old-age relief______________________________________________________________ Homes for the aged_______________________________________________________ Terms of admission________________________ r ________________________ Benefits provided_________________ __________________________________ Duties of inmates____________________________________________________ Support and administration of home_______________________________ Cost of operation of homes_________________________________________ Homes proposed or in process of building_________________________ Chapter I X .— Care of the aged by various nationality groups_____________ Old people’s homes_______________________________________________________ Terms of admission__________________________________________________ Benefits provided____________________________________________________ Duties of residents___________________________________________________ Support of home_____________________________________________________ Cost of operation__________________________________ _____________ _ - Other provision for the aged___________________________________ Page 96 96 97 98 101 102 110 110 113 114 115 117 117 119 119 120 121 122 123 124 126 126 126 127 128 131 140 142 144 151 156 157 158 158 158 159 160 163 166 167 167 169 173 175 175 176 180 181 181 181 182 CONTENTS Y Page Chapter X .— Old people’s homes of other organizations____________________ Terms of admission_______________________________________________________ Duties of residents________________________________________________________ Benefits provided_________________________________________________________ Location, and home plant________________________________________________ Support of home__________________________________________________________ Cost of operation_________________________________________________________ Chapter X I .— Private benevolent homes for the aged______________________ Size of homes______________________________________________________ ____ _ Age of homes________________________________________________ ___________ _ Kind and character of persons admitted__ _____________________________ Terms of admission___________________ ____________ _______________________ Duties of residents________________________________ _ _.____________________ Benefits provided_____________________________ _______________ ____________ Special activities _ ^___________________________ ____ _______________________ Location, and home plant________________________________________________ Support of home__________________________________________________________ Cost of operation_________________________________________________________ Chapter X I I .— Retirement systems for public employees__________________ Federal employees’ retirement system__________________________________ Scope of the system _________________________________________________ Source of funds. I ____________________________________________________ Conditions for retirement___________________________________________ Allowances___________________________________________________________ Refunds______________________________________________________________ Provision for dependents____________________________________________ Statistics of system__________________________________________________ Retirement of State and municipal employees_________________________ Systems for State employees_______________________________________ Systems for municipal employees__________________________________ Retirement systems for police and firemen_____________________________ Police retirement systems___________________________________________ Retirement systems for firemen____________________________________ Combined systems for police and fire departments_______________ Principal provisions of plans________________________________________ Statistics of the systems____________________________________________ State and city retirement systems for teachers_________________________ Scope of systems_____________________________________________________ Date of establishment, and membership___________________________ Employee representation in management__________________________ Character of plans and source of funds____________________________ Conditions for retirement___________________________________________ Retirement allowances______________________________________________ Refunds______________________________________________________________ Provision for dependents____________________________________________ Principal provisions of plans________________________________________ Statistics of State and city systems________________________________ Carnegie fund for teachers’ retirement__________________________________ 1 Present plan_________________________________________________________ Teachers’ Insurance and Annuity Association____________________ Annuitants, and annuities paid in 1 9 2 7 -2 8 ______ _________________ Special reserves of the foundation_________________________________ 184 185 187 188 188 189 190 191 192 193 194 194 201 202 209 210 213 214 219 219 219 219 220 220 221 221 221 222 227 233 242 242 249 255 257 264 264 265 266 266 267 271 273 275 276 276 283 283 284 285 286 286 VI CONTENTS Page Chapter X I I I .— Pension plans of private employers________________________ Kinds of pension plans____ ___ _____________________________________ Purpose of pension plans____________ ___________________________________ Attitude toward pension plans__________________ ________________________ Substitutes for pension systems_________________________________________ Chapter X I V .— Insurance annuities as support for old age________________ Insurance annuities purchased from eight companies__________________ Savings bank annuities in Massachusetts_______________________________ State insurance in Wisconsin____________________________________________ Appendix.-— Menus of representative h o m e s ......___________________________ ____ ______.. . . Index___ ______ _____________________ 287 288 288 289 292 296 296 297 298 299 303 BULLETIN OF THE U. S. BUREAU OF LABOR STATISTICS NO. 489 WASHINGTON OCTOBER, 1929 CARE OF AGED PERSONS IN UNITED STATES Chapter I.—Summary B ECAUSE of the growing interest in the subject of the care of the dependent aged in the United States, the Bureau of Labor Statistics has recently been making a survey of the various means by which wage earners and others are provided for in their old age. Earlier studies of the bureau have dealt with the subject of Amer ican almshouses, retirement systems for public employees of various classes (Federal, State, and municipal employees, teachers, policemen and firemen, etc.), and pension plans for employees in private industry. The present study rounds out and supplements these earlier studies, bringing together in summary form the material already collected, and adding new data on homes for the aged, on the present status of public old-age pensions in the United States, and on the ministers’ pension plans of religious denominations. As is seen, these various means of care all fall under one or the other of the two classifications—pensions or homes. Retirement and Pension Plans HERE are many systems of retirement in this country for superannuates. Members of the military services of the United States receive pensions from the Federal Government, and employees in the United States Civil Service have a contributory annuity system of retirement. Private citizens in 10 States who are in need may receive an old-age pension, and State and municipal employees are quite generally provided for by retirement systems. Teachers form a class of public employees widely provided for, as also do police and firemen. Also, teachers in universities and colleges may benefit under the retirement fund of the Carnegie Institution. Certain private agencies have made provision for their aged employees. Pensions for superannuated clergymen are increasingly prevalent. Many private industrial employers, including the large railroads of the country have adopted retirement plans of some sort. Even a few of the fraternal organizations and a small number of the trade-uni'ons have pension plans. To receive the annuity or pension, a certain age (usually 60 to 70 years) must have been reached, and a certain period of service or membership (generally from 25 to 30 years) in the organization is also required. T 1 CARE OF AGED PERSONS IN UNITED STATES 2 Retirement plans may be either contributory or noncontributory on the part of the beneficiary. The Federal military pensions are noncontributory, but the cost of the retirement system for Federal employees has been largely borne by the employees themselves. Eight1 of the 10 States which provide old-age pensions for citizens who are in need have systems by which the adoption of the plan is optional with the individual counties and the whole cost is borne by them. In the other two instances the State bears part of the cost (one-third in Wisconsin and one-half in California). All but 7 of the approxi mately 70 State and city retirement systems for public employees (including teachers, police, firemen, and others) require contribu tions from the employees. This is true also of the Carnegie Teach ers’ Insurance and Annuity Association plan. The cost of the tradeunion pension plans is, of course, borne entirely by the member ship, sometimes through the medium of a per capita tax for this particular purpose, sometimes from the general funds of the union, and sometimes (in those cases in which membership in the pension plan is optional) only by the members of the pension system. In dustrial pension plans are divided as between the contributory and noncontributory types. In order to give some idea of the number of persons protected by retirement plans, the number of beneficiaries under such plans, and the cost, the following table was compiled. This table makes no pretense as to completeness, except as regards the Federal, Carnegie, trade-union, and fraternal systems. The data shown as to the citizens’ pension plans are without doubt practically complete, for while reports were not received from all the counties in those States having pension plans, it is probably safe to say that practically all of the counties which have adopted the scheme have replied. The data as to public employees are far from inclusive, however. Taking the country as a whole, there are literally hundreds of such plans. There is a police and firemen’s retirement system in almost every city, and, as already stated, systems for teachers are also very general. The bureau’s studies, however, have covered only the six States having a state-wide plan and the plans of those cities of a popula tion of 400,000 or over. No data are available as to the extent and coverage of the industrial pension plans. Many studies, public and private, have been made of these, but none have been all inclusive. Epstein, in his Challenge of the Aged, estimates that his study of 370 such plans covered approximately 90 per cent of the total number, that some 90,000 are receiving pensions from their employers, and that the amounts so spent total about $43,000,000 per year. All the above limitations should be borne in mind when studying the table. i C olorado, K e n tu ck y , M a ry la n d , M in n esota, N e v a d a , U ta h , and W y o m in g . CHAPTER I.— SUMMARY TABLE i .— n u m b e r o f 3 b e n e fic ia r ie s a n d a m ou n ts P E N S IO N O R A N N U IT Y P L A N S T y p e of pension or a n n u ity Federal: M ilita ry service_____________ ______ __________ _____ C ivil service____________________ _______ _____ ____ __ State: P rivate citizens 2 ____________________________________ State em ployees 3_______ ______ ______________________ Teachers 4 ___________________________________________ M u n icipa lities: Teachers 5____ . . . ................... ........................ ........... P olice and firem en 6_______________ _______ ______ __ O ther m unicipal em ployee 7_ _______________________ Carnegie teachers’ retirem ent fu n d _______ _________ __ L a bor organizations___________________ _________________ M in isters' r e t i r e m e n t _______________________________ Fraternal organizations_________ ________________________ P rivate industrial pension plans 10__ _ ______________ __ Insurance ann uities........................ ....... ............... ..................... N u m ber in system d is b u r s e d u n d e r A v er N u m b e r of A m o u n t spent age per benefi in allow ances benefi ciaries in one year ciary 453,088 15,383 $228,965, 672 10,990,454 $466 734 0) 31,572 371,835 1,003 1,458 13, 094 208, 624 968,984 5,977, 675 208 550 457 54, 776 67, 765 93,374 8 7,600 0) 0) 0) 951,801 “ 59,075 3,949 20, 327 4, 619 922 11, 306 14,806 152 10,644 0) 3,829,989 14, 768,605 3,373, 644 1,372,866 3,350,995 5, 594,862 21, 890 6, 674,044 (0 970 726 730 1, 489 296 373 144 627 0) 550, 751 286,098,304 519 0) 0) T ota l ____________ _________ _______________________ 1 N o data. 2 6 States havin g old-age pension laws. 35 State system s. 4 16 State system s. 5 7 city system s. 6 17 cities. 7 9 cities. 8 U nder an n u ity plan. 9 11 national organizations. 10140 plans. 11 W ritten b y 8 large insurance com panies and b y the M assachusetts savings banks. Homes for the Aged A S IS well known, the Federal Government operates a number of l homes for disabled soldiers in various parts of the country, some of whose inmates are aged. Also, the majority of the States have established homes for soldiers of the Civil War (admitting also, in many cases, their wives or widows), of which a number have also begun to admit soldiers of the later wars— Indian, Spanish, and Mexican^and even of the World War. There are still, however, many residents of these homes who come properly within this study of the aged. In addition to these homes there are many homes for the aged maintained by organizations of various types. Thus a number of the fraternal organizations have such homes, as have also a very large number of churches and other religious organizations, and a third large group of homes is run by private philanthropy. In addition there are a number of homes for the aged supported by groups of various na tionalities— German, Scandinavian, English, Scottish, etc.— for the benefit of their fellow countrymen. All of these types of homes have been included in the bureau’s study. From all possible sources of information the bureau was able to ascertain the existence of some 1,270 homes for the aged in this coun try, and data have been obtained for 1,037. These include 9 Federal soldiers or sailors’ homes, 46 State homes, 102 fraternal homes, 444 homes maintained by religious organizations of various sorts, 38 homes of miscellaneous organizations, 33 homes of nationality groups, 5 trade-union homes, and 360 private homes. 4 CARE OF AGET) PERSONS IN UNITED STATES The 1,037 homes for which data were obtained are caring for 68,659 persons at an annual cost of $26,306,477. This number does not include persons cared for in almshouses, a study of which in 1923 and 1924 showed a resident population therein of 85,889 and an annual disbursement of $28,740,535. Homes for the aged are, in general, most numerous in industrial sections and least numerous in the agricultural parts of the country. Some of the homes have been in existence a long time. Thus, three were found which were established more than 100 years ago, and more than a sixth of the total number have been in existence half a century or more. Not everyone is eligible to these homes: 59 take only men, 328 take only women, 39 take individuals of both sexes, and 608 take both sexes and married couples as well. Also, membership in the group which is supporting the home is often a requisite. Thus, the homes of tradeunions and fraternal organizations take only members of the organiza tion; church homes usually require membership in the denomination. Residence requirements are common among the homes supported by contributions from the community. In cases where the home is supported by the proceeds of a legacy, the applicant must fill the membership requirements laid down in the will of the founder. Age requirements are also common, 60 and 65 years being the most com mon ages below which admission is denied. In most instances the home contracts, for a flat sum, usually of $300 or $500, to care for the inmate for the remainder of his life, whether this be 1 year or 20 years. For this sum the resident receives board, lodging, and laundry, in the majority of cases nursing and medical care, in some instances an allowance for “ pin money,” and also in some cases burial in the home’s burial plot. Each incoming resident is accepted on probation for a period of from three to six months. At the end of that time, if still acceptable, the inmate becomes a life member of the home. If, however, the applicant is found not to be congenial, or is a trouble maker, or is for any other reason considered undesirable, he is dismissed and his entrance fee returned, minus a small weekly charge for board and room during the period of probation. Once accepted, the inmate becomes eligible to all the privileges of the home. All life residents are treated alike regardless of the amount turned over to the home at time of admission, the only exception being that those who had property in excess of the admission fee often receive interest on the excess. The guests are usually free to go and come as they please during the day, though for safety’s sake they are often required to return by a fixed time at night. Some of the homes have specified days and hours for the reception of visitors, but most of them are very lenient in this respect. It is also a general practice to permit guests to go aw^ay for extended visits to friends and relatives, their places being reserved for them during their absence. Physical conditions at the homes.— Most of the data regarding the homes had to be gathered by mail, but in order to obtain information as to the actual conditions under which the old people are living, personal visits were made to some 150 homes of all types. CHAPTER I.----SUMMARY 5 The overwhelming majority of these homes were in or just outside some city or town. With a few exceptions, the homes were found to be well located and housed in good buildings. Generally the rooms were well arranged, especially in cases where the building had been built for the purpose of an old people’s home. Although the yard space available varied in size from one small city lot to grounds of more than 2,000 acres in extent, almost invari ably an attempt had been made to beautify the grounds with lawns, flowers, and shrubs. Some homes were outstanding by reason of the beauty of the grounds. The average home visited provided at least one well-furnished general sitting room for the use of the residents, and sun parlors were very frequently found. Individual bedrooms were found to be the general rule, though a few institutions require two residents to share a room, and some homes operate on the dormitory system. The bedrooms varied greatly in attractiveness, from dark, poorly furnished rooms to those which were light, cheerful, and well furnished. In general the sleeping accommodations were good. Where opportunity offered to judge the menus and food served, the latter appeared to be good in quality, though plain and perhaps lacking something in variety. The homes are usually run by a board of directors which has full powers, in most cases, through committees. Actual management is in the hands of the matron, and she holds the most important position in the home, from the point of view of the inmates. It was found that, as a group, the matrons were of a type above the average, being in a number of cases women of superior ability. The exceptions were so infrequent as to be noticeable for that very reason. Study of the homes leads to the conclusion that while the existence of a good, live, house comittee of the board of directors is very important, to a very much greater degree the success of the home and the happiness of the residents depend upon the personality and ability of the matron. The physical and mental well-being of the residents are in her hands. It was therefore interesting to find that in the great majority of the homes visited the matron had succeeded in making the scene of her endeavors a real home. Chapter II.—American Almshouses HE almshouse or poorhouse or poor farm, as it is variously known, has been the long-established method of taking care of aged dependents in the United States. Until comparatively recently, these institutions were accepted more or less as a matter of course. During the past few years, however, discussions of old-age pension and retirement plans have led to more critical examination of the conduct and cost of the almshouse system. In 1923 and 1924 the Bureau of Labor Statistics made a study of poor farms and almshouses in each of the 48 States. Cooperating with the bureau, various fraternal organizations throughout the country supplemented the scope of the Government investigation. The bureau found the value and extent of public property used or intended for poor farms and almshouses and the cost of operating these institutions over a period of one year, while the fraternal societies studied the physical and social conditions surrounding alms house inmates. The bureau’s report1 covered 2,183 almshouses, or 93 per cent of the public pauper institutions of the country. These almshouses were sheltering a total of 85,889 persons. Though some institutions were good, appalling conditions were found in others. Many of the houses were dangerous firetraps. Conditions of extreme filth and the grossest neglect were discovered. Moral conditions were often very bad. Generally the diseased mingled freely with the well inmates. No restraint was exercised, and inmates were free to leave when so inclined, even though a menace to society because of disease or mental condition. Not all of the inmates were aged people; on the contrary they in cluded persons of all ages, from babes in arms to men and women of extreme age. The inmates included children, hospital cases, feeble minded, insane, deaf and dumb, and blind, as well as able-bodied and mentally capable paupers. In New England, particularly in Massa chusetts, the insane had been removed to insane asylums and an effort was being made to remove to suitable institutions the feeble minded and epileptic. “ The result is that the almshouses of New England more nearly fulfill the real purpose of an almshouse— that of providing refuge and care and a fair degree of comfort to the old and infirm— than those of any other section of the country.” No data are available as to what proportion of the inmates of the almshouses in the United States come properly within the scope of this study of aged. The almshouses are, however, included here be cause they are one means by which some of the aged in this country are cared for. It was found that the average cost of maintaining these 85,889 paupers in almshouses was $334.64 each for the year. The average number of acres of institutional land per inmate was 4.02, over half of which was being cultivated. The total property value per inmate T i P u blish ed as B u lletin N o . 386, 6 CHAPTER II.— AMERICAN ALMSHOUSES 7 was $1,752.09. The income per pauper from the sale of farm prod ucts was $33.91. The maintenance cost per inmate was found to vary greatly from State to State; for example, this average cost in Alabama was $187.53 and in Nevada it was $865.10. These 2,183 almshouses had 345,481 acres of land, of which 184,087 acres were cultivated. The value of the land and farm equipment was $48,366,556 and that of the buildings and furnishings $102,118,675, repre senting a combined investment of $150,485,231. Systems of Control I n m o s t States the governing body of the county, whether known as county commissioners, trustees, or supervisors, constitutes the controlling responsible factor in almshouse management. In New England, control is vested in the town, with the overseers of the poor as the immediately responsible officials. California, Michigan, and New York have an elected county official, usually called the county superintendent of the poor, who is the administrative head of public poor relief, including the county almshouse. In Louisiana the police jury is the controlling body, and in Arkansas, Missouri, Oregon, and West Virginia the almshouses are under the jurisdiction of the county courts. In States which have official bodies in the field of public charity and social work, such as State departments of public welfare, public welfare commissions, State boards of charity, and the like, some degree of centralized control, or at least supervision, obtains. In only one, however, has the State body actual authority over the local man agement. The Michigan State Welfare Department has power to enforce its recommendations for the improvement of physical condi tions in county almshouses, and to administer State laws with regard to poor relief. But in most States the State body merely has the right to inspect local institutions and to recommend changes and improvements. Systems of Operation Tw o d i f f e r e n t s y s t e m s of operation of almshouses are found in practically every State. These are (1) direct management by the county officials, or, in States not organized on the county basis, the poor officials, through a hired superintendent or “ keeper,” and (2) the contract system. The first prevails in 88 per cent of the institutions. Under it the public officials responsible for the care of paupers and the adminis tration of the poor laws employ a superintendent, on a stated salary, to run the almshouse. This superintendent either has a definite appropriation on which to operate, as is the case in the large institu tions, or he charges the needs of the institution to the county or town and the treasurer pays all bills. The produce of the farm belongs to the institution. What is not consumed by the inmates and staff is sold, the proceeds in some cases reverting to the local treasury and in other cases being available to the superintendent for almshouse use. Other employees are hired by the officials, the number depend ing on the size of the farm, the number of inmates, and the funds available. 8 CARE OF AGED PERSONS IN UNITED STATES The hired manager thus becomes the immediately responsible party. Theoretically he is held accountable by the public, through its selected officials, for the successful, economical, and humane administration of the almshouse. The degree of supervision over him maintained by county and town officials depends, of course, on the interest which those officials take in their local institutions and the conscientiousness with which they discharge their duties. Under the contract system responsibility is even less definitely fixed. By this scheme the farm and almshouse are leased to an operator for the care of the poor. There are several different ways in which this plan is used. One is on a “ full maintenance” contract, under which the lessee operates the farm and takes entire care of the inmates, feeding and clothing them, and furnishing necessary med ical attention for a stipulated sum per inmate per month, paid by the community. This sum is usually $25, $30, or $35 per month. Produce of the farm is consumed in the institution, and generally the lessee is entitled to the proceeds of the sale of the surplus after almshouse needs are supplied. More frequently, however, the lessee is paid a much smaller amount, ranging from $7 to $20 and averaging about $12 per month, for the board of each inmate, the county or town furnishing in addi tion clothing, bedding, fuel, tobacco, medical service, and drugs. Under this arrangement the lessee generally pays a nominal rent for the farm ($75 to $150 a year), furnishes his own farm implements, and is entitled to all produce. This system is quite extensively used throughout the South. It should be understood that “ contract,” as here used, refers to contracts leasing public almshouse property. There is, of course, another form of contract for the care of paupers used in many coun ties and communities which do not maintain almshouses. That is the system by which an individual farmer undertakes for a certain amount of money to board and care for paupers on his own farm and in his own home. This expenditure would have to be included in any complete survey of the entire expense of maintaining paupers. But inasmuch as no capital investment of public money is involved, this form of pauper maintenance, as well as outdoor relief, was not in cluded in the bureau’s study of the subject. Value of Property, Income, and Maintenance I n o r d e r to show the public expenditure for this institution, the almshouse, statistical data showing the plant, cost of operation, etc., are given in the tables following. Table 2 shows the number of institutions reporting, the average number of inmates, and the total value of the institution’s property. CHAPTER IT.— AMERICAN ALMSHOUSES T able 9 2 .— N U M B E R OF A L M S H O U S E S , A V E R A G E N U M B E R OF IN M A T E S , A N D T O T A L VALUE OF P R O P E R T Y , B Y ST A T E N u m ber o f insti tutions reporting State A la b a m a ______ ________________________________ __ . . A rizon a __________________ _____________ _______ A rka n sas___________________________________ ___ C a lifornia____________ _ ________ __________________ C o lo r a d o . ___________ _________ ___ Connfintimit, D elaw are ________ D istrict of C olu m bia F lorid a __________________ . . . ______ ______ ■___ __ _________________ _ G e o r g ia _____________ Idah o _______________ _ ___ ___ ________ ______ __________ Illin ois_________________ __ ___ _ ____ In dian a_______ I o w a ________ K ansas______ _ . Lou isiana - _________ M ain e - -- _____ M a ryla n d - ________ _________ M assachusetts M ich igan - ___________ M in n esota .. ______ M ississippi - __________ M issouri _ _ __________ M on ta n a __________ N ebraska __ __ __ ______ N eva d a . _ _ ________ _______ N ew H a m p s h ire.. __ _ _________ _______ N ew Jersey. - _________ N ew Y ork _ _ _ _ . ______ N orth Carolina __ _ _ ___________ _. N orth D a k ota __ __ _______________ O hio __ - _______ __ O klahom a _________ _ - - - ______________ ____ O regon ____ ____ _____________ - . . . ____________ P en n sylva n ia ________ ____ ______ R h o d e Island __ _ ___ _____ _______ South C a rolin a. __ . __ _ __________ South D a k ota __________ T en nessee. _ _ ___ . _ _______ T exas ____________ U ta h ___________________________ ___________________ V erm on t _ - __ V irgin ia . _ _______ __ - __ - __________ W a s h in g to n ._______ __ . . - ___ W est V irgin ia ______ __ _______ _ __ _ _ ____ ___ W is c o n s in .______ __ ____________ . . . _____ W y o m_ in g _____ T o t a l . . ______ _ - ... _____ __ _. A v erage nu m ber o f inm ates V a lu e of prop erty M ales 55 7 28 42 25 48 2 1 11 58 10 90 92 97 83 71 5 100 15 144 81 44 27 85 22 54 8 11 30 61 97 11 89 31 17 79 20 27 29 59 54 7 38 91 24 45 52 6 432 162 216 4,485 702 919 180 197 155 378 105 4,095 2,177 1,945 775 619 17 439 687 3,738 3,678 854 130 1,955 247 417 107 719 1,438 6,092 830 110 4,844 254 499 7,272 431 229 138 799 657 181 157 632 747 409 1,389 30 2,183 57,688 Fem ales 448 21 165 1,325 376 452 55 107 78 464 28 1, 583 1,041 1,171 316 417 8 262 290 2,321 1, 544 177 108 889 23 163 19 410 669 3, 111 954 48 2,303 92 64 3,401 336 240 48 796 294 79 82 567 115 284 454 3 28,201 T o ta l 900 183 381 5,810 1,078 1, 371 235 304 233 842 133 5, 678 3,218 3,116 1,091 1,036 25 701 977 6,059 5, 222 1, 031 238 2,844 270 580 126 1,129 2,107 9,203 1,784 158 7,147 346 563 10, 673 767 469 186 1, 595 951 260 239 1,199 862 693 1,843 33 $516, 225 236,095 395, 925 6,654,845 806, 502 2,939, 398 613, 800 325,000 345,170 843, 506 323, 930 14, 633, 819 6,149, 242 9,117,087 2, 205, 063 1, 373, 629 11, 300 1, 208, 902 3, 098, 740 9,073, 572 5, 955,179 2, 424, 264 98,920 5, 952, 581 518, 747 2,148,053 176, 530 1, 631,071 3, 682, 499 16, 321,338 3, 313, 694 457, 561 11, 828,020 632,161 633, 720 16,376,833 2, 707, 926 688, 298 1,041, 765 1, 983,469 1,399, 506 656,860 437,025 1, 778,829 1, 677,828 1, 608, 771 3,364, 510 117, 525 85,889 150,485, 233 CARE OF AGED PERSONS IN UNITED STATES 10 The following table shows the annual income from various sources and the annual maintenance cost, by State: T a b l e 3 .— A N N U A L I N C O M E A N D M A I N T E N A N C E C O S T O F A L M S H O U S E S , B Y S T A T E i State A la b a m a _______ ______ A riz o n a ............... ............ A rkansas......................... C a liforn ia....... ................ C o lo r a d o ........................ C o n n e cticu t__________ D elaw are_____________ D istrict of C o lu m b ia . F lorid a_______________ G eorgia____ __________ I d a h o _________________ Illin ois..................... ....... In d ia n a _____ _____ ____ I o w a ___________ ______ K an sas_______________ K e n t u c k y ____________ L ou isian a_____________ M a in e ________________ M a r y la n d ...................... M assachusetts. _.......... M ic h ig a n _____________ M in n esota ____________ M ississip p i___________ M issou ri______________ M o n ta n a _____________ N ebrask a_____________ N e v a d a _______________ N ew H am psh ire_____ N e w Jersey___________ N e w Y o r k _____ ______ N orth C arolina_______ N orth D a k o ta ________ O h io __________________ O kla h om a____________ O regon _______________ P en n sylva n ia ________ R h od e Isla n d _________ South C a rolin a _______ South D a k o ta ________ T en nessee____________ T e x a s .. _____ _________ U ta h __________________ • V e r m o n t_____________ V irgin ia ______________ W a sh in g ton .................. W est V irgin ia ............... W iscon sin __________ W y o m in g ................... .. T o t a l 2. Num ber of insti tutions report ing 55 7 28 42 25 48 A n n u al in com e from — P u b lic funds 6 $164,022 107,614 102,963 2, 510,064 236, 216 532, 740 77,482 84, 752 72,914 214,049 45, 651 1,627, 547 955, 577 771, 901 257, 277 193,114 5, 940 253, 921 245, 902 2, 723, 313 1,452, 322 371, 970 50,637 622, 237 143, 699 207,654 104, 547 361, 490 759,220 2, 552, 690 387,170 64, 093 2,016,850 99,357 137, 889 2, 820,177 239, 511 120, 372 78,072 327, 225 223,067 88, 358 102,007 253,456 262, 655 179, 965 432, 670 20, 635 2,183 25,662, 954 2 1 11 58 10 90 92 97 83 71 5 100 15 144 81 44 27 85 22 54 8 11 30 61 97 11 89 31 17 79 20 27 29 59 54 7 38 91 24 45 52 Sale of farm p rodu ce R efu n d O ther sources $2,000 $2,789 574 8,358 194, 226 17, 767 51, 552 1, 639 245 1,480 134, 561 8, 773 45, 580 521 9,800 9,101 5,956 197, 516 118, 346 309, 345 61, 573 19, 660 683 1,132 847 36.000 20, 443 78.000 9,836 11, 625 93,447 14, 285 279, 906 92, 411 60, 531 250 49, 633 6,167 60,178 774 100, 740 53,438 203, 894 33, 565 15,168 248, 787 6,789 4, 751 177,120 45,499 15, 650 26,062 25, 712 52, 684 2,536 46, 656 36, 972 40, 752 26, 057 81,350 2,600 29,046 4,061 209, 608 494, 810 36, 635 2,912, 566 1, 826, 851 16, 337 4, 329 9,752 4,171 28, 733 3, 210 108,198 3,070 11,003 118,498 7, 397 5,672 193,932 42,046 4, 550 5,083 6,424 36,186 11, 619 7,450 2,909 5, 259 11,806 53,332 $14,947 ” 36,'567 630 3, 598 50, 080 13, 987 946 5, 258 600 489, 513 480 15, 522 1.500 "i§, 597 24, 946 31, 747 3, 560 4.500 43, 752 16, 257 764 5,174 9,547 7,200 17, 613 813,169 N et annual incom e A n nual m ainte nance cost $168,812 108,433 112,801 2,823,903 262, 757 593,304 79, 641 84, 752 82, 514 223, 652 52,454 1, 857,465 1,044, 285 1,145, 260 327, 739 224, 399 5,940 371,155 263, 648 2, 723, 313 2,039,063 453, 615 50, 887 688, 207 154,196 276,083 109, 492 477, 366 790, 922 2,833,035 420, 244 85, 765 2, 340, 383 113, 543 148, 311 3,174, 971 326, 292 140, 572 109, 218 354,187 302, 390 95, 313 156,113 293, 338 291, 053 217,827 567,352 23, 235 $168, 779 107,974 112,801 2,413,493 246, 217 591,152 79, 641 84, 583 82,085 218, 095 50, 856 1,831,104 1,003, 858 1,114,982 311,174 224,183 5, 940 354, 016 263, 291 2, 723, 388 1,935, 708 505,998 50,887 681,186 140,109 267, 788 109, 003 470, 844 790,136 2 2, 753, 327 419, 674 82, 529 2, 304, 548 111, 805 147,871 3,160, 488 325, 930 138, 874 105, 390 352,089 293, 689 93, 793 152, 953 291, 763 290,471 217, 807 535, 327 22, 935 29, 589, 202 I, 740, 535 1 In som e instances the sum of the details d o not agree w ith the total sh o w n because the cents have been elim inated to save space. 2 Inclu des N ew Y o r k C ity p a y roll. CHAPTER II.— AMERICAN ALMSHOUSES 11 Similar data per inmate are given in the table below: T able 4 .— A V E R A G E A N N U A L I N C O M E A N D M A I N T E N A N C E C O S T O F A L M S H O U S E S , PE R IN M A T E , B Y ST A TE A n n u al in com e, per inm ate, from — State P u b lic funds A la b a m a ......... ......... $182. 25 A rizon a .................. 588.06 Arkansas__________ 270. 24 C aliforn ia_________ 432.02 C olora d o __________ 219.12 C on n ecticu t_______ 388. 58 D elaw are__________ 329. 71 D istrict of C olu m b ia ______________ 278. 79 F lorid a____________ 312.94 G eorgia____________ 254. 22 I d a h o ______________ 343. 24 Illin ois_____________ 286. 64 In d ia n a ____________ 296. 95 I o w a _______________ 247. 72 K an sas____________ 235. 82 K e n t u c k y _________ 186. 40 L ou isiana__________ 237.60 M a in e _____________ 362. 23 M a r y la n d _________ 251. 69 M assachusetts____ 449. 47 M ich ig a n __________ 278.12 M in n esota _________ 360. 79 M ississip p i______ 212. 76 M issou ri___________ 218. 79 M o n ta n a __________ 532. 22 N ebraska__________ 358. 02 N e v a d a ____________ 829. 74 N ew H am psh ire—_ 320.19 N ew Jersey________ 360. 33 N ew Y o r k _________ 277.38 N orth C arolina___ 217. 02 N orth D a k o ta ____ 405. 65 O h io _______________ 282. 20 O k la h om a _________ 287.16 O regon ____________ 244. 92 P en n sylva n ia _____ 264. 23 R h o d e Isla n d_____ 312. 27 S outh C a rolin a___ 256.66 South D a k o ta _____ 419. 74 Ten nessee_________ 205.16 T exa s______ _____ 234. 56 U ta h ______________ 339.84 V e r m o n t ___________ 426.81 V irgin ia ___________ 211. 39 W a sh in g ton _______ 304. 70 W est V irgin ia _____ 259.69 W iscon sin _________ 234. 76 W y o m in g _________ 625.29 T o t a l________ 298.79 Sale of farm Other pro d sources uce $3.10 3.13 21.94 33.43 16.48 37.60 6.97 R e fund $2.22 1. 34 3.88 23.16 $2.57 8.14 33. 25 26.67 2.22 42.06 10.81 44.78 34.79 36.78 99.28 56.44 18.98 2.93 3.79 .75 1.34 6.37 .63 6.34 6.35 15.56 25.03 4.49 .87 9.02 133. 31 14. 62 46.20 17.70 58. 71 1.05 17.45 22.84 103. 75 6.14 89.23 25. 36 22.16 18. 81 96.00 34.81 19. 62 8.44 16.60 59. 32 33.37 140.12 16.12 55. 40 9.75 195. 21 30.84 47.28 37.60 44.14 78.79 41.43 7.50 .61 4.16 34.59 80. 79 94. 75 .09 35.53 15.05 33.91 i E xclusive of N e w Y o r k C ity. 35777°— 29------- 2 A n n u al m aintenance cost, per inm ate 11.22 5.74 16.03 16.81 33.10 25.45 1.53 11.76 1. 72 69.64 16.58 21. 38 10.07 18.17 54.82 9.70 27.33 4.03 38.05 44. 69 31.17 2.43 2.59 12.04 11.84 3.45 2.00 28. 48 6.12 1. 52 1.00 3.24 10.04 27.69 6.10 20.43 17.04 28.94 21. 27 9.46 N et annual incom e P a y roll A ll other Super M a C ooks, L a b o r e x p e n d intend' trons dom es ers, itures ents, and tics, etc. nurses etc. $187.57 $65.64 592. 53 60.44 296.06 113.12 486.04 17.40 243. 74 28.29 432. 76* 31.08 338.90 17. 62 $4.99 58. 65 12.44 54.93 18. 76 22.67 10.83 $6.44 33.42 10. 71 23. 60 19. 87 16.88 25.99 $7.09 $103.37 31.15 406.34 5. 67 154.12 21.09 298. 38 11. 55 149.93 34.76 325.80 284.47 T o ta l $187. 53 590.00 296.06 415.40 228. 40 431.19 338. 91 278. 79 354.14 265. 62 394. 39 327.14 324. 52 367.54 300.41 216. 60 237.60 529.47 269. 86 449. 47 390. 48 439. 98 213. 81 241.98 571.09 475.99 868. 98 422.83 375. 38 307.85 235.55 542.81 327.47 328.16 263.43 297.48 425.41 299.73 587.19 222.07 317.97 366.59 653.19 244.66 337.65 314.33 307.84 704.08 3.95 28.12 28. 05 47.58 37.35 13.19 17.48 48.49 7.04 9.51 13. 79 100.41 18.05 18. 97 22.97 9.07 42.49 21.81 36.49 27.39 11.09 14. 48 23. 72 44. 52 9.99 14.47 24.64 9.33 15.81 69. 65 11.45 63.63 5.79 10.50 148. 80 14.40 68.96 19.24 17.06 50.83 18.02 26.04 8.11 11.38 28.58 55.74 27.11 45. 77 6.94 41.87 36.94 17.80 67.76 9.09 16.91 28.13 139.58 .50 39.94 12.'98' 14.94 "2L 4 2 156.85 43. 77 22.44 25. 76 78.85 9.07 10.50 34. 73 190. 76 108.65 44.90 25.63 14.03 17.41 14. 61 36. 92 18. 87 30.78 19. 68 57. 87 U6.83 117.28 120. 73 128. 52 53.64 7.62 6.40 7.68 49.62 70.14 17.24 52.00 15. 42 26.86 23.14 25. 77 11. 79 12. 72 66. 32 8.93 48.38 19.53 21. 77 15.47 11.27 24.30 9.83 24.36 32. 79 54.05 30.38 21.35 48.49 8.07 8.36 20. 65 145.98 25.22 8.69 35.91 37. 36 16. 65 5. 21 13.70 63.80 12. 25 12.85 9.86 29. 66 26.54 2i. 54 27.25 120. 26 13. 37 6.66 31.15 32.28 18.76 7.36 27.88 46.30 21.81 24.13 28.68 81.36 25.17 10. 79 24.93 25. 79 12.11 19. 72 25.36 190. 73 54. 55 14. 55 10.91 209.23 236. 71 180. 20 221. 99 212. 63 235.28 264. 21 178. 98 129.50 74.40 348.93 205. 94 292. 28 267.14 368.89 73.73 150.24 270.09 328. 55 495.16 334.07 247.80 213. 25 159.90 333.33 231.26 223. 38 157. 50 226.37 286.37 210. 54 350. 81 147.82 210.05 255. 76 468. 53 157.05 216.05 172.04 207.48 424. 26 278. 23 352. 31 259.03 382. 39 322.49 311.96 357.83 285. 22 216.40 237.60 505.02 269.49 449. 48 370. 69 490.78 213.81 239. 52 518. 91 461. 70 865.10 417.04 375.00 299.18 235.24 522.33 322.45 323.14 262. 65 296.13 424.94 296.11 566. 61 220. 74 308. 81 360. 75 639. 97 243.33 336.97 314.29 290.46 695.00 344.51 128.84 124.02 U 7 .18 126. 76 234.48 334.64 12 T able CARE OF AGED PERSONS IN UNITED STATES 5 .— C O M P A R I S O N O F I N V E S T M E N T A N D C O S T O F M A I N T E N A N C E O F S M A L L A L M S H O U S E S W IT H T H A T O F L A R G E A L M S H O U S E S Item N u m b er of alm shouses________________________________________ _______ _________ N u m b er of inm ates ____ _____ __________ _____ ________________________________ V alue of land and farm eq u ip m e n t_____________________________________________ In vestm en t per in m ate_______________ _____________________________________ V a lu e of buildin gs and furnishings __________________________________________ A verage per in s titu tio n . _________________________ _____ ___________________ A verage per in m a te ___ _______________________________________ ______ ____ __ T o ta l investm en t (land, buildin gs, and farm and h om e e q u ip m e n t)_______ _ A verage per in m a te ________________________________________________________ N u m b er of acres em braced in in stitu tion s _____________________________________ N u m b er of acres under cu ltiv a tio n ___________ _________________________________ N u m b er of acres per in m a te .. ___ _ _________ ____________________________ N u m b er of acres cu ltiva ted per in m a te___________ ____ _________________ _______ E m ployees in service of in s t it u t io n s ________ _____ _________ ___________________ R a tio of em plovees to inm ates _ ................... _ _ _ _ _ T ota l wages and salaries o f em ployees _ _ _ . A n nual cost of wages and salaries of em ployees per inmate_ _ ___ _________ A n nual m aintenance cost per in m a te___________ _______ ________ ___ . . . _____ Large alm s Sm all alm s houses (26 to houses (501 to 50 inm ates) 2,000 inm ates) 334 11,989 $8,107, 961 $678 $13, 911, 713 $41, 777 $1,163 $22, 019, 674 $1, 841 58, 699 38,134 4 .9 3.2 1,918 1 to 6. 24 $1,145,185 $95. 62 $335. 50 16 11,959 $3, 594, 308 $301 $15,043, 955 $940, 247 $1, 258 $18,638, 263 $1, 559 5, 597 2,588 .47 .22 1,168 1 to 10. 24 $1,068,887 $89. 38 $293. 89 It will be seen from the table that 334 institutions on 58,699 acres of land, representing a total investment of $22,019,674, cared for 11,989 paupers at $335.50 per capita for the year covered, while 16 other institutions, with 90 per cent less land and $3,381,411 less in vested, maintained their inmates at $293.89 per head. Attention is also called to the probable superiority of institutions and equipment averaging approximately a million dollars in value to those averag ing a little less than $42,000. Moreover, 334 institutions necessitate 334 superintendents and staffs, and of the 1,918 employees in the first group only about 800 can properly be considered as ministering directly to the inmates. The other 1,118 are farm laborers, unskilled workers, and domestics in the 334 separate dining rooms and kitchens. For this whole group of 334 almshouses only 135 nurses are reported— 1 to each 89 paupers— and only 9 of these institutions had staff doctors. Each of the 16 institutions in the second group has a resident physician, and the number of nurses, orderlies, and other persons directly concerned in caring for the paupers is 566. Although a large percentage of the employees in these 16 institutions are skilled professional mep and women, the service cost per inmate is $6.24 less per annum than in the first group in which the labor overhead covers twenty-one times as many almshouses. Manifestly it is reasonable to assume that the 11,959 indigents who are housed in institutions constructed and equipped to care for them in illness or in health and who are in the care of trained per sons are better off than are the 11,989 scattered throughout 334 institutions with 334 different standards of treatment and efficiency in management. Chapter III.—Care of Old People in Homes for the Aged HE bureau, after inquiry to the authorities of the various States and the larger cities, was able to locate some l,268a homes for the aged throughout the country. Inquiry made of these brought replies from 1,037. These homes are supported in various ways. Some are operated by church organizations, some are public institutions (such as State or Federal homes for soldiers and their widows), som.3 are run by groups of various nationalities for the benefit of their fellow countrymen who are aged and infirm and unable to look out for themselves, others are supported by private philan thropy, etc. The returns from the homes were therefore classified according to the type of home. These are shown in the table following: T T able 6 .— N U M B E R O F H O M E S F O R A G E D OF S P E C IF IE D T Y P E S R E P O R T IN G A N D N O T R E P O R T IN G , B Y S T A T E S Federal and; State hom es Religious hom es Fraternal hom es Private Trade-un ion N a tio n a lity benevolent and other hom es hom es hom es T otal State N ot N ot N ot N ot N ot N ot N ot R e R e R e R e R e R e R e re re re re re re p ort port p ort p ort port p ort p ort port port port port p ort port po rt ing ing ing ing ing ing ing ing ing ing ing ing i ing ing A la b a m a ______ A riz o n a ............. A rkansas. _ __ C a lifo r n ia ___ C olora d o_____ C on n ecticu t— . D elaw are____ D istrict of C o lu m b ia -........ Florida.. ___ _ G eorgia............. Id a h o _________ Illinois________ In d ia n a _______ I o w a ................. K a n s a s ______ K e n tu c k y L ou isian a _____ M a in e ______ M a r y la n d ____ M assachusetts M ic h ig a n _____ M in n e s o ta ____ M ississippi M i s s o u r i . ___ M o n ta n a _____ N ebrask a_____ N ew H a m p shire______ __ N ew Jersey. „ _ N ew Y o r k ____ N o rth C aro lin a _________ N o rth D a k ota . O h io __________ O k la h om a ___ O r e g o n ............ P en n sy lv a n ia . R h o d e Island . 1 1 1 3 1 1 3 11 1 1 2 1 1 1 1 2 2 1 3 1 1 2 a 2 13 11 6 10 4 '3 5 1 1 1 1 2 1 2 21 4 5 2 10 23 2 13 1 3 2 1 2 1 20 4 24 19 6 1 1 28 159 6 4 4 53 3 5 16 2 1 3 7 110 1 14 13 1 M a y includ e a few h o m e s o f other classifications; all hom es n ot reporting w h ich d id not clea rly belon g in the other classifications o f this table w ere in clu d ed here. 2 N o t yet in operation. ° R ev ised lists of houses received from four States (C o n n e cticu t, N e w Jersey, N e w Y o r k , a n d P e n n sylvan ia) since this co m p u ta tio n w as m ade b rin g the to ta l to 1,323; a d ir e cto r y o f these is given in B u lletin N o . 505. 13 CARE OF AGED PERSONS IN UNITED STATES 14 T able 6 .— N U M B E R O F H O M E S F O R A G E D OF S P E C IF IE D T Y P E S R E P O R T IN G A N D N O T .R E P O R T I N G , B Y S T A T E S — C o n tin u e d Federal and State hom es Fraternal hom es Religious hom es P rivate Trade-un ion N ation a lity and other benevolent hom es hom es hom es T otal State N ot N ot N ot N ot N ot N ot N ot Re R e R e R e R e R e Re re re re re re re re port port port port port port p ort port port port port po rt port port ing ing ing ing ing ing ing ing ing ing ing ing ing ing South Carolina South D a k ota . T ennessee____ T ex a s. _______ U t a h . . ........... V erm on t______ V irgin ia . _ W ash in gton . __ W est V irginia. W isconsin____ W y om in g T o t a l. __ 1 2 2 1 1 1 1 1 3 1 2 9 5 5 2 1 2 4 2 2 2 2 3 3 1 2 16 1 55 5 8 1 1 1 2 2 3 7 1 3 2 3 3 10 4 3 2 2 5 1 1 1 1 1 1 360 126 43 5 2 11 22 1 7 12 13 4 31 [8 2 6 3 1 31,036 231 I 444 82 102 10 3 32 4 4 7 3 1 1 1 3 N o t in clu d in g 1 hom e w hose loca tion is not k n ow n . It can be seen that the greatest proportion of homes are those of the religious and private groups, these accounting for 804 of the 1,037 homes reporting. An interesting feature of the table is the geographical distribution of these homes for the aged. Industrial areas, with their many wage earners who are unable for numerous reasons to make provision for their old age, are those areas where the need for such homes is un doubtedly the greatest. As the table shows, it is in most cases pre cisely in these industrial States where the greatest number of homes is found. Illinois, Massachusetts, New York, Ohio, Pennsylvania are the outstanding States in this respect. California, Indiana, Michigan, Minnesota, Missouri, and Wisconsin— States which are partly agricultural and partly industrial— all stand fairly high in the number of homes provided. Few homes were found in the predomi nantly agricultural States. Number of Persons Provided For M o r e than one-third of the homes have fewer than 25 residents each, and more than three-fifths have fewer than 50 residents each. The largest proportion of small homes is found among those of the private groups and the largest proportion of large homes among those of the Federal Government. Table 7 shows for each type of sponsoring organization the distribution of homes according to the average num ber of residents. 15 CHAPTER III.— IN HOMES FOR THE AGED T able 7 .— H O M E S F O R T H E A G E D . C L A S S IF IE D B Y A V E R A G E N U M B E R O F R E S ID E N T S H om es w ith residents n u m b e r in g Sponsoring organization 25 and under 50 Less than 25 Federal G overn m en t (soldiers’ and sailors’ h o m e s )----------------------------------------------------------State governm ents: Soldiers’ h om es____________________________ O ther h om es_______________________________ L a bor organization s______________________ ____ Religiou s den om in ation s______________________ Religiou s ph ilan th ropic organizations________ Fraternal organizations_______________________ N a tion a lity g ro u p s --------- --------- ----------------------V arious organizations_________________________ Private grou ps____________________ ___________ 50 and under 75 75 and under 100 100 and under 200 200 Total and over 9 143 2 1 119 14 30 9 16 191 12 19 14 12 102 272 T o ta l.. 23 3 388 48 * 100 i 32 38 4 358 103 127 62 113 66 81,021 1 N o t in clu d in g 1 w h ich d id n o t report on this point. 2 2 n ot yet in operation. 3 N ot in clu d in g 7 w h ich d id n o t report on this point. 4 N o t in clu d in g 2 w h ich d id not report on this poin t. 6 N ot includ ing 15 a b o v e n o te d , an d 1 religious fraternal h om e w h ich d id n o t report on this p oin t. The table below shows for the various types of sponsoring organiza tions the total capacity of the homes operated, the total average number in residence, and the aggregate amount spent annually for the maintenance of the homes. For purposes of comparison, similar data are shown, in the last line of the table, for almshouses. T a b l e 8 .— N U M B E R O F A G E D I N , A N D A N N U A L C O S T O F O P E R A T I O N O F , H O M E S O F V A R IO U S T Y P E S S ponsoring organization T o ta l num ber o f hom es ___________ __________________________ _____________________________ 1 A ll ages. 2 A g ed on ly. 3 38 hom es. 4 3 hom es; 2 hom es not y e t occu pied. 8 2 hom es. 6 391 hom es. ? 387 hom es. * 293 hom es. 9 40 hom es. i° N o data. ii 99 hom es; data in clu d e children also in 4 cases. 12100 hom es; aged on ly. A n n u a l cost o f operation 9 17,402 2 8,155 * $4,602,599 44 2 5 395 48 1 102 14 32 38 360 1 16,662 218 990 6 28,093 4, 256 125 11 10,895 1,750 1,845 13,466 2 8,419 173 4 254 7 24,765 3, 706 (i°) 12 7,678 1,601 1, 462 17 12,448 3 4, 225, 858 79,160 8 418, 736 8 6, 453,179 9 1,688,811 ( 10) 13 3, 260,908 i8 528,177 16 554,240 is 4,595,809 1, 268 14 1,036 22 2, 348 2,183 is 95,702 (i°) 20 68,661 85,889 21 26,407,477 28, 740, 535 Federal G overn m en t (soldiers’ and sailors’ h o m e s ).. 13 State governm ents: 48 Soldiers’ hom es _________________________________ ____ _________________________ Other hom es . 2 5 L a b or organizations ________________________________ Religiou s den om in ation s_____ ____ ______ _____________ 467 R eligiou s p h ilan th ropic organizations_______________ 58 1 R eligiou s fraternal organizations__ __________________ 112 Fraternal organization s__ ____________________________ 37 _________ N a tion a lity __________________________ groups 39 Various o rg a n iz a tion s............ ..................... ....................... 489 Private g r o u p s ___ _________ _____ _________________ T ota l Alm shouses Inm ates N um ber of hom es A verage report C a p a city n u m ber ing of hom es in resi dence 13 88 hom es; data in clu d e children also in 4 cases, u N o t in clu d in g 1 w h ich d id n o t report o n these points. i8 29 hom es. 16 32 hom es. 17 358 hom es. 18 292 hom es. 19 1,030 hom es. 20 1,022 hom es. 21 822 hom es. 22 E stim ated. a 6 hom es. 16 CARE OF AGED PERSONS IN UNITED STATES It is seen from the above table that there is apparently a wide margin between the number of persons the homes can accommodate and the number actually being cared for. In view of the need, this occa sioned some surprise. It is seen that the widest margin occurred in the case of the Federal and State homes where soldiers and sailors are cared for and where the accommodations are far in excess of those living there. Some of the soldiers’ homes are restricted to veterans of the Civil War whose number is dwindling. The plant remains at its former size, however, accounting for the difference between capacity and residents. The discrepancy in the case of the tradeunion homes lay in the fact that two homes, although ready for occupancy, had not yet been opened for residents. Their capacity therefore is known, but not the actual number who will live there. In the case of the other homes, visits to some 150 homes disclosed that the excess of accommodations was more apparent than real. Some homes which make a practice of giving each person a private room had calculated their “ capacity ” on double the actual number there, figuring that at a pinch two persons could be put in a room. Others had included in the capacity figures the number of beds in the infirmary. In other cases there were really some vacant rooms, but the vacancy was only temporary, pending the action of the board of trustees upon applications for admission; in several other cases the home was seizing the opportunity afforded by the death of an inmate to have the room redecorated before taking in a new resident. In some instances a new wing or extension to the building had been built whose capacity was known but which had not yet been opened for occupancy. In other cases, where the home is really not filled to capacity, possible reasons are the reluctance of old people to leave familiar surroundings if this can possibly be avoided, the dislike of life in an institution with consequent curtailment of personal liberty and independence, lack of privacy, and above all the aversion to accept ing charity, which all self-respecting persons have. The size of the entrance fees and other monetary requirements may also act as a bar to old people with no means and no relatives or friends who could sup ply these. Inability to meet some of the other conditions imposed— membership in a specified organization for a required time, a certain period of residence, citizenship, religious affiliations, etc.— also still further limits the number of eligibles for admission. Some 90 per cent of the homes visited have waiting lists, many of whom report that the home is “ always full,” while others have a long waiting list. These tell moving tales of some of the cases they are forced to turn away for lack of room or of funds to care for them. In this connection, it is of interest to note a new type of home which has been opened in New York City. This is a “ waiting home,” exclusively for the benefit of persons on the waiting lists of the homes for aged in the city. The period of residence in the home averages about two years.1 A nominal board is charged to guests able to pay, otherwise the service is free. The home is small, heretofore accommo dating only 11 old ladies, but a new acquisition will enlarge the capac ity considerably. Here, it would seem, is a new field for philanthropy. 1 One hom e visited has such a long w aiting list that it takes an ap p lican t 9 or 10 years to get into the h om e. CHAPTER III.— TN HOMES FOR THE AGED 17 Age of Homes T h e data as to year of establishment show that some of the homes are very old. Of the various groups (aside from soldiers), the churches and private groups were the first to undertake the care of needy old people in homes especially for them. Three of the private benevolent homes are more than 100 years old, and more than one-fifth have been in existence half a century or more, as have also about the same proportion of the church homes. The fraternal organizations and the nationality groups were somewhat later in undertaking such work but even in these cases more than two-fifths of the homes are 25 years or older. The details are shown in the table following: T able 9 — HOM ES FOR TH E A G E D , C L A S S IF IE D E X IS T E N C E BY NUM BER OF Y E A R S IN H om es in existence 25 50 2 5 10 1 100 and and and and and year years under under under under under or and 25 100 50 5 10 less over years years years years years Sponsoring organization Federal G overn m en t (soldiers’ and sailors’ h o m e s). State governm ents: Soldiers’ h om es___________________________________ O ther h om es _____________________________________ L a bor organizations ________________________________ R eligious denom inations . ___ _____________ _ R eligious ph ilan th ropic organization s_______________ Fraternal organization s. _______ _____ _____ ________ __ ____________________ _ N a tion a lity groups ___ Various organizations_____ __________ _______ Private g rou p s______________________ ______ _______ T ota l _ ... ___ _ ___ _________________ _ 4 5 9 3 75 2 3 1 4 74 3 i 43 2 23 8 380 1 47 4 98 i 32 8 36 6 349 167 3 7 999 2 1 23 2 7 5 1 11 30 6 U 4 3 25 114 20 32 11 10 71 40 1 2 130 17 41 11 18 163 14 50 79 259 427 1 8 4 T o ta l 1 N o t including 1 w hich did not report on this point. 2 T w o hom es, though built, are not yet in operation. 3 N ot in clu d in g 15 w hich d id not report on this point. 4 N o t includ ing 4 w h ich d id not report on this point. 5 N ot including 2 w h ich d id n ot report on this point. 6 N ot including 11 w h ich d id not report on this point. i N ot including 37 hom es, ab o v e noted, and 1 religious fraternal hom e, w h ich d id not report on this poin t. Entrance Requirements G e n e r a l l y , the first qualification required is that the applicant be a member of the sponsoring group. Thus to gain admittance into the church homes the candidate must generally be a member of the denomination (or sometimes of the local church) which supports the home; if the home is one of a fraternal organization, he must belong to the order, etc. On the other hand, some of these church groups, notably the Catholic homes, are remarkably liberal in this respect, opening their doors to the poor and infirm aged of whatever creed. Only honorably discharged soldiers or sailors (and in some cases their wives or widows), of course, are eligible for residence in the soldiers’ homes. In some instances the group eligible for admission is still further limited. Thus, 2 homes admit only volunteer firemen, 1 home admits only men who have worked in the construction of wooden ships, 2 are 18 CABE OF AGED PERSONS IN UNITED STATES open only to the blind or deaf, 1 only to deaf mutes, 1 only to “ child less women,” 9 only to ministers and their wives and widows and to missionaries, 23 only to negroes, 2 only to sailors, 1 only to destitute, sick, or infirm mothers, wives, sisters, daughters or widows of seamen, 1 only to retired music teachers, 2 only to professional people, and 2 only to actors on the speaking stage. Two homes limit their resi- FlGURE 1.—ONE OF THE RESIDENTS OF AN EASTERN CHURCH HOME dents to men who have attained a position of some responsibility and standing in the community. There are 15 so-called “ widows' homes,” which provide living quarters (in some instances charging a nominal rent, in others nothing), and in some cases light, heat, water and janitor service, but expect the residents to be otherwise selfsupporting. CHAPTER III.---- IN HOMES FOR THE AGED 19 Character qualifications are a very general requirement. Persons seeking admission to the home must be “ respectable/’ “ of good moral character/’ of “ Christian character,” or of good reputation. Several of the homes require references on this point. Temperate habits are a universal requirement. Good health is also a general requisite, most of the homes requiring that the applicant be in fairly good health, taking into consideration his age, and free from mental, contagious, or malignant disease. In some instances a physician’s certificate to this effect is required. This is done because the homes hesitate to admit persons who, from the outset, will need constant attendance and nursing. In case of ill ness after entering the institution, the home usually provides the physician and the nursing.2 Sex.— The old ladies seem to be much better provided for than the old men. Of the 1,034 homes reporting on this point, women are admitted to all but 59; in fact 328 homes admit women only. The 59 above noted are restricted to men only. Inasmuch as separation of aged couples is a special hardship to those who have spent their lives together, it is interesting to see that 608 homes, or nearly 60 per cent, admit not only both sexes but married couples as well. Of all the groups studied, the fraternal organizations are the most considerate in this respect. Individuals of both sexes are taken in 39 homes, but they must come as individuals and not as couples. The details are shown in the table following: T able 1 0 —ENTRANCE R E Q U IR E M E N T S AS T O SEX AND CO N JU G AL C O N D IT IO N H om es adm ittin g— B oth sexes and m arried couples Sponsoring organization M en o n ly Federal G overn m en t (soldiers’ and sailors’ h o m e s)__ State governm ents: Soldiers’ hom es _ _ _ __________________ O ther hom es _ _ ______ _________________ ____ L a bor organizations _ ____________________ ________ R eligiou s denom inations __ ________________ _______ R eligiou s ph ilan th ropic organizations ___ __ _ _ __ R eligiou s fraternal organizations__ _____ __ ________ Fraternal o r g a n iz a t io n s .________ ________ ____ - ___ N a tion a lity groups ______________ - __ - - - ___ V arious organizations _ ____________ ____ ____ Private groups -_________________ T ota l ________________________________________ W om en on ly 8 B o th sexes 9 1 18 1 1 3 2 2 22 10 1 20 202 12 22 1 2 286 2 39 1 88 29 4 16 124 o9 328 39 608 2 T otal 4 85 6 2 19 1 2 2 44 2 5 1 393 48 1 102 3 32 38 350 » 1,034 i 1 N o t includ ing 2 w h ich d id not report on this point. 2 In clu d in g 1 w h ich takes w o m e n and m arried couples. 3 N o t in clu d in g 1 w h ich d id n ot report on this poin t. * In clu d in g 1 w h ich takes m e n and m arried couples an d 1 w h ich takes w om en and m arried couples. « N o t in clu d in g 3 w h ich d id not report on this p o in t. Age.— Sixty-five years is the minimum age of admission most commonly set, followed by 60 years. ^ Two homes set the age limit as low as 45 years and one home as high as 80 years, while 250 have no fixed age limit. Here again, the fraternal organizations are the most liberal of all the groups (except the State and Federal Govern 2 F or a discussion of m edical care, see p p . 23 an d 60. 20 CARE OF AGED PERSONS IN UNITED STATES ments), need rather than age being the criterion for entrance. age limits set by the different groups are shown in Table 11: T able The 1 1 .— M I N I M U M A G E O F A D M I S S I O N T O H O M E S F O R T H E A G E D N u m b e r of hom es setting m in im u m age of adm ission at— Sponsoring organization 51 to 59 50 F ederal G overn m en t (soldiers’ and sailors’ h om e s )__________ ______ ______ State governm ents: Soldiers’ h om es____________________ Other hom es___________ ______________ L a b or o r g a n iz a tio n s _____________________ R eligiou s den om in ation s. R eligious p h ilan th ropic organization s. . _ R eligious fraternal organizations___ _____ Fraternal organizations_____ . . . . . . N ation a lity groups _ ____________ _____ _ V arious organizations .................................. P rivate grou ps. _________ _______ ________ T o t a l___________________ _____ ______ 61 to 64 60 4 3 9 1 1 4 153 21 li 2 15 ,5 16 4 18 13 4 4 95 25 6 299 1 65 66 to 69 70 21 i 1 17 2 I 1 132 » 23 1 9 14 23 17 169 5 376 «1 i1 No age re T o t a l quire Over m ent 70 61 10 1 « 20 10 1 1 3 3 26 19 1 53 3 is n 14 71 9 9 3 35 1 3 73 2 44 2 5 8 390 48 1 102 b 32 38 360 12 66 14 20 47 250 "1,031 1 62 years. 2 80 years. 3 In clu d in g 1 w h ich takes w om en at 50. 4 1 takes w om en at 50 years. 6 63 years. 6 68 years. 7 75 years. 8 N o t including 5 w hich d id not report on this point. 9 1 takes w om en at 60. 10 67 years. 11 55 years. 12 In cluding 2 w hich require that the applicant be “ o ld .” 13 1 takes w om en at 55. 14 2 take w om en at 60. 15 2 at 45 years. 161 at 54 years, 2 at 55 years, and 1 at 56 years. 171 at 62 years and 1 at 63 years. 18 2 at 66 years, 2 at 67 years, 6 at 68 years, and 1 w h ich takes m en at 68 and w om en at 65. 19 73 years. 20 In clu din g 4 w hich require that app lican t be “ o ld .” 21 N o t includ ing 6 w h ich did n ot report on this point. ° 1 takes w om en at 65. 6 N o t including 1 w h ich did not report on this point. Admission fee and other monetary requirements.— In general these homes are maintained for aged persons either with no means or with incomes insufficient for their full support. Some of the homes, notably those of the labor and fraternal organizations, even declare that no one shall be admitted except those who are indigent and unable, by reason of age, illness, or infirmity, to support themselves. Nearly half of the homes (479) require no admission fee; 108 of these, however, are boarding homes of private groups or miscellaneous organizations in which the resident pays a weekly or monthly charge for board. Even allowing for these, it is seen that more than 35 per cent of the whole group require no money of the applicant. Of those which do require the payment of a specified amount at time of entrance, $500 is the most common sum required, but about 20 per cent charge less than this amount and about 40 per cent charge less than $1,000. CHAPTER III.— IN HOMES FOE THE AGED T able 1 3 .— M I N I M U M 21 A D M IS S IO N F E E S O F H O M E S F O R T H E A G E D N u m b e r o f hom es setting entrance fee at— S ponsoring organization No $300 fee re Less and q u ir e d than under $300 $400 Federal G overn m en t (soldiers’ and sailors’ h om es). ________ _ State governm ents: Soldiers’ hom es ................................ Other h o m e s . ___ _______ ______ L a bor organizations_____ ______________ Religious d en om in ation s______ _ __ R eligious p h ilanthropic organizations _ Religious fraternal organization s______ Fraternal organizations__________ *_. N ationa lity groups ______ _____ _ Various organizations___ _______ __ P rivate groups ______ __ . - _ __ T o t a l _____ _ _______ ______ Fee varies $400 $500 $600 $1,000 $2,000 a ccord T o ta l and and and and and ing to under under under under over m e a n s $500 $600 $1,000 $2,000 9 9 44 2 5 i 182 } 29 2 30 1 100 61 6 1 « 21 9 79 10 49 479 80 44 2 5 j 4 14 5 45 24 o, 34 10 55 443 71 4 ii 60 2 1 K 35 4 1 25 1 1 3 6 2 12 22 1 12 8 13 76 1 102 33 38 360 85 38 142 62 64 15 3 20 is a 72 1,037 1 In clu din g 76 boarding hom es. 2 In clu din g 2 boarding hom es. 3 Inclu din g 2 w ith fee varyin g from $300-$500 and 1 from $300-$600. ^ Inclu din g 1 w ith fee varyin g from $400-$800. s In clu din g 1 w ith fee varyin g from $500-$1,000. 6 $200 charged to social m em bers (carrying no insurance in the order) and m em bers o f lodges outside of State w here h om e is located. 7 In clu din g 1 w ith fee v aryin g from $300-$500. 8 In clu d in g 6 boarding hom es and 1 w id o w s ’ hom e. 9 In clu d in g 23 boarding hom es and 1 w h ich requires $150 for burial. 10 In clu d in g 1 w ith fee varyin g from $250-$1,000. 11 In clu d in g 2 w ith fee varyin g from $300-$500. 12 In clu d in g 1 w ith fee v a ryin g from $400-$600. 13 In clu d in g 1 w ith fee varying from $500-$750 and 1 from $540-$5,076. 14 In clu d in g 1 w ith fee v ary in g from $800-$l,400. is In clu d in g 1 w hose fee varies accordin g to age and 1 accordin g to age and room . Since the home which admits life residents contracts in considera tion for this fee to furnish the resident with board, lodging, and laundry for the rest of his life in all instances, and often as a matter of fact furnishes medical care, nursing, and burial, it is at once evident that the entrance fee by no means covers the actual cost to the home. The resident may live only one or two years after admission. On the other hand, he may live for 15 or 20 years. One home studied whose resident population averages 60 persons, reports that of these one has been living at the home for 19 years, one for 21 years, one for 24 years, one for 25 years, and one for 37 years. The person entering this home pays a fee of $600 and transfers all property to the home. Another home has one resident who has been there for 20 years, another for 25 years, and another (just deceased) for 28 years. At a third home the inmate with the longest period of residence has been there for 17 years, but one who died last spring had lived at the home for 50 years. In order to cover some of the margin between fee income and obligations assumed, it is a general practice of these homes to require the incoming resident to transfer to the home all (or a specified part) of such income or property as he possesses and to bind himself to turn over also any of which he may become possessed in the future. In return the home may bind itself to pay to the resident as long as he lives all or part of the income from such property or a certain rate of interest upon it. Of the 1,037 homes included in the study, 168 report such an arrangement with residents possessing property.3 8 F or rates of interest paid see page 29, CARE OF AGED PERSONS IN UNITED STATES 22 Although charging an admission fee in ordinary cases, a large number of homes nevertheless accept persons without means, who fulfill all the other conditions, up to the limit of the resources of the home. Some of the homes take temporary or boarding guests as well as life members, while 108 others are exclusively boarding homes. The latter are found only among the homes sponsored by the religious groups, miscellaneous organizations, and private groups. The widows* homes, furnishing only living quarters, and in some cases heat, light, and janitor service, have already been mentioned The table below shows the rates charged by reporting boarding homes and by 13 others which offer the incoming resident a choice of life mem bership or boarding rates. T able 1 3 — R A T E S CHARGED BY B O A R D IN G HOM ES R eligious organiza tions R a te FOR O ther organiza tions TH E AGED P rivate groups T o ta l W e e k ly rate of— Less than $5............................................................................. $5 and under $10......... ........... ....... ......... ......... ................... $10 and under $20....... ............. ....... ..................................... M o n t h ly rate of— $10 and under $20- _________ __________ _____ _________ $20 and under $ 3 0 .............................. ........................... .. $30 and under $ 4 0 ....................... ......................................... $40 and under $ 5 0 ..................................................... ........... $50 and ov er............................................................................. 4 18 1 3 2 1 2 8 22 1 15 2 16 3 20 6 3 1 3 1 3 *3 6 9 17 23 9 9 T o t a l . . .................................................... ........................... . 73 6 19 98 1 In clu d in g 2 In clu d in g 3 In clu d in g 4 In clu d in g 1 w hose 1 w hose 1 w hose 1 w hose charges charges charges charges range range range range from from from from $16-$30 and 1 from $18-$22. $20-$35, 1 from $20-$40, 1 from $25-$35, and 1 from $25-$40. $30-$100, 1 from $35-$50, and 1 from $35-$60. $40 u pw ards. As is seen, the rates in the great majority of instances are extremely low, considering the benefits obtained. In nearly two-thirds of the homes, the rate is less than $40 per month and in more than 10 per cent less than $20 per month. Some of the homes are, however, institutions maintained for elderly people with some means who desire and can pay for quiet and pleasant quarters, with personal care, and their charges are correspondingly higher than those of a semicharitable type. Other requirements.—As would be expected, nationality require ments are more common among the homes maintained by the various nationality groups than among those sponsored by the other types of organizations, just as religious requirements are most common m the church homes. American citizenship is a fairly common require ment, and among the private benevolent homes, residence in the city or county for a specified time. The requirements as to personal property and clothing vary. Some homes require that the incoming resident be equipped with sufficient clothing to last for a year or two, and the fraternal homes quite generally require that clothing sufficient to last two years be fur nished by the local lodge of which the resident was a member. Other homes furnish all clothing from the time the guest begins his stay at the home. CHAPTER III.— IN HOMES FOR THE AGED 23 Some homes demand that the resident supply his own bed linen or furnish his own room. Others go to the opposite extreme and pro hibit his bringing with him any furniture, except possibly a favorite chair, etc. Here may be a clue to the reluctance of old people to enter a home, especially of those who have had their own homes and their own personal belongings. Where the guest is required to furnish his room, the furnishings usually become the property of the home at his death. Types of Persons now in Homes S o m e h o m e s take only indigent persons; indeed one group of homes refuses admittance to those who have any means whatever, preferring to take only those whose situation is desperate. One such home which was visited had, at the time of the agent’s visit, a man who had been brought to the home some four or five days before in a starving condition. His recovery was still uncertain. Other persons have been rescued from terrible conditions. The inmates of homes of this class are indeed forlorn, in most cases. These homes provide only the barest necessaries and practically no comforts, but at least they are a refuge where the old people are sure of being fed, sheltered, and nursed. It is evident in many instances that even in their best days they have never had many comforts. The refined look of others, however, makes one wonder what series of misfortunes or circumstances have reduced them to their present plight. Inmates in the homes for the aged represent all walks of life. Some had been domestic servants whose entrance fee was paid by their mistresses, some had been farmers, some actors, some school-teachers, some music teachers, some had been in business or professional lines, some had been housewives, some sailors, some common laborers, etc. In a number of homes visited the former matron (now retired) was living as an inmate. One matron, still in active service, expressed the opinion that a home for retired executives of homes should be established. The class and type of guests in residence varies from home to home. In some cases the character of the residents leaves something to be desired. This is apt to be true where the home is run by any organi zation of miscellaneous membership. Often in such cases the needy members are entitled to admission to the home by reason of their membership. Where this is true, of course, the home members are apt to include not only unfortunates but also those whose present condition is due to their own bad habits— habits which they bring with them into the home. Thus in one home the matron had to keep all the supply cupboards locked, as there were several inmates who would carry things off. In other homes where a special effort is made to see that only persons of good character are admitted, and long membership in a church, certificates of good character, etc., are required, the result is a high type of guest and in some cases a type much above the average. In home after home the matron paid tribute to the class of residents there, saying what fine people they were. The appearance of the residents also varies from home to home— in some wide-awake, sprightly, and cheerful, in some happy and even gay, in others resigned but not especially contented, while in others most forlorn in appearance. CARE OF AGED PERSONS IN UNITED STATES to F i g u r e 2 —G r o u p o f r e s id e n t s a t a Fraternal Hom e CHAPTER III.---- IN HOMES FOR THE AGED 25 jThe general level of intelligence does not appear highf]in some of the homes visited. Blank faces and vacantly staring eyes show the inert minds of the residents. This was especially evident in the homes in which no effort was made to arouse their interest. The inmates of a number of homes had no duties to perform, nothing to read, no games or other amusements— in short, nothing to take them out of themselves. Sleeping and eating were the sum of their existence. In other homes where either the inmates were of better class or some effort was made to divert them, they were alert and interested in the happenings of the home and what is going on in the world. In some instances the guests have afflictions or abnormalities which make them a problem. Thus one home visited takes only deaf people; among these are some who are also dumb and blind. In another home the guests are all blind. Several others were visited which had one or two blind residents and one had three cripples. There were also a number one or more of whose inmates were mental cases, requiring special care. These were in all cases harmless. Some of these were also helpless physically, but some were able-bodied and needed some restraint to keep them from wandering away. In one home the four mental cases were in a small separate wing, with a nurse in attendance. Each room, in addition to the regular door, had a half door of lattice work which was locked at night to confine the patient but permit the nurse to see in. In another home there were two old men locked in a room by them selves, one of whom had been helpless for seven years, and the other was mentally deficient. Withdrawals and Dismissals G e n e r a l l y the home regulations provide for a period of probation of from three to six months. During this time a new resident may become a permanent life member only if he has shown himself acceptable during the probationary period. Even though accepted as permanent, almost all homes also retain the right to dismiss at any time an inmate who becomes insane, persistently refuses to obey the rules, becomes quarrelsome, proves to be a trouble maker, or is objectionable for any other reason. One home makes the following provision in this connection: Should any of the members repeatedly and purposely violate the rules of the home, or show bad temper, intemperance, or become unmanageable, disturbing the peace of the home, etc., or in the opinion of the board of directors act in a manner detrimental to the welfare of the home, the board of directors reserve the right to dismiss them at any time, with the loss to them of all rights and claims; and their admission to the home is conditioned on this authority of the board. Any member who in the opinion of the board of directors shall be guilty of circulating reports injurious to the reputation of the home, criticizing and find ing fault with its management, creating dissatisfaction or disturbance among its members, shall thereby forfeit his or her privileges and be dismissed from the institution. On the other hand, a resident who is dissatisfied or unhappy may leave at any time, receiving any remainder from entrance fee and transferred property after deduction of a reasonable charge for board and lodging (usually at the rate of $6, $7, or $8 per week). 26 CARE OF AGED PERSONS IN UNITED STATES One home observes in this connection: The first six months are generally considered a period of trial residence. How ever, no guest is at any time under compulsion to remain, and the management reserves the right to request at any time the withdrawal of any guest whose presence disturbs the harmony and general happiness in such a group. One home in New Jersey provides that in case of an inmate deciding voluntarily to leave the home within the period of one year after admission, half of the admission fee of $500 shall be remitted, the remainder being retained by the home to cover the expense incurred during the period of residence. Another also allows residents to leave the home if not satisfied, but requires payment at the rate of $10 per week for the time spent at the home. In such cases one of the Scandinavian homes retains a “ reasonable sum” as payment for board and lodging, while another requires residents desiring to leave the home to give written notice and “ satisfactory reasons ” for leaving. General Atmosphere and Spirit of Homes4 T h e h o m e s covered were of all degrees of merit as regards the general atmosphere maintained at the home, ranging from the most rigidly regimented system to those whose main emphasis is upon the maintenance of an atmosphere of the utmost liberty and homelike comfort. In some cases the rules of the home are of the most minute sort, covering all possible contingencies and providing rules to govern each situation. In such institutions the unfortunate inmate finds himself regulated at every turn. It is understandable, of course, that certain general rules are necessary for the orderly conduct of the home; also, that as some of the old people become childish or mentally or physically incapacitated, more direction is necessary than would be required for younger or more mentally alert persons. In some instances, however, institutionalism and regulation are carried to extremes. Others are real “ homes,” where the residents are cared for lovingly and every care is taken to insure the happiness of the aged people living at the home. Some of the homes are so concerned for the well-being and selfrespect of the old people committed to their care that they avoid anything likely to convey to these charges the idea that they are in any degree recipients of charity. The tacit assumption is that the residents are being cared for, not as paupers, not as “ charity cases,” but as those whose labors during their productive years have entitled them, as a matter of right, to care in their helpless old age. One home, which is a purely charitable institution, always refers to the old people in the home as “ residents,” stating in this connection: “ We endeavor to steer away from the stigma usually attaching to inmates of a charity old people’s home.” Other homes refer to the inmates as “ guests,” “ members,” or “ the home family.” One home reports: In planning a home for the aged, there has always been in this organization the ideal of a real home, such as loving children would build for much honored and revered parents. Another remarks in this connection: In outward appearance it (the home) resembles a country estate. Inside it is a “ hom e” in which the aged men and women are honored guests. Homeless * For further data on this point see p, 39, CHAPTER II I .— IN HOMES FOR THE AGED 27 and friendless as most of them are when admitted, there is nothing in the conduct of the home to remind them of their misfortunes or lead them to feel that they are dependent on the generosity of others. Rather, they are encouraged to forget, and to feel that at last they have reached a haven of rest where they can await the final summons with tranquillity of mind and spirit. Another states: The home is conducted with the thought uppermost in mind that so far as possible dull routine and fetish observance of ironclad rules is to be avoided. Individuality is given free play and each member is impressed with the idea that he is to have as great a degree of liberty as he would have in his own domicile. This from an institution with more than 100 residents. Contrast with this the rules laid down in another home, which houses 24 persons: All residents shall be required to conform strictly to the rules. They shall rise and retire at the time specified, keep their rooms in order, be neat and tidy in dress and person, and obey such directions as may be given them by the matron and committee. Punctual attendance shall be required morning and evening at family worship. The residents, except in cases of sickness, are expected to take their meals at the general table, and for sanitary reasons no one will be allowed to carry food or drink from the table to their rooms. Good manners will be strictly enforced at table. The discipline of the home shall be strictly parental in its character. Obedience shall be required of the residents, and the order and decorum of a well-regulated Christian family shall be observed. In case of persistent disregard of the rules, the committee reserves the right of dismissal from the home. Duties of Residents 5 T h e m e m b e r s of the home family are expected to be friendly, courteous, cheerful, prompt, and neat and to cooperate in every way possible to make the home a pleasant place of residence. They must obey the regulations of the home, and comply with the requests of the matron or superintendent. Aside from that their time is usually their own and they are free to do as they please. In some instances, however, certain light duties are required of able-bodied residents, such as preparing the vegetables for meals, setting the tables, cleaning the silver, mending bed and table linen, making their own beds, etc. Of the 1,037 homes, 513 make this re quirement. Sometimes such requirements are made for the benefit of the residents themselves, on the assumption that busy people are more contented and alert than idle ones. In other instances the home is poor and needs whatever help the inmates can give. There are no service requirements in 426 homes, but in 51 of these voluntary assistance from the old people is encouraged. A few homes practice occupational therapy, encouraging the members to make articles of whatever kind they have the knack. Some of the homes sell these, and the proceeds, less cost of materials, are returned to those who did the work. Two homes have a toy shop for the men and one of these a general workroom for the women, and another home is planning to erect a workshop. Others which require no services nevertheless encourage the residents to perform such service around the home and grounds and pay them for their services. 5 F or data obtain ed in a su pplem en tal stu d y of w ays ad op ted to keep inm ates b u sy and contented see M o n th ly L a bor R e v ie w for D ecem b er, 1929. 35777°— 29------- 3 28 CARE OF AGED PERSONS IN UNITED STATES Although many homes encourage their residents to keep busy, making any little useful articles which may be sold, individual inmates are often forbidden to dispose of these articles themselves; this must be through the home. The following is a common provision in this respect: No inmate will be permitted to leave the institution to procure work, solicit assistance, or dispose of any article made by himself unless by special permission. All that is necessary for the comfortable support of the inmates of the home will be provided from the funds of the corporation. Privileges of Members, and Benefits Provided As b e f o r e noted, the homes accepting life members contract to furnish board, lodging and laundry for the remainder of the resident’s life. Many also furnish burial 6 in the plot owned by the home, while others do this only if there are no friends or relatives who will do so. As will be seen, the great majority of homes also furnish medi cal and nursing service. The personal comforts provided vary from home to home. Some of the larger homes have sleeping quarters on the dormitory plan. Others have sleeping rooms accommodating two or three persons each. Still others provide each guest or couple with a private room; these of course are of all degrees of comfort and attractiveness, varying with the funds at the disposal of the management and the policy of the home. A few homes (mainly on the Pacific coast) have adopted the cottage plan; if an old couple, they are assigned to a cottage by them selves just as if they were living at home, if single people, three or four share a cottage, each having his private room. In this way “ in stitutionalism” is avoided and the surroundings are much more home like than is possible in a large building. The superintendent of one of these homes, a private, endowed institution which stands very high as far as benefits and comforts provided are concerned, says that of all the many advantages furnished at the home the one most appre ciated and making for the greatest happiness is the separate living quarters provided. Religious services are quite a general feature of homes for the aged, especially those of the church organizations. A considerable number of homes have a chapel in the building where such services are held. One home reports that “ there is no service which so unites the family as the Sunday service.” Even homes which do not have services on the premises make arrangements for attendance at local churches by those who wish to go, and morning and evening prayers and at meals are almost universal. One very large home has a resident minister, and another pays one of the ministers of the city $600 a a year to conduct services at the home. Medical and nursing care.— Provision of medical attention and nurs ing care is very general. As already mentioned, fairly good health at time of entrance is an almost universal requirement of these homes. It is expected, in the natural course of things, however, that as time passes, the guests will become more and more infirm and will require more and more personal care and medical attention. Of the 1,037 homes covered, 962 (or 93 per cent) provide medical care when needed, and 171 employ one or more full-time resident physicians. A hospital 6 In som e instances a special fee collected at tim e of entrance is set aside to cover cost of burial. 29 CHAPTER III.---- IN HOMES FOR THE AGED or infirmary department was reported by 75 homes. No question was asked on this particular point and doubtless a good many more homes which did not think to mention their hospital also have this feature. Some 674 homes have one or more resident nurses. Table 14, which follows, shows for each of the types of home the provision made for the care of the sick. T able 1 4 .— P R O V I S I O N O F M E D I C A L A N D N U R S I N G C A R E H om es furnishing m edical care S ponsoring organization Federal G overn m en t (soldiers’ and sailors’ hom es) _ _ . State governm ents: Soldiers’ h om es. _ __________ O ther hom es ___ _ _ L a b or o r g a n iz a t io n s .__ Religiou s denom inations and orga n iza tion s.- __ ___ ___ Fraternal organizations _ ___ N a tion a lity grou p s_____ ___ _ V arious organizations___________ P rivate groups___ _ _ _ _ __ T o t a l ______________ ______ N u m b e r w ith specified nu m ber of resident nurses N um N um ber ber of Of having hom es these, resident covered num ber in ! physiN u m report stu d y j cian ing ber hospital or in firm ary 9 9 8 1 2 3 27 4 2 4 5 G 7 9 1 1 8 or T o m ore tal 8 8 6 41 1 3 44 2 5 44 2 5 16 1 4 30 1 1 444 102 33 38 3C0 399 98 31 35 339 20 11 2 4 9 61 217 27 54 8 16 2 14 32 177 31 6 1 2 32 16 5 3 1 4 3 15 4 4 5 1 1 1 2 273 70 17 28 233 1,037 962 75 171 506 76 42 13 11 4 2 20 674 "T 1 1 1 2 1 3 One home reports that about one-fourth of the guests require medical or nursing service, sometimes over a period of years, and another that of its 50 residents, 12 are blind, 8 are paralyzed, and 4 are feeble-minded, while 18 are over 95 years of age. Such service as the above is costly, especially where full-time phy sicians and nurses are employed and a hospital unit is maintained. Some homes are even equipped to perform major and minor opera tions, w7hile others give only ordinary medical care at the home. In the latter cases if the illness requires special or surgical treatment, the patient is removed to a local hospital at the home’s expense. Practically all homes provide, however, that in case the resident becomes insane or afflicted writh some incurable or malignant disease the home may have him removed to an appropriate institution.7 Where the services of the physician are paid for and are often required, this increases the per capita cost of operation of the home considerably. In many of the homes covered, however, particu larly those whose w^ork is largely charitable, one or more local phy sicians donate their -services, and in some cases there are available to the home the services of a whole panel of general practitioners and specialists who give their time and service whenever needed. Money benefits.— As already stated, a number of the homes pay the resident the income from property turned over to the home or pay a certain rate of interest upon it, thus insuring a person with some means a certain amount of spending money, even though small. Of 7 F or a description of the hospitals and infirm aries at the hom es w h ich w ere visited, see p. 60. 30 CARE OF AGED PERSONS IN UNITED STATES the homes covered, 168 report such an arrangement. The rate of interest paid varies from 2 to 7 per cent, the most common rate reported being 4 per cent. In order to give the guests a sense of independence and personal freedom, 137 homes make either regular or occasional small money allowances. Such money is used to cover tobacco, candy, small needs, and the purchase of any little article to which the resident may take a fancy. The allowances for this purpose are small, usually $1 or $2 per month, though in some instances they run as high as $5 or $10 per month, and 1 home pays each old lady an allowance of $1 per week. The residents at State or Federal soldiers’ and sailors’ homes draw pensions which provide them ample spending money. Some of the homes for the dependents of soldiers, however, require that all or part of any Federal pension received must be turned over to the home. Reception of visitors.— Many homes are open for visits by friends of the inmates all day and every day of the week. One home receives visitors at “ all reasonable hours,” another at any time except meal hours, and another at any time which does not “ interfere with the arrangements of the home.” Others have definite hours and days for such visits. Where there are such restrictions the hours of 2 to 5 p. m. on specified days are usually those set. One home allows the inmates to receive their friends only from 2 to 5 p. m. on Wed nesdays and Saturdays; it specifically prohibits visits on Sundays. Such a provision against Sunday visits is unfortunate in that it practically bars visits from working friends whose only free day is Sunday. One home forbids the members to receive visitors in their rooms, requiring that these be entertained in the general living rooms. Some homes specifically forbid the inmates to invite a visitor to remain overnight or to a meal. Others allow the latter, but make a charge for the meal so served, the price usually being 25, 35, or 50 cents. Still other homes have set aside a special bedroom for vis itors, especially those coming from a distance. “ Visitors’ rooms” are usually found only in homes located in the country districts or in the suburbs, where hotel accommodation is not easily available. Visits by inmates.— As a general thing, able-bodied inmates are free to come and go throughout the day— to call on their friends, go shopping, go to the movies, etc. In such cases, however, they are expected to return by nightfall unless some younger person is with them, or by the closing hour at night. (The closing hour is usually 9 or 10 p. m., at which time all inmates are expected to be in their rooms with all lights out.) One home, which has a nominal closing hour of 10 o’clock, does not in practice enforce this rule. Most of the residents are church mem bers, and many church entertainments and other affairs which the guests like to attend are not finished by thai) hour. The home has therefore adopted a plan by which each person who is going out for the evening writes her name on a tablet in the front hall. The light in the hall is left burning and the door unlocked. As each returns she crosses off her name, and the last one in locks the door and turns out the light. In another home each resident has her own key to the front door and comes and goes as she pleases. As these old ladies are great bridge players, this privilege is greatly appreciated. CHAPTER III.— IN HOMES FOR THE AGED 31 Some homes require that permission to leave the home be obtained from the matron, others merely that the latter be informed of the departure. These regulations are adopted as safety precautions, as in many instances the old people do not see or hear distinctly, and the home is afraid of accident. It is a practically universal practice among the homes to allow guests to go away for a “ vacation” — sometimes for an extended period— to visit relatives or friends. In one home five old ladies saved their pensions and spent a week at a nearby ocean resort. Such vacations are found to be beneficial both for the home and the guest. One home which has plenty of money will pay for the transportation of any guest who wishes to visit his relatives. Recreation.— As one of the measures to insure the contentment and happiness of the residents, many homes, or the organizations spon soring them, make a special attempt to provide recreation of various sorts. It was interesting to see how widespread this attempt was and how varied the recreations provided. Of the 1,037 homes, covered, 723 report that recreation of some sort is provided. The Federal soldiers’ homes are especially active in this respect, as would be expected considering that many of their residents are men young and restless and with a keen zest for life and amusement. The strictly old people’s homes are not lacking, however, though many which might be disposed to furnish recreation are hampered by lack of funds. Of all the groups of homes (aside from soldiers’ homes) recreation is most generally provided in the trade-union homes. All of these have recreational features. Of the larger groups, recreation is a most common feature of the church, fraternal, and private homes, where in from 70 to 75 per cent of the cases an attempt is made to furnish diversion for the residents. The amusements provided are of the most varied sort, the most popular being motion pictures, entertainments of different kinds, and the radio. Other recreations (in diminishing order) are cards, billiards, musical programs, rides or outings of various sorts, reading, lectures, other games (pool, bowling, checkers, chess, croquet, golf, and quoits), parties, picnics, hunting, fishing, boating, and dancing. Some homes make a regular practice of celebrating the birthdays of the residents, either singly or by having a joint party in honor of all those whose birthdays occurred during the month. One home has an annual ball, one gives occasional theater parties, and one takes the guests to the opera. The residents of several of the homes visited are admitted free of charge to the motion-picture theaters in the vicinity, and the guests at one actors’ home have free entree to all the legitimate theaters in the city. Quite a few of the homes are situated on the shores of or near by a lake, and in such cases boating and fishing are a regular diversion of the able-bodied residents. Smoking, lounging, and game rooms and sun parlors are a common feature of the larger homes. One private, endowed home has a library and smoking room, swimming pool, billiard and pool tables, bowling alleys, shuffleboard, and other games such as chess, checkers, cards, etc., and a dance hall. Motion pictures are shown at the home, 32 CARE OF AGED PERSONS IN UNITED STATES and during the season members have a yacht trip once a week on the bay on which the estate fronts. In some places there is a good deal of local interest in the homes, especially those which are dependent upon the philanthropy of the local citizens. The clubs and other organizations in the town become interested and in some cases make it their duty to see that the old people are made as happy as possible. Where the home is sponsored by a local church or by a fraternal or other organization, that organi zation usually looks after the recreational as well as other needs of the home guests. Often members of theatrical troupes or concert artists appearing at local theaters give a performance or entertain ment for the old people. Supplementary Activities of Homes A f e w homes, all but one of which are in Massachusetts, also give outside assistance to persons in their own homes. One regards this service as a most important feature of its work and one well worth extending; the funds available for the purpose obviate this. Another has a “ field service/’ through which practical aid and advice are given. One of the points most often raised against old-age pensions and outdoor relief is that the persons who need such assistance need it because they are poor managers of what money they have had. Such an argument, of course, ignores all the misfortunes and other causes of poverty and need. But one of the services this home is giving to the persons it aids is the planning of their budget to fit their incomes; in other cases where the beneficiaries are obviously incom petent to handle money it does so for them. Maintenance and Cost of Homes N a t u r a l l y , besides the income from entrance fees and transferred property, the main support of homes operated by a specific organiza tion is the organization itself. The fraternal organizations, for instance, make a special assessment on the membership or meet the cost of maintenance out of the general funds of the order; these homes, as already noted, make no charge for admission,8 the entire cost being met by the organization. The cost of the soldiers’ homes is of coursc borne by the State and Federal Governments, and those of the labor organizations by the union or unions which erected the home. The homes run by the church organizations and national groups are often only partially supported by the organization, being dependent upon contributions from individual members or even upon the citizens for assistance in meeting the annual budget. This is true to the greatest extent among the private homes, where the problem of making ends meet is perennial and pressing. Not only do many of the homes find it difficult to supply the absolute necessaries, but desirable projects and benefits have to be postponed indefinitely. “ Lack of funds’ 7 is a widespread complaint. In some instances a certain amount is received from the community chest. In other cases, various means are resorted to in the attempt to meet the budget. Benefits, bazaars, card parties, showers, 8 Except in 2 instances; there are 101 homes in this group. CHAPTER III.— IN HOMES FOR THE AGED 33 membership drives, etc., are among the measures adopted. Many homes hold an annual “ donation day.” Gifts in kind often form a considerable item in the upkeep of the home. These may range all the way from a box of toothpicks to a set of furniture or 100 pounds of meat, but they are all acceptable. A good many of the homes, particularly the private ones, were established under the terms of a will, the bequest consisting of the donor’s residence, or of a more or less considerable amount of money, or both. Others are trying to build up endowment funds, inviting persons to leave their money or property to the home. In this way a good deal of property has been acquired by the home, the income from which forms a considerable proportion of the home funds. The church homes seem to have been particularly fortunate in this respect. Homes amply endowed are of course relieved from the hard struggle for existence which many of the less fortunate institutions are having, and can support their aged charges in comfort and give the many additional advantages that money can buy. In some instances, however, homes have started with what seemed an adequate sum at the time, but have found this sum growing more and more inadequate. Altogether, the proportion of homes which can say, as one home did, that the funds of the home are 11ample and sufficient,” is small. Many homes own considerable property, and a number operate farms in connection with the home. In this way the home is supplied with some or all of its fresh vegetables and small fruits, and in some instances there is a surplus which is sold on the open market. One home last year had under cultivation more than 1,700 acres (most of which was left to the home), and the proceeds from the crops covered a large part of the expenses of the institution. Another owns some 2,700 acres. The table following shows for the various groups of homes the lowest, highest, and average per capita cost of operation. It is seen that, of all the homes, those of the labor organizations had by far the highest average cost of operation, while the least amount per person was spent by the religious denominations and nationality groups. T able 1 5 .— P E R C A P I T A C O ST O F O P E R A T IO N O F H O M E S F O R A G E D P er capita cost Spon soring organization Low H igh A v erage Federal G overn m en t (soldiers’ and sailors’ h o m e s)___ ...................................... State governm ents: Soldiers’ hom es____ _______ ______________________________ ___________ ____ O ther h om es. _ ................................................ .................................................... L a b or organizations _ ________________________________________ _____________ R eligiou s d e n o m in a tio n s .. .............. ............................... ............................... ....... R eligiou s p h ilan th rop ic organizations_ Fraternal o r g a n iz a tio n s .................. ......... ........................... ......... ............................ N a tion a lity groups ..................... .......................................... ............................. .. Various organizations_________________ _____________________________________ P rivate grou p s________ _____ _________________________________ ________________ $391.25 $764. 74 $485.69 55.50 418.18 830. 73 83.33 136.14 33. 33 201.47 156. 25 ' 118.30 1,575.00 475.93 837.98 1,279. 85 1,631.83 911.24 979.17 1, 000.00 2, 290. 00 501.94 457. 57 834. 35 366.94 506. 85 457. 03 345.94 444. 26 454. 77 A ll organ ization s........................................ ........................................................... 33. 33 2,290.00 437. 57 34 CARE OF AGED PERSONS IN UNITED STATES Table 16 shows the homes classified by number of residents and by annual per capita cost of operation: T able 1 6 — P E R C A P IT A C O S T O F O P E R A T I O N , C L A S S I F I E D B Y S IZ E O F H O M E S H om es having classified nu m ber of residents A n n u al per capita expense of operation Less than 25 25 and under 50 50 and under 75 75 and under 100 100 and under 200 200 and under 500 T o ta l 500 and over Less than $100. .. ........... . $100 and under $200___ $200 and under $300___ $300 and under $400___ $400 and under $500___ $500 and under $600___ $600 and under $700___ $700 and under $800___ $800 and under $900___ $900 and under $1,000-_ $1,000 and under $1,200 $1,200 and under $1,500. $1,500 and under $2,000. $2,000 and o v e r .. ........... T o ta l____________ 3 53 126 177 147 120 58 40 25 18 283 218 55 1 N o t in clu d in g 229 hom es for w h ich operating expense w as n ot reported and 18 for w h ich neither aver age n um ber in residence nor operating expense was reported. Administration of Old People’s Homes S i n c e m o s t o f the data in this study had to be gathered by mail, the returns gave no indication of what the homes themselves were actually like. In order, therefore, to gain some idea of the physical conditions in a representative group of homes, it was decided that an agent should visit every home that could be found in a specified area. The homes in the States of Maryland and Connecticut and the eastern half of Pennsylvania were covered in this way, as well as four homes in New York and one each in New Jersey, Colorado, Illinois, and Ten nessee, so that altogether some 150 homes were visited. The re mainder of this chapter is based upon the observations at the homes visited. The homes visited included the following: Number Federal homes________________ State homes__________________ Religious homes______________ Fraternal homes_____________ Homes of nationality groups. Trade-union homes__________ Private homes________________ Other homes__________________ T otal_________________________________________________________ 1 2 74 13 2 3 52 4 151 Private homes.— The so-called “ private homes” may be divided into two classes: Those established under the terms of a will and sup ported by the funds made available thereunder; and those whose sup port is derived from contributions from citizens of the community. In the latter case the home is usually started by a group of citizens who, acting as incorporators, provide for the formation of a “ home association” to which any adult citizen of the community is eligible, CHAPTER III.— IN HOMES FOR THE AGED 35 upon payment of prescribed membership dues. Often several classes of members are constituted, based upon amount of contribution. Thus one home has five classes of members: Annual members paying yearly dues of $1; contributing members, consisting of those paying yearly dues of not less than $10; sustaining members, consisting of those paying yearly dues of $25; life members who have paid $100 or more; and honorary members elected in recognition of “ interest in or services rendered to the home.” Usually, however, there are only two or three such classes. This association meets once a year, at which time a board of “ directors” or “ managers” is chosen, generally for terms of one year. Sometimes provision is made for longer terms, part of which expire each year, making the board a continuing body. The number of directors or managers varies from home to home, ranging from 10 or 12 to as high as 60. The full board of directors holds regular meetings at quarterly or monthly intervals and special meetings at such other times as is necessary. Generally the directors are empowered to choose from their own number the officers of the association— usually president, one or more vice presidents, secretary, and treasurer. Sometimes, however, the officers as well as directors are elected at the annual meeting of the members of the association, but in such cases the officers are almost always members of the board by virtue of their office. These officers are charged with the usual duties pertaining to the position. The board of directors is usually given “ entire charge of the affairs of the home,” with power to transact all its business; to appoint and dismiss the matron or superintendent of the home, as well as the other employees, and to fix their salaries; and to pass upon applications for admission. In practice, however, some of its powers are delegated to others. This is done because the number of directors is large and sometimes unwieldy, and the meetings are at wide intervals. It is the usual practice for the board to choose (generally from its own number) certain standing committees which meet frequently and which are charged with the practical carrying on of the current affairs of the home. The president is usually an ex officio member of all committees, but in some cases has no vote. In most instances these committees include: An executive commit tee generally composed of the officers, which is given general charge of the home; a finance committee which has charge of the securities, funds, etc., and their investment; and an admission committee which interviews all applicants for admission, investigates their circum stances, sees to their having a physical examination if the rules require this, and reports to the directors.9 Although the purchases of food are generally made by the matron, some homes have a committee which buys all the provisions. Some also have a clothing or wardrobe committee which takes charge of all gifts of clothing for the home and is in charge of all sewing done for it. One home association has a committee which assigns the bedrooms in the house of the various guests. It also has a “ health com®A variant of the ab ov e practice is that o f electing not o n ly a board of m anagers or directors, b u t also a board -of trustees, the form er having activ e oversight of the con d u ct of the hom e and the latter having charge of the'finances. Som e hom es have not o n ly a board of trustees w h ich has the pow ers usual to the board o f directors b u t also a board of m anagers, delegating to the latter the duties custom arily perform ed b y the various com m ittees. CARE OF AGED 36 PERSONS IN UNITED STATES mittee,” which “ shall visit and provide for the comfort of the sick, purchasing necessary medical supplies; in event of death shall take charge of their effects, give public notice and make all necessary arrangements for burial. ” Other standing or special committees, frequently but not univer sally found, include a visiting committee which is charged with “ keeping itself informed as to the condition and conduct of the home and the welfare of the residents,” and one or more of w^hose mem bers visit the old people at the home once every week or two,10 “ to give such encouragement and advice as the circumstances of each may seem to require” ; a committee on household supplies; a committee on collections of contributions (sometimes called “ w^ays and means committee” ); a committee on religious instruction; an auditing com mittee; committee on rooms and property; committee on buildings and grounds; entertainment committee; committee on discipline, etc. Sometimes, also, an advisory committee of citizens is provided for, consisting of representatives of the various churches of the locality, or of other organizations w^hich give support to the home. In this way the churches or other organizations are brought into con tact with the home and see its needs. Two homes have a self-perpetuating board of trustees which each year chooses a “ board of visitors” to carry on the operation of the home. In the case of homes whose sole support comes from the legacy of the founder of the home, there is no home association. A board of trustees is usually appointed under the will and these, while having control of the home funds and general oversight of the conduct of the institution, usually select for the actual conduct of the home a board of managers, usually women, who perform the duties of a board of directors with power to appoint committees, etc. Fraternal homes.— The fraternal homes are generally administered ' through a corporation w^hose powers are vested in a board of trustees representing the supporting organization. Thus the Masons* and Odd Fellows’ homes are usually supported by the grand lodge of the State, which therefore either controls the board or is represented upon it. In the latter case provision is made for the representation of the local lodges. In the case of a national home, like that of some of the other orders, the national grand lodge through its board of trustees controls the home. As in the private homes the actual duties are delegated to com mittees appointed for the purpose. Homes oj religious groups.— The machinery of administration of the homes of religious groups varies according to the degree of sup port and control by the religious organization. Where the whole support comes from the church organization as such the home is usually administered through a board of trustees elected by the annual meeting of the church conference. In other cases where the financial connection is not so close a separate association is formed whose membership consists of the individuals who are members of the churches; the various churches of the denomination in the district may also be admitted as members. Annual dues are paid in each In one home, a member of the board of managers visits the home every day. CHAPTER I I I .— IN HOMES FOR THE AGED 37 case in amounts varying according to the class of membership taken out. Under this latter arrangement the directing board is elected by the members of the association, the procedure, from this point on, being the same as in the private community homes, except that in some cases where churches are members there is a limit upon the number of directors which may be elected from any one of the member churches. Some of the homes are supported by some or all of the Protestant churches in the city, in which case the board of directors includes a representative from each. In the case of many of the Catholic homes, the entire conduct of the home is carried on by a church order. In such cases the Mother Superior of each home has practically a free hand, subject to some oversight by the order. Handling of Complaints One of the important committees is that which is called variously the “ welfare committee,” “ complaint committee,” “ house commit tee,” or “ visiting committee.” This committee is the safety valve of the members of the home, for to it they may air whatever griev ances they may have or think they have.11 Tact is the essential qualification of this committee, for it must steer a middle and impar tial course between matron and guests. One of its hardest problems is to determine what complaints are justified. Some of the old people are subject to delusions of persecution, and fancy all sorts of wrongs and neglect. In such cases the committee must satisfy itself that there is no basis for the accusations made, without giving offense to the matron. The chairman of one such committee told the investi gator of such an instance. The committee was a conscientious one, taking its duties seriously. Consequently its members were much shocked when an inmate drew aside one of their number and said, “ Don’t tell anybody, but they haven’t given me anything to eat to-day.” “ Why, Mrs. H.— ,” the member said, “ Are you sure? Stop and think, now. Haven’t you just forgotten? You surely must have had something to eat.” “ No, I didn’t,” the old lady said. “ They didn’t give me anything all day. But don’t tell anybody.” Investigation proved that this tale was a figment of the old lady’s imagination, and this incident marked the beginning of a progressive decay of the faculties of the complaining guest. On the other hand, the committee can not ignore any complaint, however trivial, for fear it may prove to be justified. It should be remembered that the old people are, for all practical purposes, in the power of the matron and should she be of an undesirable type this is a serious matter. One home well furnished but looking singularly bleak and uninhabited for all its good furniture, was visited in which it is doubtful if the guests would dare to complain even to the com mittee, so fearful were they of the matron, and so afraid of their con sequent treatment by her if they complained. The Home Matron or Superintendent In general the home is under the direction of a matron. The matron is responsible for the running of the home, the meals, and the general 11 In some cases there is no committee for this purpose; complaints are submitted directly to the board of directors at its regular meetings. 38 CARE OF AGED PERSONS IN UNITED STATES welfare of the inmates. In larger institutions she may work under the direction of a resident male superintendent; though there are exceptions to this, in such cases it is a general practice to hire a mar ried couple, the husband acting as superintendent and the wife as matron. The matron holds the “ key position” in the home. Her duties are many and various. In the small homes she does the greater part, if not all, of the work. True, the old people usually give what help they can. It is a general practice for the inmates, who are able to do so, to care for their own rooms, except when these are given the (usually) weekly thorough cleaning, and the matron is therefore spared this part of the work. The help of the guests is uncertain at best, however, for they may feel able to help one day, and feel ill the next. But the household duties go on forever. Homes were visited in which the matron also acts as cook; also several in which she even does part of the laundry work. In one home, in addition to her other duties the matron makes all the butter for the home family of about 60 persons. In another home, which was visited during the housecleaning season, a man and his wife and son do all the work. The man is a practical farmer whose whole time is absorbed in the farm, while the wife acts as matron. At the time of the visit she was doing the cooking and other house work for a family of nine old men and was trying to clean house in the intervals. The son, a boy of high-school age, cares for the yard and chickens. The larger the home, of course, the more assistance is given the matron. A cook and one or more general helpers are employed; in some cases a “ housekeeper” who, either personally or with helpers, attends to getting the kitchen work and general housework done. Usually the laundry work (or a greater part of it) is done in the home, and some effort is made to lighten this work. Where the home was located in a country district and electricity was not available or was too expensive, instances werte found in which the ironing was being done in the kitchen, the irons being heated on a coal range. Electric washers and electric irons are practically universal, however, and many homes have either a hand or electric mangle for the flat work. Extractors are also becoming a fairly common appliance in the home laundries. Only about half of the homes have resident nurses, and where there is no nurse the matron is expected to act as nurse in cases of slight illness. But this becomes a serious additional burden in those homes where most of the other work is done by the matron; especially is this true where the patient requires care at night. One matron who had had a good deal of nursing to do in the past few months and who was on the point of resigning because she could not stand the work, said: “ You can stand it for one or two nights, but after that its too much.” In one home caring for both children and old people the matron (a registered nurse) has given personal care to one inmate who has been bedridden for four years in a room adjoining that of the matron. This old lady has softening of the brain and is completely helpless. But so well has she been cared for that she is otherwise in good con dition and without a bedsore. It is a general practice, however, in case of extended illness in homes which have no resident nurse, to call in a nurse to care for the patient. CHAPTER II I .— IN HOMES FOR THE AGED 39 Even in such cases the matron must assume part of the burden, for the nurse can not be expected to work day and night. But aside from the practical work of the home, the matron has very important functions to perform. The happiness and well-being of the inmates are in her hands. From their point of view she is the all-important part of the home, for she can make it a real home or a place of torment for them. An attractive personality, endless patience and tact, ready sympathy, and a real interest in the guests as individuals— these are indispensable in the matron if the institu tion is to fulfill its purpose of being a home. To have the bodily comforts provided is good, but these old people need something more. They are like children in their need of attention and affection, and even luxury without these is barren to them. That the matrons are, to a surprising degree, making the homes real homes is worthy of note. It should be emphasized here that the matrons of the homes visited (with some few exceptions which stand out by the very reason of their infrequency) are a most re markable group of women. Most of them are women of middle age or older, women of experience, and in many cases women formerly of some means who have lost their husbands or their money, or both. In several instances they had had training or experience in social work of various kinds. Quite generally they were interested in doing their jobs as efficiently as possible and had been at some pains to find out how other matrons were meeting their problems. One matron spends her vacations visiting other homes, to get “ pointers.” A sense of humor is a great asset in this work, and most of the successful matrons are gifted with this. One matron said she’d “ die the death of seven rag dolls,” if she couldn’t see the funny side of life in the home. Another is writing a book on her life in an old ladies’ home. Almost invariably the low-grade matron, the dreary home, and the dull-looking inmates were found together. The dreariness of the home was not a matter of furnishings or material comforts, necessarily. Some of the shabbiest homes were the happiest. It usually meant that the matron didn’t care or know how, or lacked the “ homemaking touch.” The success of the matrons, generally, is all the more noteworthy when their problems are considered. The old people enter the home with all their habits formed and must be accepted as they are. Many are cheery and lovable, but many, also, are crabbed, irritable, and crochety. There are some whom it is impossible to please and these, strange to say, are usually those who have had the least before coming into the home. Especially as they get along in years they get “ notions,” perhaps even ideas of neglect and ill-treatment. As one matron said: “ They are just like children, but with this disadvantage: That you can’t discipline them as you would a child.” Some are unreasonable and have an exaggerated idea of the advantages to which their entrance fee entitled them. Some try to interfere with the servants and to “ boss the house,” forgetting they are no longer in their own homes. In many cases the matter of discipline or correction of the residents is in the hands of a committee; the matron may report any repeated infractions of rules or any unbecoming conduct on the part of the guests but she can take no action, In other instances the matter is 40 CARE OF AGED PERSONS IN UNITED STATES entirely in her hands. This is unfortunate, however, for as already stated, she has the power to make life very unpleasant for the in mates if she cares to, and can do this even when she can take no openly disciplinary measure. Where she is allowed the latter func tion the guests can only appeal to the board of directors, if they dare. Many matrons assume little or no authority over the inmates, but treat them merely as fellow residents presumably trying to make the home as pleasant as possible. In one home the matron is called the “ hostess,” and she assumes her position to be that and nothing more. One matron, a superior woman of alert intelligence and understanding, who had had a good deal of experience in many lines of work— all dealing with people— said the idea of old people having to submit to regulation and discipline was abhorrent to her. Others, while not expressing themselves on the matter, evidently take the same view, and allow the guests all possible latitude consistent with peace and order. Other matrons, however, feel that their position is one of almost parental authority, and act accordingly. In one home visited, one old lady had just been released from her room after two weeks’ con finement there as punishment for fault finding. In another the guests were obviously in fear of the matron, a coarse overbearing woman who was nevertheless all smiles in greeting a committee from the church which supports the home. Generally, the matrons treat the residents tolerantly and with a genuine desire to visualize their point of view. In a few cases, which were outstanding because of their small number, the guests were spoken to and ordered around with no consideration for their feelings whatever. One superintendent, a conceited, swaggering man, spoke of the residents, in their hearing, as “ hogs,” saying that the men who went to such homes were all “ bums” and the women all “ dope fiends.” The feelings of the inmates at hearing themselves so charac terized can be imagined. While the spirit of some of the old people in those homes has been broken to the point of humility by their position, the humiliation of people of spirit who find themselves exposed to such treatment must be a constant thorn to them. While there are undoubtedly cases in which guests are hopelessly disagreeable and nothing can be done with them, in general it is true that to a great extent the residents reflect the attitude of the matron toward them and the home. If she loves them, they love her, and show it. Where no interest is taken in them, they take no interest in themselves. In one home visited the old ladies had formerly gone around with their hair uncombed, their shoes unbuttoned, wearing kitchen aprons all day, etc. The matron said that when she came into the home they were the “ bluest looking lot of people she ever saw.” By a word of praise or interest here and there, a suggestion as to how pretty white hair is when it is well cared for, etc., a change of attitude has been effected that is surprising. The guests in this home now take pride in dressing themselves up and looking their best. They go in for all the little fads— shoulder knots of flowers, etc.— and have even begun to take an interest in current events. They read the newspapers and the new books, and can talk intelligently on what is going on. CHAPTER l i t .— IN HOMES FOR THE AGED 41 This is in direct contrast with another home, filled with apathetic old people of both sexes, who, according to the superintendent, feel that they are simply there to “ await the end.” One Jewish home was visited whose matron was a middle-aged Irish woman. She had been in the home for 30 years, and had a heart full of love for the old people. They were like well-loved children to her. They, on their part, quite plainly adored her. Most of them were so old as to be childish and need a good deal of direction and advice about such serious matters as whether an extra wrap is neces sary to wear out upon the porch on a sunny day. All of which she gives patiently. In another home, caring for nine old ladies, the matron had been called away unexpectedly and the bureau's agent was shown through the home by one of the guests. This was a delightful place. Every thing was shining with cleanliness. The old lady guide said the guests “ just loved” it there and thought the matron was perfect— so thoughtful and considerate. They, to show their appreciation, tried to be as little trouble as possible, and took pride in keeping the tablecloth spotless, to help the matron. The matron of one of the most homelike places is a spirited and unfailingly humorous person, and she has managed to infuse her “ never say die” spirit into the residents. They are the most alert and sprightly group found anywhere, and not one is younger than 76 years of age. She is on the most familiar terms with them, calling one “ Dad,” another “ M a,” another “ Auntie,” and so on. They think she is lovely because she is never “ stiff” with them, as they say. The home atmosphere is remarkably good. Practically all the light work is done by the guests and they are busy and happy, taking an interest in all the church affairs and in what is going on generally. Another problem faced by the matron is that of so many masters. The matron must be able to work successfully with the various com mittees. In some homes the matron has practically a free hand; she works on a budget, purchases the provisions and even minor house hold equipment, and hires and fires the other employees. In other instances, however, her authority is much restricted; there may be a committee which buys the groceries and household supplies, another which assigns the bedrooms, another which visits the home to see if there are any complaints, etc., while the hiring and firing of employees is done by the board of directors. While there is nothing that will keep a matron “ on her toes” more successfully than the knowledge of a good live committee on the job, nevertheless such strict and con stant supervision (even amounting to unwarranted interference in some cases) is likely to prove decidedly irksone to a capable woman of spirit. “ Oh, these committees!” said one highly intelligent and successful matron. “ They nearly drive me mad. M y friend Mrs. D. [matron of an endowed home in the same city] can thank her stars she has only one man to please.” In one large institution several rooms on the first floor are reserved for the use of the directors, each of whom has a key. The superin tendent says he often wakes up in the morning and finds that one or two of the directors have arrived unexpectedly during the night. In another home a committee member will drop in at odd times— perhaps in time to take a meal there— just to be sure everything is going on as it should. 42 CARE OF AGED PERSONS IN UNITED STATES Not all the committees are so active and interested as those just cited, however. The home association of one institution has a com mittee that comes to the home about once a year “ to see how things are going, and whether there are any complaints.” Physical Conditions at the Homes Location of Homes O f t h e h o m e s visited, all but 11 were in or just outside some city or town. These 11 were situated in the country, some distance from any settlement, and in one or two cases so secluded that they could be reached only by automobile, there being no regular means of transportation. In several instances these country homes had a beautiful location. One such was in the center of an exquisite little valley, which at the time of the agent’s visit, was lovely with blos soming orchards. Another stood on the ridge of a chain of moun tains, from which there was a splendid view of the surrounding coun try. But such homes, while peaceful and healthful, have the disad vantage of being too removed from settlements to permit of easy access by the friends of the inmates. This is a great disadvantage in the eyes of many old people. There were in fact several instances in which a home, located in a neighborhood which had run down since the establishment of the home there, was planning on removal to the outskirts of the city where a better and more spacious site could be secured. In nearly every instance the move was vigorously opposed by a majority of the old folks in the home, on the ground that while the present location was poor, at least it was handy and easy for their friends to drop in for a visit. Of the homes visited which were in towns or cities, about 70 per cent were in a good neighborhood or location (and in some 30 cases the location was excellent). In about 25 cases the neighborhood had been good but had run down considerably, in 13 cases it could be definitely classed as poor, and in 4 cases as very poor and altogether unsuitable. In one home of the last-named class the home w^as an old house in the wholesale district of the city, in another case the district in which the home was had become the manufacturing dis trict, and in a third instance the neighborhood was known to be the rendezvous for the roughest and most lawless classes in the community. One home stands on the end of a precipitous hill at the foot of w~hich are railroad tracks and a factory which emits black smoke all day, so that the air is filled with it. In other cases the neighborhood was neither bad nor good, but simply dingy and most unattractive. In the great majority of cases the homes visited showed evidence of a desire to secure the best possible location for the home. Many of them were in the best residential sections, on wide shady streets, often overlooking a park or lake and in several instances a river. In some instances the location was superb. One such home, for instance, located on a broad plateau in the bend of a beautiful river; and the porches of the home afford a wonderful view of the river for miles, with the mountains rising on either side. Back of the home rises a mountain the springs of which supply the home with pure, ice-cold water. To the right of the building is a lovely little lake and a waterfall. The home grounds are at the southern edge of a village CHAPTER I I I .— IN HOMES FOR THE AGED 43 of several thousand people. In another place there is a group of homes all overlooking a beautiful park; one of these homes faces the park in front, while its rear grounds adjoin the rolling land of a country club. Another is situated in a leafy suburb and the home faces a wide river where the university boat races are held, affording the old people a source of interest. Still another is built on the top of a hill overlooking a small town; its grounds are beautiful with flowering shrubs and enormous pine trees, and its porches afford a beautiful view over the rolling countryside for miles around. This home and grounds were peacefulness personified. A number of other homes are so situated as to command a view of the mountains. Home Buildings The buildings in which the old people are housed are of all sorts, ranging from dingy, run-down buildings which were hopeless from the point of view of sanitation and renovation to new fireproof buildings shining with cleanliness and equipped with all modern conveniences. Many of the smaller homes are occupying ordinary dwelling houses, some in good repair, some not. Some have begun with a small house, and as the home family grew in numbers have either added a wing here and there to the original building or have moved to a larger building. A number of homes now occupying old buildings are plan ning to remove to a new home in a better location. In a few instances the arrangement of rooms could be improved upon. Thus one home, which has a dormitory for the men, has opening off from the corners of the room four rooms for married couples, the only means of ingress and egress from these rooms being through the dormitory. In another the upstairs porches could be reached only through the toilet# rooms. In a third the pressing and sewing room (or “ handy room ” ) opened off the reception room which was at the right of the front entrance. In another the infirmary was located on the first floor between the general living room and the dining room. These, however, were the exceptions. Generally the arrangement of rooms is very good. In two of the States whose homes for the aged were visited the State requirements as to safety and sanitation must be complied with and inspectors visit the homes to see that this is done. As a general rule the new buildings are of fireproof construction, but some of the old buildings are not, and a number of homes were visited which had had to construct a special fireproof tower with staircase opening onto each floor of the home to provide a means of escape in case of fire. In one home whose family is drawn from a steadily decreasing group, the guests now occupy only one of a number of the buildings formerly used. The building they are in is very old and no amount of labor will make it appear clean. The furnishings are also old and shabby. The few remaining guests occupy scantily furnished north rooms opening out upon a fairly wide bare hall. At the time of the agent’s visit the majority were drawn up around the windows in the hall, in the sunshine, preferring this to the dingy sitting room down stairs. This home has an unusually high per capita cost of operation, 35777°— 29------- 4 44 CAKE OF AO ED PERRONS IN UNITED STATES but most of this goes for the upkeep and repair of the buildings on the home grounds and not for the comfort of the inmates. For the same maintenance cost the residents could be given all the comforts in a small modern home. One home was in a bad state of disrepair. The paint had gone long since, the porches were sagging and rotten. An unkempt yard and rusty iron fence, only part of whose gate was left, added to the gen erally disreputable aspect of the place. This, however, was the exception. On the whole the home buildings are good. Only five visited could be called poor, a number were only fair, but a large number were very good indeed. Brick and stone were the materials most generally used in the larger institutions. The smaller buildings were mostly of frame construc tion. Home Grounds Well-trimmed lawns and some attempt to beautify the grounds are the almost universal rule among the homes visited. As a number of homes were in the city where land is expensive some of these had only the lot on which the home stood. Almost invariably, however, this was beautified by lawns, hedges, or other shrubs, or perhaps a bed of flowers. Many had flowering trees which were in blossom at the time of the agent’s visit. In one or two instances no attempt was made even to tidy up the yard; in one case there was no yard at all, and in one case this had been cemented over. One home which had no front yard at all, but had a very small space in back, had this in a velvety lawn around the edges against an iron fence, being planted with perennials which blossom at different times during the summer, and in the center a small bed of flaming red cannas. A small rear porch had been supplied with splint rockers which the matron herself had painted orange and black; these had cushions to match, while an orange and black awning provided an additional note of color. The result was a very attractive spot, though small. The majority of homes have managed to secure a good-sized plot of ground and to beautify this with shrubs, flowers, and winding walks or drives. In some cases where landscaping has been done, broad, low terraces, often with flagging or red tile, add to the beauty of the place. One home which has very little ground has made its small yard a beautiful place, by judicious use of shrubs and flowers, utilizing even the rocks, with which the ground had been thick, in a lovely rock garden. Another (rural) home has terraced its broad front lawn down to a stream which flows through the property, making use of iris and other flowers in a broad strip at the side of the grounds. A city home is set back from the street behind a fence whose base and supports are of the same tapestry brick used in the construction of the house but is open in its effect because of the iron grating used between the pillars. About 12 feet back of this fence, at the top of a bank is a low brick wall beyond which on either side of the central walk is a garden with flowers and box. A porch whose tiled floor is flush with the ground extends across the front of the building between the jutting wings. Climbing roses are planted in front of each of the pillars to the porch. CHAPTER I I I .— IN HOMES FOR THE AGED 45 Another home is set in 80 acres of lawn, groves, and landscaped gardens. In several other cases the grounds are of park size, with winding roads and beautiful gardens. Furnishings of Homes Entrance Halls )The entrance halls of some of the homes, especially in the new^er buildings, are most attractive. Part of the beauty was usually sup plied by the stairway. In many homes the main stairway is directly opposite the front door, dividing at the top of a short flight and continuing on either side. In one home with such a stairway the F ig u r e 3.—H a l l w a y in a M id d l e w estern h o m e railings and stairs were of cream color and the carpet in the center of the stairs a deep rich red. A small home with a narrow winding staircase had this finished in pure white, the runner being of black and gray. In another home the stairway ran up along the back wall which had windows set in at the level of the stairs all the way up. These windows were gay with flowering plants. Two homes visited had a central rotunda reaching to the roof, with a gallery on each floor. General Living Rooms Practically all homes have a general gathering room for the inmates or for the reception of visitors, and many of the homes have parlors and sitting rooms beautifully and tastefully furnished. Though in some instances these did not appear to be used to any great extent 46 CARE OF AGED PERSONS IN UNITED STATES by the guests, others were quite evidently the center of the life of the home. Some of the larger homes have one or more sitting rooms on each floor. It is a fairly common arrangement to have a sitting room or sun room at the end of each corridor. Where the building is wider that it is deep, the room directly above the entrance, on the second floor, is almost invariably a sitting room or library. Deep blue and ivory is a favorite color scheme for the parlors. One very attractive new home has a large general sitting room which runs across the whole side of the building. This room has many windows, some of which look out upon the boulevard upon which the home is situated and some upon a rock garden at the side. There is a big open fire place in the center of the room and easy chairs are everywhere. The rugs and upholstery of this room are of deep blue while the woodwork and window hangings are the color of ivory. The room has a victrola with many records, and a radio. Out of this room opens a smaller one, with the same color scheme, which is used as a music room. Both rooms were sweet with fresh flowers. Several old ladies were reading in the sitting room at the time of the agent’s visit. One institution conducted on a lavish scale has several luxuriously furnished gathering rooms in the main building. In each of the other buildings there is a sitting room on each floor; these are much used. Other favorite assembly places are the glassed-in corridors which connect these buildings with the main buildings. These corridors are furnished with rustic furniture and are steam heated in winter. The windows slide back so as to provide a cool place in the summer. Still another home furnished in the most luxurious manner has a general living room or ‘ 1lounge ’ ’ which is magnificent. It is two stories high with an arched beamed ceiling. The walls are panelled part way up in walnut. The furniture— easy chairs and davenports— is upholstered in brown leather. In this room are many books, a piano, and a radio. At one end are French windows leading out upon a terrace. The use made of the general living rooms varies from home to home. In some places the sitting rooms are the center of the life of the home. Here the old ladies and gentlemen gather in the everting and at off moments during the day for a friendly chat or to read. In some homes the matron reads aloud in the evening from the daily newspaper or a book. This is especially appreciated, as many of the guests are afflicted with poor eyesight and can not see to read in the evening. In one home for ladies this is a general practice all through the winter. The ladies bring their knitting or tatting and one of their number or the matron reads aloud. In another it is a common practice to sing together in the evenings after the paper has been read. In several cases the living room is provided with a row of chairs and each inmate has her own special chair. In other cases it was quite evident that the parlors were intended for the use of visitors to the home rather than for the guests them selves. In one instance the inmates say that they have to die to get into the parlor, as that room is the one in which the funeral services are held. Sometimes, however, where the guests are free to use the living rooms they do not do so, preferring to stay in their own rooms. Indeed, one matron said she had a hard time getting them into the CHAPTER III.— IN HOMES FOR THE AGED 47 home’s very attractive parlors even when an entertainment was being given. In certain cases the living rooms are so dreary and unpleasant that it is no wonder they remain unused. In one home the superin tendent threw open the door of a bleak, stuffy-smelling room and said: “ This is the sitting room, but nobody sits here except one old lady who comes in for a few minutes every day.” In this case a sunny sewing room on the other side of the building was used more as a sitting room than the sitting room itself, because it was more inviting in appearance. In another home an attractive upstairs sitting room with books, magazines, and radio is neglected in favor of a large, rather formal room downstairs, for no reason that the matron could see except that the latter faces on the street and the old ladies can see the people passing by. In several homes the so-called living room was a room furnished with a row of splint rockers extending around the walls, and a table in the center of the room. There were no pictures, no rugs, and no attempt to beautify the place or make it livable. Another group of homes which provide only the barest necessaries of life have no sitting rooms; the only concession in this respect is a row of dilapidated chairs around the w^alls of the dining room. In many instances the living rooms are shabby but very comfort able and bear the marks of continuous usage. Sleeping Rooms The individual accommodations for sleeping purposes vary from home to home. In some cases the dormitory system is used, the number of beds in a dormitory varying from 3 or 4 to as many as 25 or 30. One boarding home which has some private rooms also has a dormitory partitioned off into cubicles large enough to hold bed, dresser, and chair, by white curtains, on poles, which can be drawn back. In the majority of homes visited, however, each individual has his own private bedroom, though in a few cases there were two persons sharing a room. One home provides each of its 28 woman residents with a suit of two rooms (bedroom and sitting room). The building was originally planned for individual housekeeping, with each resident cooking her own meals and caring for herself, as in the “ widows’ homes.” This plan was later changed, however, and the home is now run like the usual home, with a common table. Generally married couples are assigned to a double room, but one home provides each married couple with separate but communicating rooms. Some homes place two persons in a room so that they can look after each other. One matron remarked on the other hand, that she couldn’t see how such an arrangement could be successful; if she tried it “ her folks would tear each other’s hair.” Some few of the homes which provide private bedrooms for the women provide dormitories for some or all of the men. The men, it is said, do not mind sharing a room with others, but the women like a room to themselves. The matron in one home which provides most of its inmates with private rooms but also has a dormitory with five or six beds says that often when a private room became available she has offered to remove one of the men from the dormitory but is almost invariably met with the reply that they prefer the dormitory, as they like the company of the others. 48 CARE OF AGED PERSONS IN U NITED STATES Management of the home is generally easier where each person has his own room, as clashes of temperament over the arrangements within the room are thereby avoided. This is a factor worth consid eration, since each old person usually has his or her own notions of things and may defend these valiantly, to the detriment of the general peace. Where each person has a private bedroom there is provided drawer and closet space for clothes,12and personal belongings and the room may be decorated with pictures and the little knicknacks which appeal to the occupant. This feature is especially appreciated by the women. In fact some of them go to such extremes in this respect that their rooms are literally crammed with odds and ends. The, men’s rooms usually remain rather bare and unadorned. There were, however, two exceptions to this last statement: The two sailors’ homes visited (admitting only men) showed a degree of ability in imparting the “ lived-in look” that was not found in any of the other men’s homes. The tendency of some of the women to strew their rooms with photographs, doilies, and ornaments of various kinds, and the ten dency of the men to keep the furnishings of their rooms reduced to a minimum has led several matrons to a settled conviction that the men are “ neater” than the women. The problem of the disposal of personal belongings becomes acute when the dormitory system is used. Generally there is space between the beds only for a commode and a chair, or a small table or chest and a chair. One or two homes provide lockers in or near the sleep ing room, each individual being assigned one of these. In one or ganization which runs many old people’s homes throughout the country all of which are practically uniform in general layout and practices, each person is provided with a small dark blue bag in which are kept brush, comb, and other small articles. This hangs at the head of the bed out of sight. Here also is a small towel rack on which the towel is kept. Each home has four dormitories: One each for the able-bodied men and the able-bodied women, and one each for the infirm men and the infirm women. Each dormitory has a large wardrobe in which the everyday clothes are hung, all together. The Sunday clothes were in another wardrobe all rolled up in bundles and tied. There is no attempt at decorations in the dormitories; there are no rugs and no pictures, just beds and a few chairs, and in one case not even chairs. In one or two of the homes visited the old people (ex cept those who are bedridden or ill, and these are usually in a room by themselves) are forbidden to lie down on the beds during the day, and the dormitory doors are kept locked. Inquiry as to what pro vision there was, in case an afternoon nap was desired or in case an inmate did not feel well and wished to lie down, elicited the informa tion that in such cases they must either doze in their chairs or lie down on one of the few couches provided in the general sitting room if fortunate enough to find one of these vacant. In the homes with the private bedrooms, on the other hand, an inmate may stay in her room all day if she desires and may lie down i2 T h ou g h one h om e w as fou n d w h ich p ro v id e d private room s w h ich had no clothes closets. T h ere is a large central space on each floor w here each resident has a locker. T h e m atron said she preferred this arrangem ent to closets, as w here there w ere closets the inm ates “ w o u ld throw a n yth in g into i t .” 49 CHAPTER III.— IN HOMES FOR THE AGED when she pleases. Indeed, some homes have what they call a “ quiet hour” after the midday meal, during which absolute quiet is expected to prevail, so that those who wish to take naps may do so undisturbed. The private rooms are generally furnished at least with metal bed, dresser, one or two chairs, and table. This is the minimum supply. Other articles of furniture may be added, if the size of the room and the funds of the home permit. In general the rooms in the older homes are larger than those in the new. New homes, designed especially for the purposes which they are to serve, usually have medium-sized or small bedrooms all of a size and almost invariably furnished with the same articles of furniture in every room. In some cases the occupant may add some of her own furniture, a rug or two, F ig u r e 4 —B e d r o o m at Haven H u b b a r d M e m o r ia l O l d C a r l is l e . I n d . P e o p l e ’s Ho m e (E v a n g e l ic a l ), New etc.; this practice is more general in the older homes than in the newer ones. In the latter, especially where the home is supported by an organization, the rooms are usually furnished by different units of the organization and in such cases the objection is often made that furniture brought in by the guest would be out of harmony with the general scheme. Some homes encourage the inmates to supply all of the furniture for their own rooms, if they can, on the ground that they are happier among their own things. The furnishings of the bedrooms vary from home to home from the shabby to the luxurious. One home in the latter class furnishes its bedrooms in three general color schemes for carpet, bedspread, win dow hangings, and upholstery— tan, old rose, and Delft blue— the 50 CARE OF AGED PERSONS IN UNITED STATES guest being given his choice of these. Each bedroom contains a four-poster bed, a big arm chair and a smaller wing chair upholstered in tapestry, a desk chair, a writing desk, and a chiffonier. Each room also has an open fireplace with a clock of good make on the mantel, a wall bookcase, and a wall telephone. At the head of each bed is a cord with a push button to summon an orderly if attention is needed during the night. The room is provided with a floor lamp, a cluster of lights in the center of the ceiling, and wall lights at either side of the chiffonier. The carpets are deep and soft. The closets have a built-in chest of drawers at one end above which is a tier of shelves. In connection with each bedroom is a private toilet and bowl with running water, and medicine cabinet. This, however, is an unusual home, and while many homes each provide some of the features mentioned, in no other instance were all found in any one place. Only six others of the homes visited had running water in all the rooms, and one other had it in a few of the rooms. One of these had private toilets as well as washbowls in the new wing, and two others in a few of the rooms. One home, in addi tion to the one described at length above, had an electric pushbutton in every room, while two others have a watchman who makes the rounds of the rooms every hour during the night to make sure every thing is all right. Some of the rooms are delightful places. One home visited, for instance, was occupying a former dwelling house which had been renovated throughout. This was a small home, accommodating only 19 old ladies, and the bedrooms varied considerably in size. All had been freshly papered with dainty and attractive bedroom paper 13 and all the furniture was new. Each room was decorated in a differ ent color, with dainty ruffled curtains at the windows and a gay rug (generally a rag rug) on the floor, and each had some individual touch that set it apart from all the others. In one very delightful home for women perhaps a majority of the residents have substituted a couch for the usual bed, making their rooms more like sitting rooms than bedrooms. This was the only instance of its land discovered. Metal furniture is much in use for the bedrooms in the newer homes, on grounds of sanitation. One such home furnishes each bed room with bed, straight chair, rocker, dresser, table, and night table, all of metal so treated as to look like wood. The chairs of some rooms are upholstered in tapestry, others in flowered* cretonne. Each room has two good rugs. In many instances the bedrooms are not remarkable in any respect, but are comfortable, cheerful, and light. In the older homes, espe cially, the woman residents have their windows full of flowering plants in which they take a good deal of pride and which add to the attractiveness of the room. One home has a general conserva tory for the home and another where the individual residents may keep their plants. Window curtains and rugs are two articles which do much toward making a room attractive, and lack of these in many cases made an otherwise pleasant room seem somewhat bare and cheerless. i* It m ight be said here, parenthetically, that especially in the larger institutions w all paper is giving w a y to tin ted plaster w alls. CHAPTER III.— IN HOMES FOR THE AGED 51 It was noticeable that the newly constructed buildings usually have no wall paper in any of the rooms, but have the plaster tinted various colors. In one home the bedroom walls were tinted a faint green, another home had chosen for this purpose a cold, peculiar blue, but cream color was the favorite hue. Matron or superintendent's quarters.— The matron, except in the smallest homes, usually has a private suite of sitting room, bedroom, and bathroom; in some cases her office is in connection, but usually the office is in another part of the house, generally near the main entrance to the building. In one home the matron had an apart ment of six rooms in the home building. Where there is a superin tendent (which is true only of the large institutions), he and his family live in one wing of the building or even in a separate residence on the home grounds. Only one instance was found in which the superintendent did not live in the home, and the appearance of the home certainly indicated absentee management. The matron’s quarters are likely to be more attractively furnished than those of the residents. Provision for employees.— Some of the institutions complained that they were unable to obtain helpers for the home. In one or two cases this was because the home was situated so far from town that the young people would not stay. In other cases their inability to retain the help may have been due to the quarters provided for them. Thus, in one home the servants’ dining room and sitting room were in a damp, gloomy basement. The sitting room was furnished with stray bits of furniture and was most unattractive. Other homes, however, provide cheerful and pleasant quarters. The servants are usually expected to live at the home and one floor in one wing is usually provided for them, each having a private bed room. In one home visited the servants occupied a new wing and their rooms were more inviting than those of the residents. In other cases the rooms are about the same as those of the residents. Two homes provided for the employees dainty dining rooms with white woodwork, and small tables and chairs painted apple green; and in one of these there was a small kitchen also in green and white. Dining Rooms There appears to be a general tendency away from the long rectan gular tables formerly used in institutions toward small (usually round) tables seating from 4 to 8 persons each. Although many homes still have the long tables, the great majority of those visited are using the small tables. The result is a much more homelike and less institutional appearance. Many have the Windsor style of chairs. One home, in which most of the guests are old and clumsy and find it hard to draw their chairs up to the table, has instead of chairs revolving stools fastened to the floor. Use of linen tablecloths is most general, but there were found quite a number, invariably in the less modern and comfortable homes in which the long tables were covered with oilcloth (white, brown, or a mixture of colors) which was the exact size of the tables and was fastened to them. Several used an oilcloth, with a raised pattern resembling a damask pattern, which was laid upon the table and hung over the edge like a linen cloth, One or two homes used tables with white porcelain tops. 52 CARE OF AGED PERSONS IN UNITED STATES In a group of homes operated by one organization each resident has at his or her place at the table a small drawer in which knife, fork, and spoon, napkin ring, cup and saucer, salt and pepper shakers, etc., are kept between meals. One or two of the homes furnish instead of napkins a sort of bib for the men, with a strip which slips over the head, and these hang on the chairs between meals. The dining room is a very pleasant room in most homes. In a large number of the homes the dining room was in a wing running out from the rest of the house and extending across the. whole width Fig u r e 5 - d in in g h a l l at a La r g e Fra t ern a l Ho m e of the wing so that it had windows on both sides. Many rooms were brightened by the presence of flowers, fresh or artificial, upon the tables. In one endowed home with an especially attractive dining room, the tables were set, for the noon meal, with good linen, shining silver, and cut glass, and a low bowl of flowers in the center of each table. This room has a bay window which occupies the whole of one side of the room. Plain silk curtains hung at the windows. Another home run on a lavish scale has a dining hall two stories in height, with an immense open fireplace, walls paneled nearly half CHAPTER III.— IN HOMES FOR THE AGED 53 way up, and Gothic-beamed ceiling. There are large stained glass windows at either end, and all along one side above and in the panel ing. The round tables seat 8 each; 230 persons are served here three times a day. Matron’s dining room.— In the majority of cases the matron eats in the same room and often at the same table as the residents. In a few cases, however, a private dining room is provided for her. In one home visited, in which the inmates were served on tables covered with oilcloth, the matron’s table* in a private room, was laid with good linen and silver. Food served.— The matrons of several homes emphasized that al though the food served is plain it is of good quality, and in some cases where the home finances permit, no pains are spared to obtain variety and quality. Some attempt was made to obtain menus from the homes and such were obtained from a number of institutions. These are given in the Appendix. The meals generally provide for breakfast a cereal, coffee, some hot dish, and (usually) fruit; for dinner (noon), meat, potatoes, at least one other vegetable, dessert, coffee, tea, or milk, and sometimes soup; for supper, cold meat, some hot dish, a beverage, and fruit. One matron said that when she took charge of the home the resi dents were being fed mainly on meat and potatoes. Now they get meat only once or twice a week, but have plenty of eggs, milk, and fresh vegetables raised on the home farm. The homes which take children as well as old people sometimes have difficulty in giving each the diet they should have. This is especially likely to occur where both children and old people eat in the same dining room. The matron of one such home says if she serves any special dish to the children she must also serve it to the old people or there is complaint from the latter. Other homes, which have room and are better arranged, solve this problem by having separate dining rooms for the children and the old folks. In one home visited five meals are served each day— breakfast at 8 a. m., dinner at noon, lunch at 2.30 p. m., supper at 6 p. m., and hot or cold milk and crackers at bed time. Libraries Generally some attempt is made to provide reading matter for the inmates. The home usually takes one or more newspapers and maga zines and in many cases the residents themselves subscribe to a maga zine, church paper, etc., turning these over to the home after reading. A» bookcase or two filled with books is found in nearly all homes, and some homes have a great many. One home with wide halls had in the hall on each floor several tables piled high with books. In another every available nook and corner all over the building had its shelves of books. Some homes have a library room lined with books. In one such the library was a large room on the second floor directly over the entrance. The room has paneled walls, built-in bookcases, and many easy chairs. A large table is covered with magazines. Large high windows, low cushioned window seats, and an open fireplace add to the attractiveness of the room. The prevailing color is brown. CARE OF AGED PERSONS IN "UNITED STATES Or F i g u r e 6 — L ib r a r y in a La r g e Ea st ern H o m e CHAPTER III.— IN HOMES FOR THE AGED 55 In another home the library is on the ground floor overlooking the garden, that side of the room rounds out and is all windows, with a French window in the center leading out upon a terrace. The wood work of the room is ivory, and the carpet is sapphire blue, as is also the upholstery of the easy chairs. The room is lined with books. This home is occupied by well-educated and cultured people who make a good deal of use of the library. One of the largest institutions has a library with nearly 12,000 volumes. One of the residents acts as librarian. (See fig. 6.) Another home has a library to which the guests come a good deal to get books, but as the room is on the north side, crowded and rather cheerless, they do not stay there to read but take the books to their rooms. (This home has a formal parlor but no general sitting room.) Another home has a reading room (the reading matter consisting mainly of newspapers) for the men only. The women are evidently not supposed to read. The matron of another home exhibited “ the library” a room about 5 by 10 feet, the only books in sight being a pile in one corner which looked as though they might have been bound periodicals. The largest institution visited has in it a branch of the public library of a near-by city. The books are changed every three months. There is also a periodical room where all the morning and evening papers issued round about are received, and the wide corridors ex tending from wing to wing are lined with reading desks for the use of the men. Another home with a library has an active library committee which is constantly obtaining new books for the home. Two homes which have several blind inmates provide books in Braille for these, besides reading matter for the seeing guests. Generally the library is open to the guests at all times and they are free to take the books as they like. In one home, however, books are given out three times a week. Another home has a committee which issues books once a month. The day of the agent’s visit was “ library day” and the old people were filing in to return their books and get new ones. Some had 8 or 10 books each. The value of a library to a home is of course dependent upon the culture, class, and habits of the inmates. In some homes reading is one of the main diversions of the residents and they would be lost without books. The library of one home visited had a number of people reading there, although it was not yet 10 o ’clock in the morning. On the other hand, the director of a large home for men which has a library of thousands of volumes says that probably not more than 5 per cent of the men make any use of the library^ Where the residents have never acquired the habit of reading the absence of books, of course, is not felt. Home after home was visited in which there was in evidence no reading matter of any kind. It was noteworthy that these usually were also homes which pro vided nothing in the way of diversion or recreation. The sitting room in such homes was usually found fairly well filled with old people who were doing nothing at all, not even talking. The blank, hopeless faces of the residents were really not surprising under the circumstances. CARE OF AGED PERSONS IN UNITED STATES F ig u r e 7 — S e c o n d F l o o r P o r c h of an old L a d ie s * H o m e w El w o g H m o w w § Oi merely. In one home the matron had to turn on the electricity to exhibit this room; it was beautifully furnished, but could hardly be called accurately a sun room. The majority of those visited, how ever, have an attractive sun room; some of these are charmingly W > o 58 CARE OF AGED PERSONS IN UNITED STATES furnished. One home has six such porches, one of which has a radio, while those guests who desire quiet may use the other porches. Kitchen Equipment The home kitchens visited were, almost without exception, light, airy, commodious, and usually well arranged. Installation of laborsaving devices is most general where the home funds permit of this. Automatic refrigeration, dishwashing machines, potato parers, bread cutters, meat grinders—some or all of these are very commonly found among the kitchen equipment of homes for the aged. One large home has a machine that spreads and bakes 100 pancakes a minute. Several are equipped with steam-jacketed pots for cooking. A few, especially the large homes in which it is a problem to keep the food hot while it is being served, have steam tables for this purpose. Other Features or Conveniences Elevators.—Elevators, especially the automatic kind, are becoming a common feature of old people’s homes. Nearly every home has at least one or two inmates who are unable to walk up and down the stairs. The matron of a home which recently installed an elevator said that four inmates who hadn’t been able to come down to the dining room for years were thus enabled to come to their meals. Elevators are expensive to install, but they do serve to eliminate labor otherwise necessary— as, for instance, the service of meals in the rooms in the case just cited.14 Also, they enable the residents to move more freely about the home. Inmates confined to wheel chairs can be wheeled into the elevator and moved from floor to floor. The elevator also enables the better use of ground space where the cost of land is an important item. The general desire in homes for old people is for a building not more than three stories in height, two being preferable. Several of the new homes, however, situated where land is very costly, have erected buildings four to seven stories in height. In all cases elevator service is provided, one home having three elevators, with regular attendants. Floor coverings.— Quite generally the general living rooms, recep tion rooms, and parlors are well carpeted. The main exceptions to this were one or two homes for colored people whose carpets were very old and even worn through in places, and the homes of some of the stricter religious sects. At the other end of the scale were several homes whose parlor floors were covered with oriental rugs of great beauty. Hall-floor coverings were in perhaps a majority of cases linoleum cemented down. In one case this was so slippery as to present a considerable hazard, especially to old people uncertain on their feet. One home had its hall floors covered with rubber several inches thick. Other conveniences.— Several of the homes visited had placed hand rails along the walls of the halls, for the convenience of the old people who were shaky and infirm. Another home had placed most attractive Dutch benches in odd spots throughout the home, upon which the guests may drop down and rest. 14 T h at this m ay be quite a factor m ay be seen b y the fact that in one hom e 38 persons are served in their room s. A n oth er hom e has seven persons w h o are unable to com e to meals because of there being no elevator, 60 CARE OF AGED PERSONS IN UNITED STATES A number of homes allow the residents the use of the laundry at specified hours or on certain days. Others provide a special “ handy room ” which has a gas plate, a stationary tub, ironing board, elec tric iron, etc. Here they may come to wash out small articles, do their pressing, or make themselves a cup of tea. Some homes either allow the residents to bring their own sewing machines or provide a room equipped with one or more of these which the guests may use. One institution visited has on each floor a portable porcelain bath tub which can be wheeled from room to room when a guest is ill or infirm and unable to go to the bathroom to bathe. In another the bathtubs are in the center of the room to facilitate assistance by the orderly in the case of those who are unable to manage by themselves. Two homes maintain a motor car for the use of the residents. Another has no stairs. There is an inclined runway leading from floor to floor which is used not only by the able-bodied residents but over which guests can be moved in their wheel chairs. The homes which have men among their residents almost invari ably provide a smoking room (often in the basement) sometimes providing card tables or billiard tables as well. They are usually forbidden to smoke in their rooms. In one or two homes there is a room with a telephone which the guests are at liberty to use when they please. Several of the men’s homes have a barber shop to which a barber either comes periodically or in which one or more full-time workers are employed. One large home employs five barbers. In other homes there is a barber’s chair and the men shave each other. A number of the newer homes have drinking fountains in all the halls. Several homes which are a number of stories high have roof gardens. Infirmary or Hospital All but the smallest homes— and even some of these— have a room or two set aside in which guests may be cared for in serious illnesses. Minor ailments are usually treated in the patient’s own room. The equipment in this “ infirmary” room may be merely a white iron bed and a chair or two. A number of the homes have beds adjustable at the head and in some cases at the foot also. A diet kitchen may be provided somewhere near. Sometimes an adjoining room and bath is provided for the use of a nurse. In a few cases visited, the infirmary, and the nurse’s room and bathroom are in a wing by themselves so as to insure quiet and prevent the possible spread of contagion to the rest of the house. One new home has one floor of one wing devoted to infirmary pur poses. Here are a diet kitchen, a room for minor operations, and a drug closet. At the north end of the corridor are the acute cases in private rooms fitted with hospital beds and tables, and a small dining room for convalescents who are almost well enough to go back to their regular bedrooms. At one end of this section is a beautifully furnished sun parlor for the use of the convalescents. Patients afflicted with chronic illnesses occupy ordinary bedrooms at the south end of this floor. Many of the homes visited had no patients in the infirmary at the time of the visit, but in one home a whole building was required for use as an infirmary. CHAPTER II I .— IN HOMES FOR THE AGED F i g u r e 1 0 —H o s p it a l C l in ic of a La r g e Ea s t e r n home 62 CARE OF AGED PERSONS IN UNITED STATES In another institution where the infirmary occupies one wing the individual rooms are separated by partitions of glass. Another has a doctor’s office, rooms for general and special examinations, diet kitchen, and a room where an orderly is on duty. This last-men tioned room is connected by electric buttons with all the residents’ rooms; if anyone needs attention during the night he presses the button, which causes a light to flash on the board in the orderly’s room. Most of these rooms are light, clean, pleasant places. One home was visited, however, in which the infirmary, so called, consisted of a large, dark, and dingy room with five ordinary beds, four of which were occupied by bedridden residents. The matron appeared to resent the care that these inmates caused, although the actual work of caring for them was done by a resident nurse. In several instances, the home for the aged forms one department of a large general hospital, and when the members of the home family need hospital care they get it there. Others have a hospital exclusively for the residents of the home. One home solves the problem of the care of chronic cases by having in the same grounds an endowed “ home for incurables” to which the old people are sent when they become hopelessly disabled. Acute cases are treated in the general (public) hospital operated by the same organization. Three other large institutions remove their chronic cases from the dormitory buildings to the hospitals operated for the purpose. One of these hospitals has 100 beds, the second 110 beds, and the third 400 beds. All three of these accept persons who are disabled at the time of their admission into the home; they feel that it is this class of people who most need the benefit of the home’s care. Chapter IV.—Care of Aged by the Federal Government Soldiers’ Pensions A LARGE number of aged are provided for by pensions from the United States Government. These include soldiers of the . regular war establishment, veterans of the various wars in which this country has engaged, their widows, and minor children. The report of the United States Bureau of Pensions, covering the fiscal year 1927-28, shows that on June 30, 1928, there were on the pension rolls 453,08s1 persons, of whom 258,620 were old soldiers, 410 were nurses, 186,608 were soldiers’ widows,1 3,239 were minor or helpless children of veterans, and 4,211 were other dependents. During the year $228,965,672 was disbursed to these pensioners. The average pension, all classes combined, was $466.14. The following table shows the amounts paid in pensions to the various classes of pensioners during 1927-28; T able 1 7 .— N U M B E R Class of pensioner Regular establishm ent: Soldiers_ _ ___________ W id ow s, e t c __________ C iv il W ar: Soldiers_______________ N urses _ _______ _____ W id ow s, e tc __________ Spanish W ar: S oldiers_______________ N urses W id ow s, e t c __________ W a r of 1812: W i d o w s _____ OF P E N S IO N E R S OF V A R IO U S C L A S SE S A N D B U R S E D T O T H E M , 1927-28 N um ber of pen sioners A m o u n t dis bursed in pensions 13, 665 3, 555 $3, 255, 566. 50 840,196. 73 74,929 43 159,828 69,683, 556. 28 26, 750.00 79,958,669.91 164, 708 367 26,195 14 59,908,097. 53 150, 625.18 10,615, 696. 56 8,903.34 Class of pensioner M exican W ar: Soldiers ..................... .. W id o w s ______________ Indian wars: S o ld ie r s ______ _______ W id ow s, e tc __________ W o rld W ar: S o ld ie r s _________ . . . W id ow s, e t c . . . ........... T o ta l...................... .. AM OUNTS N um ber o f p en sioners D IS A m o u n t dis bursed in pensions 4 845 $5,886.00 538,520.46 5, 267 3, 604 2,618,189. 84 1, 338, 753.96 47 17 11, 365. 53 4,894. 67 i 453,088 228,965,672.49 * N o t in clu d in g 38,106 w id o w s o f soldiers o f the C iv il W ar w hose pensions began Ju ly 4, 1928. Of the 491,194 pensioners on the roll June 30, 1928, 484,275 were resident in the United States, and the remaining 6,919 were residing in Alaska, the Canal Zone, in one of the insular possessions, or abroad. The annual value of pensions payable to pensioners residing in the United States proper was $219,209,494.52. i N o t including 38,106 w id ow s o f C iv il W ar veterans w hose pensions began Ju ly 4, 1928. 63 CARE OF AGED PERSONS IN UNITED STATES 64 Table 18 shows the number of pensioners of all classes on the roll June 30, 1928, and the annual value of their pensions, by States: T a b le 18.— N U M B E R State A la b a m a ______________ A laska_________________ A rizon a________________ A rk a n sas______________ C a liforn ia_____________ C o lo r a d o ______________ C o n n e c tic u t___________ D elaw are______________ D istrict of C olu m b ia .. F lorid a ________________ G eorgia________________ Id a h o __________________ Illin o is________________ In d ian a_______________ I o w a __________________ K an sas________________ K e n t u c k y _____________ L ou isiana_____________ M a in e_________________ M a r y la n d _____________ M assachusetts________ M ich ig a n _____________ M in n esota____________ M ississip p i___________ M issou ri______________ M o n ta n a _____________ N ebraska______________ N ev a d a _______________ N ew H a m p s h ire N ew I O F P E N S IO N E R S A N D A N N U A L V A L U E OF T H E I R P E N S IO N S , F O R 1927-28, B Y S T A T E S N um ber of pen sioners 2,315 56 948 5, 222 33,104 5,432 5,153 1,063 6,111 4, 334 3,270 1,649 33,096 27, 897 15, 624 17, 736 12,950 3, 206 6,641 5,589 17,879 19, 233 7, 953 2,151 22,899 1, 987 7, 216 274 3,131 10, 808 A n n u al value o f pensions $918, 516.00 18, 354.00 356, 038. 00 2, 407, 546.00 13, 440, 799. 00 2.406, 457.00 2, 330, 636.00 508, 603.00 2,138, 728. 00 2, 059,059. 00 911,590.00 712, 935.00 15, 536,116.00 13, 473, 408.00 7, 734, 658.00 8,924, 659.00 5, 706, 759.00 1, 346, 520.00 3.184.070.00 2.459.778.00 7,922, 516.00 8,969, 757.00 3, 633,751.00 1.068.429.00 10,971,471. 52 790, 955.00 3.454.972.00 99,917.00 1.468.418.00 4, 722,039.00 State N e w M e x ico ____ N e w Y o r k ______ N o rth C arolina.. N orth D a k o ta , O h io____________ O kla h om a ______ O regon__________ P en n sylva n ia ___ R h od e Isla n d___ South C a rolin a. South D a k o t a .. Ten nessee______ T exa s___________ U ta h ____________ V e r m o n t________ V irg in ia________ W a sh in g to n ____ W est V irgin ia. . . W isco n sin ______ W y o m in g ______ T o ta l.. Canal z o n e _________ Insular possessions.. F oreign countries. _. G rand to ta l______ N um ber o f pen sioners A n n u al value o f pensions 1,038 38,600 2,871 1,070 43, 740 7,206 5,666 40, 267 2,539 1,437 2.487 9,123 6, 799 1,503 3, 111 5, 590 7, 615 5, 615 12, 333 794 $423, 232.00 17,732, 166. 00 1,061, 355.00 462, 346.00 20, 633, 157.00 3, 360, 276.00 2, 433, 355.00 17, 907, 011.00 1, 120, 439.00 494, 449.00 1.140, 250.00 4,014, 327.00 2, 634, 273.00 452, 049.00 1,497, 695. 00 2,084, 976.00 3, 339, 617.00 2, 565, 137.00 5,893, 296.00 300, 988.00 484, 331 219, 227, 848. 52 24 3,825 3,014 6, 256.00 908, 368.00 1,306,025.00 221,448,497. 52 Soldiers’ and Sailors’ Homes HE National Home for Disabled Volunteer Soldiers was estab lished at Dayton, Ohio, in the last year of the Civil War. Since that time branches have been established at various times and there are now altogether 11 such homes, located at Santa Monica, Calif., Danville, 111., Marion, Ind., Leavenworth, Kans., Togus, Me., Bath, N. Y., Dayton, Ohio, Hot Springs, S. Dak., Johnson City, Tenn., Hampton, Va., and Milwaukee, Wis. To residence in these homes are eligible “ honorably discharged officers, soldiers, sailors or marines who served in the regular, volun teer, or other forces of the United States, or in the organized militia or National Guard when called into Federal service, and who are disabled by diseases or wounds and who have no adequate means of support, and by reason of such disability are either temporarily or permanently incapacitated from earning a living.” The report of one of the homes emphasizes that it is in no sense a poorhouse. “ It is a ‘ home’ in every sense of the word. As near as it can be made so, provided by a grateful government for those who gave their services in its time of need, and everything is done for their comfort and pleasure. Their personal liberties are not infringed upon, they can come and go at will; except that certain rules of conduct are necessary to maintain order and discipline in so large an institution, but these are designed to work no hardship, and are made as easy and lenient as possible consistent with proper conduct of the institution.” T CHAPTER IV .---- BY FEDERAL GOVERNMENT 65 The branch at Johnson City, Tenn., is devoted exclusively to the care of tuberculosis, and on January 1, 1921, it was decided that thereafter the branch at Marion, Ind., should be devoted to the treat ment of neuropsychiatric diseases, the Civil War membership being transferred to other branches. There is also at Washington, D. C., a soldiers’ home open only to enlisted men in the Regular Army— and a naval home at Philadelphia. It is evident from the above that these homes are caring for many soldiers and sailors who can not properly be classified as “ aged,” since many World War veterans are among their number. Neverthe less, since these homes, do care for a certain number of aged, the nine homes for which the bureau has data are included here. The table below shows for these nine homes the year of establish ment, the capacity of the home, the number of aged cared for, and the cost of operation (all ages) in 1927: T able 1 9 —N U M B E R OF R E S ID E N T S A N D C O ST OF O P E R A T IO N OF F E D E R A L H O M E S F O R S O L D I E R S A N D S A IL O R S H o m e and loca tion W h o m adm itted Year of estab lish m ent H om es for D isabled V olunteer Soldiers: Santa M on ica , C a lif_________________ . . . M arion , I n d .1 __ . _ L ea ven w orth , K ans _ __ ___ D a y ton , O h io ___________ __ __ Johnson C ity , T e n n .4 ___ ____ H am p ton , V a _________ ______ . ________ M ilw au kee, W is ___ __ __ ......... .............. U . S. Soldiers’ H om e, W ashington, D . C ___ U . S. N aval H om e, Ph iladelphia, P a ________ M e n o n l y . .............. _ d o______ ____ _d o______ __ ___ d o ______________ __ _ d o_____ ___ ____ d o ___ _ ___ M e n and w o m e n . _ M e n o n ly . __ _____do ______ _____ 1888 1890 1885 1867 1903 1870 1867 1851 1833 T o ta l. __________________________________ C apac A verage ity of num ber hom e 60 years (all o f age ages) an d over Cost of operation 2,956 1,092 1,926 3,100 1, 653 2,147 2, 252 2, 000 276 1, 700 2 1,040 980 500 1, 205 (fi) 1, 700 788 242 $1,206,000 795, 328 697, 203 0 (5) 0 886,143 866, 340 151, 585 17,402 8,155 8 4, 602, 599 1 C on verted to sanatorium for care of neuropsychiatric diseases Jan. 1, 1921. 2 All ages. 3 $458.52 per capita. 4 T u bercu lar patients on ly. 5 $745.90 per capita. 6 N o data. 7 $431.70 per capita. 8 6 hom es. Marion, Ind., home.— The Marion home is constructed on the cot tage plan, “ with comfortable detached buildings of moderate size, set in a fine park of trees and lawns.” Four types of medical service are given: Diagnostic, educational, continued treatment, and convalescent treatment. There are 15 resident physicians and 52 nurses. Amusements include motion pictures, radio, library, and various kinds of games. Leavenworth, Kans., home.— The Leavenworth home is located in a wooded tract of 640 acres on the west bank of the Missouri River. Although originally built to care for veterans of the Civil, Mexican, and Indian Wars, only about one-fourth of the membership is now of this class. There are 66 buildings on the grounds of this institution, including among others a hotel, store, theater, chapel (with Catholic and Prot estant auditoriums), and library containing 10,000 volumes. Some 60 acres are used for farm, ore hard} and vineyards, F ig u r e 11.- P a n o r a m ic V ie w of the So l d ie r s ’ H o m e at W a s h in g t o n , d . c . CHAPTER I V — B Y FEDERAL GOVERNMENT 67 The home furnishes all necessary medical attention and has 8 resident physicians and 18 nurses. Amusements furnished include motion pictures, baseball games, band concerts, billiards, pool, card games, boating, fishing, etc. Dayton, Ohio, home.— The central branch of the National Home for Disabled Volunteer Soldiers is located 2 miles west of Dayton, Ohio. Its hospital gives general medical treatment and has a tuberculosis department. There are 23 resident physicians and about 70 nurses. Amusements include radio for each bed, motion pictures, plays, baseball games, etc. Hampton, Va., home.— This home, like the others, provides medical service, having a well-equipped hospital with physicians and nurses. Amusements include band concerts, baseball, radio, etc. Milwaukee, Wis., home.— The home at Milwaukee, unlike the others for which the bureau has data, has since June, 1923, admitted “ all honorably discharged ex-service women who had served in the Army, Navy, or Marine Corps, and who come under the eligibility clauses of the home admission act.” The home gives all types of dental and medical attention, including physiotherapy and hydrotherapy. It has 13 resident physicians, 2 resident dentists, and some 60 nurses. There is a full-time employee whose duty it is to provide recrea tion for the residents. Amusements so furnished include motion pictures, vaudeville, parties, radio, and band concerts. A reader is furnished for blind residents. United States Soldiers’ Home.— This home, as stated before, admits only enlisted men of the Regular Army. The home is situated on a large tract of 503 acres in the city of Washington, D. C. (See Fig. 11). There is a hospital on the grounds and resident physicians and nurses. Amusements include library, billiards, motion pictures, band con certs, etc. Men who care to may perform work about the home and grounds and receive pay therefor. Although the home is operated under the direction of the United States War Department, it is maintained entirely from the funds accumulated from the contributions of the enlisted men. Until a few years ago each enlisted man was taxed 25 cents per month for the maintenance of the home. Under this plan so much money was accumulated that it was found possible to discontinue the contribu tions of the soldiers. Now the only additions being made to the fund are the fines imposed at court-martials. United States Naval Home, Philadelphia.— The United States Naval Home antedates the soldiers’ homes, having been authorized by an act of Congress approved February 26, 1811. The building itself was not completed until 1833. It is operated on the same basis as the soldiers’ home at Washington. Minor illnesses are treated by the resident physician, but cases requiring hospital treatment are sent either to the United States Naval Hospital at League Island or to the United States Veterans’ Bureau Hospital located on the grounds of the home. Motion pictures are shown three nights a week for 10 months of the year, parties of residents are taken occasionally to baseball games, and various civic organizations provide outings and enter tainments. Chapter V.—State Provision for the Aged Public Pensions for Aged Dependent Citizens HERE appears to be a growing tendency by commissions appointed to study the subject of old-age dependency to recommend some form of public pension, to be regarded not as charity but rather as a recognition of service, to be paid under careful supervision, but to be sufficient to enable the recipient to remain with his family or friends instead of obliging him to become a resident in an institution. There are at present ten States (and Alaska) which have adopted some form of pension legislation designed to provide for aged depend ents, and measures on the subject are pending or being studied in many other States and in the Congress of the United States. It may be of interest, therefore, to review briefly the progress in such legisla tion. T Progress of the Movement in the United States L it t l e attention was paid to this question in the United States until the present century. The first active step in connection therewith seems to have been the appointment of a commission by Massachusetts in 1907 to investigate and report on the subject. No action resulted from that report. In 1914 Arizona had made an attempt to provide a system of oldage pensions. An initiative act was passed (Acts of 1915, initiative measures, p. 10) abolishing almshouses and establishing old-age and mothers’ pensions. The act was so loosely worded that before it could come into effect it was pronounced unconstitutional on the ground of its vagueness, the constitutionality of its pension provisions, if properly expressed, being left undiscussed. Alaska followed suit with a law, passed in 1915, providing a pension of $12.50 a month to those aged 65 and upward who met certain requirements as to residence, need, and character. This law has been amended several times, but is still in operation. The effects of the war renewed interest in the idea of provision for the aged, and within the last decade a number of State commissions have been appointed and in some cases action has followed their re ports. In 1923 Nevada, Montana, and Pennsylvania enacted oldage pension laws. In Ohio in the same year the question of establish ing an old-age pension system w^as submitted to a referendum vote, and was decided adversely by a vote of almost 2 to 1. In 1924 the Pennsylvania law was declared unconstitutional, the decision being based largely on a clause in the constitution which prohibits the legis lature from making appropriations for charitable, benevolent, and educational purposes. The year 1925 saw much activity in regard to old-age pensions, with varying results in different States. In both Nevada and M on tana bills were introduced repealing the old-age pension laws, and in CHAPTER V .— STATE PROVISION 69 Nevada the repeal was accomplished. A number of State commis sions brought in favorable reports, and by the middle of the year bills were pending in Michigan, Illinois, Minnesota, Ohio, Maine, New Jersey, and Indiana. In Texas and Kansas bills were reported favorably, but failed to pass either house of the legislature. In New Jersey and Indiana they passed the lower house, but were not acted upon by the upper chamber. In Colorado, Minnesota, and Utah commissions to study the subject were appointed. In Pennsylvania the legislature created a new commission to study the question further, and passed a resolution providing for a constitutional amendment to permit appropriations for old-age pensions. In Nevada a new law was enacted, differing in some respects from the former one. Wiscon sin passed an old-age pension law, which was signed by the governor, and California passed one, which was vetoed. In January, 1926, the Legislature of Washington passed an old-age pension act, but this was vetoed by the governor. Early in 1926 the Virginia State Commission brought in a favorable report recommend ing the adoption of an old-age pension system, and a bill to that effect was introduced into the Virginia Legislature. In Massachusetts a commission on the subject handed in a divided report. The majority recommended a bill establishing a pension not to exceed $1 a day to needy citizens aged 70 or over, but the legislature adjourned without taking any action. In the spring of 1926 the Legislature of Kentucky passed an old-age pension law which became effective June 24 of that year, Maryland and Colorado each passed one in 1927, and a year later a law was passed in Massachusetts. Mention has been made above of the report of the Massachusetts commission and its recom mendation. In the law which was finally passed, the report of the majority of the commission was ignored and a suggestion made in one section of the minority report was adopted instead. This law, which can hardly be termed an old-age pension law but might more accu rately be called a “ public bequest law,” was approved June 12, 1928. A joint legislative committee was appointed in New York in 1926 to make a survey and report upon the condition of the aged poor in the State, with a view to legislative action. Thus, the close of 1928 found old-age pension laws in effect in six States (Colorado, Kentucky, Maryland, Montana, Nevada, and Wisconsin) and Alaska, with bills pending in the legislatures of a number of other States. Since the beginning of 1929, pension laws have been enacted in four additional States— Wyoming, Minnesota, Utah, and California. Provisions of Pension Laws A l l o f t h e p e n s i o n laws provide for a county system. In general, applicants for the pension must be at least 70 years of age (65 years in Nevada, Maryland, Utah, and Wyoming), be citizens of the United States for 15 years, and residents of the State or county at least 15 years (10 years in Nevada). Montana and Utah limit the benefits payable to $25 per month and Kentucky to $250 per year, while in the other States, the total income of a person aided with a pension may not exceed $1 per day from all sources (including pension). 70 CAKE OF AGED PERSONS IN UNITED STATES Only persons are eligible to benefit who have not been imprisoned for a specified period, who have not within the past 10 years (15 in California) deserted their family, who are not professional beggars or tramps, and who have no relatives responsible for their support. The whole cost of the plan in all the States except Wisconsin is borne by the individual county. In Wisconsin one-third of the cost of the plan up to a total of $200,000 per year, is borne by the State. If this amount is not sufficient it is pro rated among them according to the amounts paid out. Montana.— Under the Montana law (Acts of 1923, ch. 72), the pen sions are strictly county matters. The law contemplates the estab lishment in each county of an old-age pension board or commission, which may receive applications from persons who are 70 years of age and have been citizens of the United States and residents of the State of Montana for at least 15 years. The amount of benefits may not exceed $25 a month, and may be less than that according to the conditions in each case. The following are excluded from pensions: (1) Persons who have been imprisoned in the State penitentiary during the past 10 years; (2) a man who during the past 10 years has, for a period of 6 months or more, deserted his wife or failed to support her and his children under 15 years of age, or a wife who has deserted her husband or failed to support such of her children as she was bound to support; (3) persons who have been professional beggars or tramps within one year preceding application for the pension; (4) persons who have children or other relatives responsible for their support; (5) persons who have an annual income exceeding $300; and (6) persons who have deprived themselves of property in order to become eligible for the pension. Nevada.— The Nevada law (Acts of 1925, ch. 121) authorizes the county commissioners to pay pensions to the aged poor when they consider this method desirable. The act specifically states that the pension is established “ in recognization of the just claims of the inhabitants mentioned upon the aid of society, without thereby annex ing the stigma of pauperism by legal definition.” Applicants must be at least 65, and must have been residents of the State for 10 years and citizens of the United States for 15 years. Practically the same provisions are made with respect to exclusions from benefits as in the Montana law except that instead of provision (1) in that law, the Nevada law excludes present inmates of prisons, jails, workhouses, insane asylums, or any other public reform or cor rectional institution; also, the value of a beneficiary’s property may not exceed $3,000. The pension must not exceed an amount which, when added to the applicant’s other income from all sources, will bring the total income to $1 a day. Funds are raised by a special tax of 2 ^ mills on each $100 of taxable property in each county. Wisconsin.— The Wisconsin law (Acts of 1925, ch. 121; amended Acts of 1929, ch. 181) also throws upon the county the primary responsi bility for pensions, but gives the State a measure of supervision based upon its contribution of one-third of the amount thus paid out. Appli cations for pensions must be made to the county judge, who “ shall CHAPTER V .— STATE PROVISION 71 promptly make or cause to be made such investigation as he may deem necessary.” If he approves the application, the judge issues to the applicant a pension certificate, stating when payments are to com mence and the amount of the installments, which may be paid either monthly or quarterly. Applicants must be at least 70, and must have been citizens of the United States and residents of the county in which application is made for 15 years, or have resided in the State for 40 years at least 5 of which must have immediately preceded the application for pension. Persons excluded from benefits include those enumerated in both the Montana and Nevada laws, as well as inmates of public charitable institutions or fraternal, benevolent, or private charitable institutions or homes for the aged. The property qualification is set at $3,000. The amount of the pension plus the applicant’s income from all other sources may not amount to more than a dollar a day. A county establishing the system must appropriate annually enough to meet its demands, and from this the county treasurer must pay out the pensions upon the orders of the judge of the county court. This is to be repaid by the local units which are responsible for the pensioner, each city, town, and village reimbursing the county for all amounts of money paid in old-age pensions to its residents less the amounts received by the county from the State. Each city, town, or village shall annually levy a tax sufficient to meet such charges, which shall be collected as are other taxes and paid into the county treasury. Each year the county treasurer is to certify to the secretary of state and the State board of control the amount paid out in old-age pensions during the preceding year, and if the board of control approves the report, the State gives the county a credit of one-third of the amount paid in pensions against the State taxes next due from it. To meet this provision, the State appropriates annually an amount not to exceed $200,000. If this is not enough to meet all the credits due the counties, it is to be prorated among them according to the amounts paid out. The State also appropriates annually $5,000 for its administrative expenses in connection with old-age pensions. Kentucky.— The Kentucky act (Acts of 1926, ch. 187) provides that in any county which accepts the provisions of the act, an old-age pension may be granted to persons 70 years or over who have been American citizens for at least 15 years and residents of the county for at least 10 years. No person may receive the pension who (1) has an income of more than $400 per year or who possesses property in excess of $2,500, (2) who is a professional beggar, (3) who is an inmate of a public charitable institution, (4) who deprives himself of property in order to obtain the pension, or (5) who has children or relatives re sponsible for his support. The amount of the pension is determined by the county judge, but may not exceed $250 per year. Colorado.— The Colorado act (Acts of 1927, ch. 143), likewise provides for a county system from which any adopting county may withdraw after one year’s trial. The administration of the act is in the hands of the board of commissioners of the county. Pensions under the act may not exceed an amount which, when added to the other income, will total $1 per day, and may be 72 CARE OF AGED PERSONS IN UNITED STATES granted only to persons 70 years of age or over who have been citizens of the United States for 15 years and have resided in the State and county 15 years. No person shall be granted a pension (1) who is an inmate of a prison, jail, workhouse, infirmary, insane asylum or any other public correctional institution; (2) who has been imprisoned for a felony within the past 10 years; (3) who without just cause has deserted wife (or husband) and children under 15, for 6 months or more during the past 15 years; (4) who has been a habitual vagrant or beggar within the past year; (5) who has children or others responsible for his support; (6) who has property in excess of $3,000; or (7) who has deprived himself of property in order to receive the pension. The county judge may require the transfer of any or all of the pen sioner’s property to the county, if he deems it necessary, the net income to go to the pensioner. Maryland.— The old-age pension act of Maryland (Acts of 1927, ch. 538), like those of most of the other States, provides for a county system, which may be abandoned after one year’s trial if the county so desires. To be eligible for the pension the applicant must be 65 years of age or over, have been a citizen of the United States for 15 years and a resident of the county continuously for 15 years or of the State for 40, at least 5 of which must have immediately preceded the date of application for pension. Exclusions are the same as in Nevada. The amount of the pension plus the income from all other sources may not exceed $1 per day . Massachusetts.— The Massachusetts act (Acts of 1928, ch. 383), which as before stated can hardly be termed an old-age pension act, provides merely for the creation of a public bequ€*st commission con sisting of the secretary of state, the State treasurer, and the commis sioner of State aid and pensions. No additional compensation is al lowed the officials for their service on the commission. A “ public bequest fund” is provided for, to be under the control of the com missioners. It is to be made up of gifts to the fund or to the com mission for the use of the fund. (No State contribution was pro vided for.) The State treasurer is to be the custodian of the fund. When, and so long as, the principal of said fund amounts to $500,000 the commission, with the approval of the governor and council, may distribute, in accordance with its rules and regulations relative thereto, the income from said fund to such worthy citizens of the Commonwealth, as, in its opinion, by reason of old age and need, are entitled thereto. No man under 65 and no woman under 60 is entitled to assistance from such fund. The commission, subject to the approval of the governor and council, may make, and from time to time may alter and amend, rules and regulations governing payments. Minnesota.— This law (Acts of 1929, ch. S. F. No. 102), like those of most of the acts which preceded it in other States, makes the adoption of its provisions optional with the county. To obtain a pension the applicant must have attained 70 years of age, have been a resident of the State and county for 15 years (or 40 years, 5 of which have immediately preceded the application). The property qualification is set at $3,000 and the maximum pension at $1 per day. The system is administered by the county judge. CHAPTER V .---- STATE PROVISION 73 Utah.— The Utah law (Laws of 1929, ch. H. B. No. 28) makes ac ceptance of the provisions mandatory upon the counties, sets a maxi mum age of 65, and a maximum pension of $25 per month. The applicant must have resided in the State for 15 years and in the county for 5 years preceding date of application. No person is eligible for a pension whose income during the past year exceeded $300. In this State the law is administered by the county commissioners. Wyoming.— The Wyoming statute (Acts of 1929, ch. 87) also pro vides for a system whose adoption is obligatory upon the counties. To obtain the pension the applicant must be 65 years of age or older, have been a resident of the State for 15 years and of the county 5 years, and his total annual income (including pension) must not exceed $360 per year. The pension must not exceed $30 per month. The act is to be administered by the county commissioners acting as a pension committee. Funds are to be raised by a tax of 1 mill on all taxable property. California.— In California the act (Acts of 1929, ch. 530) entitles to aid any person 70 years of age or over who has been a citizen of the United States for 15 years and has resided in the State for 15 years and in the county or city for 1 year, who has no children able to support him, and who has not deserted his family within the past 15 years. No pension can be paid to a person whose property exceeds $3,000, nor may the pension exceed an amount which added to the other income will equal $1 per day. This law creates a State division of State aid to the aged, to super vise the measures taken by the counties under the law, and provides that one-half of the cost of the system shall be borne by the State, Old-Age Pension Laws in Operation In t h e a t t e m p t to ascertain to what extent the counties were availing themselves of these old-age pension laws and how many aged were actually being assisted under their provisions, the Bureau of Labor Statistics addressed an inquiry to each of the 280 counties of Colorado, Kentucky, Maryland, Montana, and Nevada, and to the State Board of Control in Wisconsin (reporting for 71 counties).1 The replies, covering 264 counties in these States, show that only 53 of the counties reporting have adopted the pension system provided by the law. The greatest proportion of adopting counties was found in Montana, as would be expected, since this was the first State to pass old-age pension legislation which is still in effect. The replies from some of the counties which have not yet adopted the plan indicate that they would have done so, but were financially unable. Others replied that they already had a considerable amount of money invested in a county infirmary or almshouse and therefore felt that care of the aged in the almshouse should be continued. Only two of the counties reporting in Nevada have adopted the county pension plan. Since its adoption in one of these, the county commissioner reports, the tax income has been insufficient to pay any pensions, though some poor relief has been given. i N o in q u ir y w as addressed to M assachusetts, for it w ill b e som e tim e before a n y pensions w ill be p aya ble in that State. I n fact, press reports from that State, dated F eb . 8,1929, state th at u p to th e present o n ly $1,000 has been given to the fu n d . T h e States w h ose law s w ere n ot passed u n til 1929 h ave, o f course, n ot y e t had a n y experien ce u n d e r th e system . 74 CARE OF AGED PERSONS IN UNITED STATES The table below shows, for each State, the status of pensions for aged dependents and the actual cost to the counties. T able 3 0 —N U M B E R O F P E N S IO N E R S A N D C O S T O F P E N S IO N P L A N S IN S IX S T A T E S Pensions State Y ea r o f law C olora d o ............ ................... ........... K e n tu c k y _______________ _______ M a r y la n d _______________________ M o n ta n a ................ ............... ........... N e v a d a ____________ __________ W iscon sin ..................... ............... . 1927 1926 1927 1923 1925 1925 T o t a l_____________________ N um ber o f cou n ties N um N um ber ber re w ith N um p o rt pension ing b er re system ceiving A verage pension per m on th A v erage cost per m on th T o ta l cost per year 63 120 3 24 56 17 71 53 64 3 12 51 13 71 1 3 0 42 2 5 1 i 30 $10.00 i 20.00 $10 2 672 $120 2 8,064 666 4 11 295 16. 59 * 15.00 19.20 11,048 *175 5,515 132, 575 4 1, 680 6 66,185 351 264 53 1,003 17.37 17,420 208, 624 11 c o u n ty on ly; 1 has system b u t has paid no pensions; 1 d id not report on this p o in t. 22 counties o n ly . i n c lu d in g B a ltim ore C ity . * 1 c o u n ty o n ly ; the other has m ade no paym en ts as yet. 5 O ne-third paid b y State. As the above table shows, 1,003 aged persons are being cared for through the old-age pension plans of 53 counties, an average of about 20 per county. (Many of these counties also have aged people at the county poor farm or infirmary.) The largest average pension is being paid in Kentucky. A greater number of persons per county are receiving pensions in Wisconsin than in any of the other States, and in its four counties nearly half as much is being spent for pensions as in the 42 pension counties of Montana, which has the largest total annual expenditure. In Wisconsin, however, as already stated, onethird of the expense is borne by the State. A recent report by the Wisconsin Board of Control2 contains some interesting data as to the pensioners in that State. Of the 295 per sons on the county pension rolls in 1927, 178 were men and 117 were women; 164 were widowed, 84 were married, 31 were single, 9 were separated from husband or wife, and 7 were divorced. The ages of the pensioners ranged from 70 to 94 years, 75 per cent being between 70 and 80 years old. Approximately 60 per cent were native-born Americans. The following statement shows the causes of dependency of the pensioners: N um ber of pensioners Old age__________________________________________________________ Disease__________________________________________________________ Crippled________________________________________________________ Deformity or loss of lim b______________________________________ Partial disability_______________________________________________ Total disability_________________________________________________ Blindness_______________________________________________________ Deaf and dumb_________________________________________________ Other____________________________________________________________ N ot reported____________________________________________________ 159 21 18 17 10 8 2 1 21 38 It is seen that the chief cause of dependency was old age itself, followed by disease, crippling conditions, and deformities. W isconsin. State B oa rd o f C on trol. Old-age pensions in W isconsin, 1927. (M a d is o n ), 1928- 92 CARE OF AGED PERSONS IN UNITED STATES organization the amount of assessment can be changed only by action of the general convention. The original old-age pension plan of the International Typo graphical Union, as adopted in 1907, provided for a pension of $4 a week. This was increased to $5 in 1911, to $6 in 1919, and to the present rate of $8 in 1920. The revenues, however, continued until 1924 to be derived from a one-half of 1 per cent assessment upon mem bers’ earnings; in 1924 the assessment was raised to three-fourths of 1 per cent of earnings. The effect of the increased benefits upon the condition of the pension fund is shown by the following table which was submitted to the 1927 convention of the union: T able 2 5 .— C O N D IT IO N O F P E N S IO N F U N D O F I N T E R N A T I O N A L T Y P O G R A P H I C A L U N I O N , 1909 T O 1927 Y ea r ending M a y 31— R eceipts Benefits and expenses 1909 ______________________________________________________ 1910 __________________________________________________ 1911_______________________________________________________ 1912_______________________________________________________ 1913_______________________________________________________ 1914_______________________________________________________ 1915_______________________________________________________ 1916 _____________________________________________ 1917 __________________________________________________ 1918 ________________________________________________ 1919 ________________________________________________ 1920 _____________________________________________ 1921 _______________________________________________ 1922 _________________________________________________ 1923 ______________________________________________________ ___________ - _ 1924 1925 _______________ __________________________ 1926_ ____________________________________________________ 1927 _______________________________________________________ $202,940 233, 227 255, 267 278, 779 298, 361 325, 982 328,475 336, 201 356, 267 384,155 447, 271 622,123 758, 305 655, 721 701, 600 762, 765 968, 086 1, 313, 416 1, 357, 246 $69, 550 115, 398 128, 043 176, 320 248, 582 270, 396 302, 652 358, 369 356, 692 359, 720 346,114 376, 730 529, 777 729, 870 823, 435 876, 610 923, 744 1,010, 730 990, 360 Excess of receipts over expendi tures $133,390 117,830 127, 224 102, 459 49, 779 55, 586 25, 824 i 22,168 i 425 24,434 101,157 245, 393 228, 528 i 74,148 i 121, 834 i 113, 845 44, 343 302, 687 366, 974 A ccu m u lated surplus $159, 767 277, 597 404, 821 507, 280 557, 059 612, 645 638, 469 616, 301 615, 876 640, 310 741, 466 986, 860 1, 215, 387 1,141, 239 1, 019, 405 905, 559 9-19,902 1, 252, 589 1, 619, 475 i D eficit. It is seen that with the $4 pension a generous surplus accumulated in the treasury. From 1912, when the effects of the 1911 increase began to be felt, the yearly surplus of receipts over expenditures declined steadily until in 1916 a deficit of $22,000 for the year was incurred. The condition of the fund began to improve thereafter, even considering the increase of pension in 1919. The prosperity of the fund during the years 1919, 1920, and 1921 was undoubtedly the result of the increased employment and earnings among the membership and the fact that older men— pensioners— were recalled to industry to replace the younger men called to the colors. On the strength of this prosperity a further increase in the annuity was voted. Then came the years of deflation, the return of the younger men from the war, decreased employment and earnings, and the strike for the 44-hour week, and these combined factors were at once reflected in the condition of the fund, which in 1923 was “ in the red” almost $122,000 for the year. The increased reve nues due to the raising of the proportionate share of the pension fund in the 1 per cent assessment, from one-half to three-fourths, in 1924, operated to wipe out the yearly deficit and has gradually caused the annual surplus to increase until in May, 1927, the surplus of receipts over expenditures was $367,000, CHAPTER V I .— B Y LABOR ORGANIZATIONS 91 ment elective. In the former case a flat amount of dues is collected for pension purposes from all members regardless of age, making slight increases from time to time, if this becomes necessary. In the latter case, pension assessments vary with the age of entrance into the plan and with the number of contributions paid. The Bricklayers, Masons, and Plasterers’ International Union assesses each member 80 cents per month for pension purposes. The International Association of Bridge, Structural, and Ornamental Iron Workers maintains its pension fund by setting aside from the general monthly dues 15 cents per member; in case the fund falls below $50,000 an assessment of $1 per member becomes automatically payable. Fifteen per cent of the general income from dues main tains the granite cutters’ pensions, and a per capita tax of 25 cents per month those of the printing pressmen. The rules governing the pressmen’s fund provide that— For the establishment and maintenance of the old-age pension system the sum of $3,500 per annum shall be drawn from the pension fund. This amount to continue as a basic cost of operation until the number of pensioners shall be 200, then immediately the cost of maintenance shall be based upon the expenditures for the pensioners, and the amount to be thus appropriated shall not exceed 3 per cent. The pension system shall not become operative for at least five years imme diately following M ay, 1917, or until the sum of $750,000 has accumulated in the said pension fund, which fund shall be established through the 25 cents per capita tax per month per member and interest upon said fund. Members of the International Typographical Union pay as dues 65 cents per month, plus 1 per cent of their earnings. Of this 1 per cent, one-fourth goes to the mortuary fund and three-fourths to the pension fund. In the pension departments of the railroad brotherhoods, member ship is voluntary. The locomotive firemen and enginemen admit to membership in the pension department only members in good stand ing in the brotherhood who are under 40 years of age; the locomotive engineers and the trainmen make the same provision but the former place the age limit at 50, and the latter at 45 years. The applicant must, in all three organizations, pass a physical examination. The monthly assessments according to the age at which the mem bers enter are, in the firemen and enginemen’s organization, as follows: 1 8-30 31 -3 5 3 6 -4 0 41 -4 5 years______________________ $0. 50 years______________________ 1. 00 years______________________ 1. 50 years______________ ________ 2. 00 46 -5 0 years______________________ 51-55 years______________________ 56 -6 0 years______________________ $2. 50 3. 00 3. 50 Those in the trainmen’s fund are the same as the above, except that the class of those 61 to 65 years of age at entrance is added, and their dues set at $4.50 per month. The dues of the locomotive engineers who elect to become members of the pension fund are set at $1 per month for all who join before reaching the age of 31 years. Dues increase 10 cents per month with each year above 31, reaching the maximum of $4 per month levied upon all who become members of the fund after reaching 60 years of age. The firemen and enginemen and the trainmen reserve the right to levy additional assessments in case the income from those set is insufficient to meet the demands upon the fund, but in the firemen’s 35777°— 29------- 7 90 CARE OF AGED PERSONS IN UNITED STATES The amount disbursed in trade-union pensions varies with the size of the pension, the number of annuitants, the size of the union, and the time during which the plan has been in force; in some cases the total amounts are quite impressive, especially in the case of those unions whose plans have been in effect for some years. The Brother hood of Railroad Trainmen has been paying pensions only since 1925 and, therefore, although it is a large organization with about 180,000 members, its pension roll is small, the disbursements for 1926 amount ing to only $31,080. The Brotherhood of Locomotive Engineers, an organization with some 88,000 members, has been paying pensions since 1914, its pension roll having passed the 4,000 mark and its expenditure for this purpose amounting to nearly a million dollars in 1926 and to more than four and three-quarter millions in the 13 years' operation of the pension department. The granite cutters, who were the first to pay this type of benefit, have had a very modest outlay for pensions, having paid slightly less than a quarter of a million dollars during the 23 years’ life of the fund. Theirs, however, is a small organization of some 8,500 members, and the pension amounts to only $10 per month and is payable for only six months of each year. The International Typographical Union, which has a membership of some 78,000, leads the list with an expenditure of nearly a million dollars during the year ending May 31,1927, and a whole-time expend iture of $8,740,939. The growth of the outlay for pensions by five of the unions is shown by the following figures: T able 2 4 .— G R O W T H O F P E N S IO N S Y S T E M A m o u n t paid in pensions b y - Y ear B rick L oco m otive layers i engi neers L oco m otive firem en and enginem en O F F IV E U N IO N S P rinters 2 Num ber of pe n sioners 542 642 808 1,038 1,108 1909 _ 1910_ 1911 _ 1912_ 1913 _ 1914 _ 1915_ 1916. 19171918_ 1919_ 1920 _ 1921 _ 1922 _ 1923 _ 1924 _ 19251926 _ 1927- $217, 277, 371, 295, 414, 426, 443, 485, 608, 783, 858, 955, 1, 021, 1 Y ea r ends A u g. 31. 2 Year ends M a y 31. $18, 250 45, 386 93, 010 154, 895 204, 965 248, 618 293, 420 358,981 445, 087 519, 036 633,795 828, 606 988, 518 1,210 $1, 350 6, 570 18, 390 41, 282 73,855 1,342 1,440 1, 509 1,501 1, 483 1, 510 1, 683 1,869 2,077 2, 208 2,499 2, 461 2,430 A m ou n t paid in pensions 3 Street-railw ay em ployees 4 N um ber of p en sioners $69, 550 115, 398 128, 043 176, 320 248, 582 270, 396 302, 652 358, 369. 356, 692 359, 720 346,114 376, 730 529, 777 729, 870 823,435 876, 610 923,744 1, 010, 730 990, 360 2 5 5 5 8 9 21 70 53 63 77 82 80 Am oun t paid in pensions $1, 600 4, 000 4, 000 4, 000 6,400 7, 200 16, 800 56, 000 42,400 50,400 61, 600 65, 600 64,000 3 Inclu des expenses of adm inistration. 4 Year ends Ju ly 31. Source of Revenues of Plans S e v e r a l of the unions make the old-age pension one of the bene fits to which all members are eligible upon reaching the age desig nated, Others, however, make membership in the pension depart- 89 CHAPTER V I.— BY LABOR ORGANIZATIONS long as she remains unmarried, or if she has reached a specified age and has no means of support. T a b l e 2 2 . — N U M B E R O F P E N S I O N E R S , A M O U N T O F P E N S I O N , A N D A M O U N T S D IS B U R S E D T H E R E F O R I N L A S T F I S C A L Y E A R A N D W H O L E P E R I O D , B Y U N IO N S N um ber at pres ent in receipt of pen sion U n ion i 2, 954 331 B rick layers__________________________ B ridge and structural-iron w ork ers. _ C arpenters___________________________ Electrical w ork ers___________________ G ranite cutters_______________________ L o co m o tiv e engineers_______________ L o com otiv e firem en and enginem en. Printers______________________________ P rintin g pressm en___________________ Q uarry w ork ers______________________ Railroad train m en___________________ Street-railw ay em ployees____________ * 37 405 4, 467 230 2, 430 244 s 18 10 1 1 0 8 80 T o t a l- A m o u n t paid in pensions in — A m o u n t of pension per m em ber W h o le period of operation Latest fiscal year $7 per w eek ___________ $25 per m o n th ________ $15 per m o n th ________ $40 per m o n th ________ $60 per year 3_________ $25 to $65 per m on th 5. $30 to $70 per m on th 6. $8 per w eek ___________ $7 per w eek 7__________ $50 9___________________ $35 to $70 per m o n t h , . $800 in lu m p s u m . ___ 11, 306 $1,021, 858 86, 300 $7,160, 205 (2) 17, 214 16, 335 988, 519 73, 855 990, 360 60, 974 500 31, 080 64,000 17,214 241, 044 4, 832, 567 141,447 8, 740, 939 71, 349 6, 350 78, 330 384,000 3,350, 995 1 Inclu des 76 persons receiving “ disability relief,” and 823 w idow s. 2 N o data. s $10 per m on th for six m on th s of each year. 4 Inclu des 1,533 w idow s. 6 F rom this, u nion dues of abou t $4 per m on th are dedu cted. 6 W id ow s receive pensions of $35 per m onth. 7 N o t y e t paya ble in full, as funds do not warrant. 8 R eceived the lu m p sum in 1926. 9 F iat sum , ded u cted from death benefit. 10 Inclu des 13 w idow s. The amount of pension paid by the three railroad brotherhoods which pay pensions varies with the number of contributions made by the member, as shown below: T able 2 3 . — A M O U N T O F O L D -A G E P E N S I O N S P A I D B Y T H R E E R A I L R O A D BROTHERHOODS A m o u n t of pen sion receivable per m on th N u m ber of m on th s’ assessment paid 12_____ 13-24... 25-36... 37-48... 49-60.. 61-72... 73-84... 85-96... 97-108.. 109-120. 121-132 133-144. 145-156. 157-168. 169-180. 181-192. 193-204. 205-216. 217-228. 229-240. L oco m otive engi neers $25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Fire m en and train m en $30 A m o u n t of pen sion receivable per m on th N u m b e r of m o n th s’ assessment paid 241-252______ 253-264______ 265-276______ 277-288______ 289-300______ 301-312______ 313-324_______ 325-336______ 337-348_______ 349-360_______ 361-372_______ 373-384______ 385-396______ 297-408______ 409-420______ 421-432______ 433-444______ 445-456______ 457-468______ 469-480______ 481 and over.. L oco m otive engi neers $45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Fire m en and train m en $50 60 65 70 88 CARE OF AGED PERSONS IN UNITED STATES The Brotherhood of Locomotive Engineers makes practically the same provision, but adds two other classes of pensioners— members who resign or are dismissed or lose their positions and those who were not in active service at the time of joining the brotherhood. In the former case, the member becomes eligible for pension only after a membership of 12 years and upon reaching the age of 60 years, except in cases where it is shown that the member is “ physically and men tally unable to perform remunerative employment,77 in which event he becomes entitled to benefits on the same terms as active members. In the latter case the member must reach 70 years before attaining a pensionable status and must show inability, from physical, mental, or other cause, to secure remunerative employment. Only members incapacitated for employment in the trade are entitled to the old-age pension paid by the printing pressmen’s and the printers’ unions, while the railroad trainmen require proof of permanent total disquali fication for work from physical or mental causes or old age. The bridge and structural-iron workers provide also that a disa bility pension is payable to any member in continuous good standing for 15 years who is disabled by an injury sustained in the course of his employment, provided (1) that the injury “ was not contributed to or brought about by his own improper conduct,” (2) that the member is unable to secure sustaining employment at any occupation, and (3) that he has no other means of support. The locomotive firemen and enginemen and the railroad trainmen specifically provide that “ no member will be entitled to a pension on account of disability caused while under the influence of intoxicants or narcotics or while participating in war, riots, disreputable or unlawful acts,” and the Brotherhood of Locomotive Engineers bars pensions for disability caused by the use of intoxicants or by unlawful acts. Return to active work causes a forfeiture of the pension paid by the railroad trainmen, while the bridge and structural-iron workers provide that a pensioner loses his pension for any month in which his income from other sources than the pension reaches $60, the pensioner being “ deemed to have secured sustaining employment for that month.” The locomotive engineers cease payment upon return to active engine duty; the pensioner may, however, perform remu nerative labor other than that of his trade and still retain his pension; this provision is made also by the firemen and enginemen. The International Typographical Union formerly provided that any annuitant who received pay for two days’ work in any week should forfeit his pension for that week. The 1927 convention made a change in this provision, taking the view that pensioners should be encouraged, as an aid to preserving self-respect, to do whatever work they are able to perform without being penalized by the loss of the pension. Hereafter pensioners may perform not more than two days’ paid work per week and still receive the pension. The Printing Pressmen and Assistants’ Union has the same provision. Amounts of Annuity, and Expenditure for Pensions T a b l e 2 2 , below, shows, for each of the unions which pay old-age pensions, the number of annuitants, the size of the pension, and the amounts paid during the latest fiscal year for which data are avail able and during the whole period of operation. As the table indicates, several of the unions continue payment of the pension to the widow as CHAPTER V I .---- B Y LABOR ORGANIZATIONS 87 to enable a retired member to engage in some new business. Pay ment of benefits under the new scheme began in 1915. The Inter national Typographical Union inaugurated its pension system in 1907 and began payment of such pensions in 1909, and the locomotive engineers followed suit in 1913 and the bricklayers in 1915. The year 1920 saw the establishment of old-age pensions by the bridge and structural-iron workers and the locomotive firemen and enginemen. Two pension schemes were adopted in 1925— those of the printing pressmen and of the railroad trainmen. The Brotherhood of Electrical Workers in 1927 and the United Brotherhood of Carpenters and Joiners in 1928 adopted an old-age pension plan. Requirements for Receipt of Pension T h e a g e and membership requirements of the unions which have established old-age pensions have undergone modification from time to time. At present, however, the age at which the member becomes eligible to the pension is set at 60 by the bricklayers, the bridge and structural-iron workers, the printing pressmen, and the printers;2 at 62 by the granite cutters; and at 65 by the electrical workers, the locomotive engineers, the street-railway employees, and the locomo tive firemen and enginemen, and at 70 years by the carpenters. The locomotive firemen and enginemen also pay pensions for disability (1) to active members disabled for engine service, and (2) to retired members disabled for any occupation; in these cases there is no age requirement. Requirements as to membership in the union vary considerably. One year’s membership in the Brotherhood of Locomotive Engineers entitles to the receipt of the old-age pension; 3 membership of 2 years is required by the locomotive firemen and enginemen and the railroad trainmen, of 20 years by the bricklayers, the bridge and structuraliron workers, the electrical workers, the printing pressmen, and the street-railway employees, of 25 years by the granite cutters and the printers, and of 30 years by the carpenters. The bricklayers, the bridge and structural-iron workers, the printing pressmen, and the street-railway employees require also that the specified membership must have been continuous. Applicants for the pension in the bricklayers’ and the bridge and structural-iron workers’ unions must show that they are unable to secure employment in any industry, because of bodily infirmity, and that they are without other means of support. Members of the Brotherhood of Locomotive Firemen and Enginemen who have been retired from active service by reason of age or who attain the age of 65 and retire voluntarily become eligible for the pension of the brotherhood without fulfilling any requirement as to their physical or financial condition. To receive the pension for disability, how ever, a member must show that he is permanently and totally dis abled— for engine service, if he is still in active service at the time of becoming disabled;4 if he is not in active service, for any kind of employment in which his earnings are sufficient to support him. 2 B y action of 1927 con ven tion ; form erly 65 years. In cases of incapacitated m em bers w ith contin uous m em bership of 20 years w h o m the U n ion Printers’ H o m e is unable to accom m od ate the age lim it required for the pension m a y be w aived . 3 E xcep t in the case of m em bers w h o resign or lose their positions or are dism issed, in w h ich case 12 years’ m em bership is required. * I f he ever becom es able to resum e engine service be ceases to receive the pension. Chapter VI.—Care of the Aged by Labor Organizations Old-Age and Disability Pensions M A TTER that is receiving more and more the attention of organized labor is the question of what shall be done to care for members who by reason of age or of mental or physical disability become unable to work at the trade. A number of unions have expressed themselves as being in favor of old-age pensions pro vided by the State or Federal Government. Several States have already adopted such measures, and the 1927 convention of the American Federation of Labor authorized the executive committee to have drafted a bill providing for old-age pensions, the passage of which local trade-union bodies are to work for in States where there is as yet no such legislation. Pending the general acceptance of the principle, some labor organ izations are providing such care as they are able for their infirm mem bers, to prevent their becoming a public charge. To date 11 national or international unions— those of the bridge and structural-iron workers, bricklayers, carpenters, electrical workers, granite cutters, printing pressmen and assistants, street-railway employees, printers, locomotive firemen and enginemen, locomotive engineers, and railroad trainmen— have adopted an old-age pension plan for those of their members who fulfill certain requirements as to age, union member ship, and physical or financial condition.1 Of these, six also operate a home for aged or disabled members, there being a choice between receipt of the pension and residence at the home. The Order of Railway Conductors has established a home but has discontinued its pension. In addition to these unions, several others provide some sort of old-age benefit. Thus the quarry workers pay, to their members who reach the age of 60 and have had 10 years' continuous membership in the union, $50, which is deducted from the funeral benefit. The oil field and gas well workers exempt aged members from the payment of union dues, while in the paving cutters’ union the dues of a superannuated member are reduced to 25 cents a month. Federal employees— postal clerks, letter carriers, railway mail clerks, and other Government employees— are covered by the Federal retirement law, thus relieving their respective un^onf of the task of providing old-age benefits. Of the 11 unions which pay an old-age pension, the Granite Cutters’ International Association of America was the pioneer, establishing its pension in 1905. The street-railway employees’ organization had, prior to 1912, an old-age benefit of from $1 to $3 per week. In 1912 the system was changed, the benefit being commuted to a lump sum upon the member’s reaching 65 years of age. This was done in order A iS o m e local u n ion s also p a y old-age benefits, b u t as this s tu d y was con fin ed to the organization s o f national scope, n o a ttem pt w as m ade to gather local data. It is reported that local N o. 2 o f the In tern a tional F u r W orkers’ U nion has adop ted an old-age pension schem e under w h ich m em bers w h o reach 65 and retire from w ork in the fur or a n y other in du stry, w ill be entitled to receive benefits of $8 per week. A m em ber 65 years and over w h o retired from w ork after Jan. 1,1926, m a y also a p p ly for benefits, w h ich w ill be granted if, after in vestiga tion b y a special com m ittee, he is fou n d to be in need. M em bers w h o had retired before Jan. 1, 1926, are not e n titled to the pension. T h e pension m a y also be paid in cases of per m anent total disability. (F o r a m ore detailed a cco u n t of care of the aged b y labor organizations, see B u reau of L a b or Statistics B u i. N o . 465, C h s. I l l and I V .) CHAPTER V .— STATE PROVISION 85 New Jersey.— The State of New Jersey finances the operation of the New Jersey Firemen’s Home at Boonton.5 This home was opened in 1900 and is operated for the benefit of indigent fire fighters who have served at least seven years. Wives are not admitted. The home can accommodate 100 persons but the average number in residence is only 55. The cost of operation last year was about $23,000. The home has a resident physician who looks after the physical welfare of the men. 5 T h ere is also a firem en’ s hom e at H u dson , N . Y .; this, h ow ever, is m aintain ed not b y the State b u t b y the F irem en ’ s A ssociation o f the State o f N e w Y o r k . See pages 188,190. 84 CARE OP AGED PERSONS IN UNITED STATES able as to when the State assumed the cost of operation, which now amounts to about $50,000 a year. Only men are admitted, and the only requirement is that the appli cant be a veteran of the Confederate Army. The building can ac commodate 110, but the average number in residence is about 65. All necessary medical attention is provided. There is a 25-bed hos pital, with a chief surgeon, two internes (who are senior medical stud ents), and two practical nurses in attendance. Amusements furnished include motion pictures, radio, card games, etc., and each resident is allowed $1 a week for “ pin money.” Another interesting home is that of Iowa, located in Marshall town. The home was opened in November, 1887, the sum of $100,000 having been appropriated by the legislature as a result of the efforts of the Grand Army of the Republic; the citizens of Marshalltown do nated 128 acres of land and the sum of $12,000. The land has since been added to, and the holdings of the home now cover 156 acres, some of which is used for farming, some for gardens, and the remainder for lawns, walks, and drives. The first building erected housed 300 persons. It soon proved inadequate and a hospital was added. This in turn proving insuffi cient, a new hospital was built and the first was turned into a dormi tory. Since that time many other buildings have been added, in cluding a headquarters building, a building for women, one for men, a general old people’s building with an annex for the use of married couples, and 10 small cottages also for married couples. There are six residences for the use of the home officers, besides numerous work buildings (laundry, barn, garage, greenhouse, etc.). As the above indicates, the home admits soldiers, their wives and widows. Data furnished by the home show that the number of men is decreasing, while the number of wives and widows in residence is in creasing. On December 23, 1903, there were 714 men, on January 1, 1915, 573, and on January 1, 1925, 335. On the same dates the women numbered 90, 225, and 294. In 1928 there were altogether only 450 inmates, as against 629 in 1925. The capacity of the home is 750. The cost of operation in 1927-28 was $245,000. All medical attention is furnished and there is a 200-bed hospital, having two resident physicians and two nurses. Amusements include motion pictures twice a week, with music; band concerts during the summer, reading, etc. Other State Homes for Aged ARIZONA.— The State of Arizona maintains what is known as the Arizona Pioneers’ Home, at Prescott. It was established in 1911 and is open to needy persons of both sexes, 65 years of age and over, who have been residents of Arizona for 35 years. There is no admission fee. The home accommodates 106 men and 12 women, and its cost of operation last year amounted to $56,160. All necessary medical attention, including minor operations, is given in the home. There is a hospital accommodating 12 men, and a 2-bed hospital in the women’s department. A physician is on call and there are four practical nurses, CHAPTER V .— STATE PROVISION 83 Entrance Requirements I n m o s t cases the only requirement for entrance is that the applicant shall have been honorably discharged from the military service of the United States. In cases where women are admitted they must show that they are wives or widows of honorably discharged soldiers, sailors, or marines. In two or three cases admittance is refused to persons having property in excess of a certain amount ($1,000 or $2,000) or with income in excess of a fixed amount, and a few require that the applicant be a resident of the State to whose home he makes application for admittance. Two homes for soldiers’ widows require that the applicant be “ needy,” and three institutions require that a certain proportion of the pension received from the United States Government be turned over to the home during the resident’s stay there. One of the hardships of aged people who enter homes of various sorts is that in many cases married couples are not admitted, or, if admitted, are taken only as individuals and are therefore separated in living quarters. Of the 44 soldiers’ homes covered, 18 admit men only, 4 admit women (soldiers’ wives or widows) only, while 22 admit both sexes and married couples as well. Most of the homes (35) make no requirement as to age (though one of these sets the admission age for women at 50), but 4 set the age of admission at 50 years, 3 at 60 years, 1 at 62 years (unless disabled), and 1 at 80 years. Medical and Recreational Provision A l l give medical care, and practically all have one or more resident physicians and nurses. Sixteen report that they have a fully equipped hospital in connection with the home; doubtless many more which did not mention this feature also have a hospital. Thirty homes of the 40 reporting on this subject provide recreation for the residents. Of the kinds of recreation provided, motion pic tures were by far the most common, entertainments of various sorts and reading being a poor second. Other recreations less commonly mentioned include pool, bowling, radio, cards, fishing, checkers, cro quet, golf, dancing, and music. In the Northern States the soldiers who are inmates of homes have all or part of their Federal pensions for use as spending money. Some of the Southern States, the residents of whose homes do not receive such pensions, allow their inmates a certain amount each month for personal use, and in some instances where the inmates perform work around the building or grounds they receive pay therefor. Home Location and Plant O n e of the interesting soldiers’ homes is that of Georgia. The home was started about 1901, not by the State but from funds solicited from public-spirited citizens. A tract of about 120 acres just outside the city of Atlanta was purchased and the home was built there. Shortly afterwards the building burned, but was replaced the next year, all without assistance from the State. No information is avail- CARE OF AGED PERSONS IN UNITED STATES F ig u r e 12.- S o l d i e r s ’ H o m e of Ve r m o n t at B e n n in g t o n 81 CHAPTER V .— STATE PROVISION T able 2 1 .— N U M B E R OF R E S ID E N T S A N D C O ST O F O P E R A T IO N OF S T A T E H O M E S F O R S A I L O R S , S O L D I E R S , A N D T H E I R W I V E S A N D W I D O W S — C o n tin u e d A n n u a l cost o f opera tion (all ages) Inm ates State M a r y la n d _____________________________________ _______________ _________ M assachusettsM ississip pi— M is s o u r i ________ _ ______ ______ ______ ____ M o n ta n a ___________ __ __ _ _ _____ __ ______ ______ . N ebrask a __________ . N e w H am psh ire. __ __ N ew Jersey__________ _____ _____ __ _ _ N ew Y o r k . _________ __ _____________ N o rth Carolina _______ _______________ _ _ N o rth D a k o ta . _ ___________ ____________ O h io . ____________________________ __________ O regon . ___ ______ __ ___ __ _ P en n sy lv a n ia ___ ______ __ ___ ______________ R h od e Isla n d . ._ _______ _ _ ______ South C arolina________ ____________________ South D a k o ta ____________ ________ __ Ten nessee________________ _______ __ T ex a s ________________________ ____________ _ V e r m o n t___ ________________________________ _ W a sh in g ton ___________ _ _____________ W iscon sin ____ __________________________ W y o m in g ____________ __________ ______ T o t a l_______________________________ 2 N o data. T otal num ber Num ber report C a pacity ing (all ages) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 48 12,600 260, 000 (2) 221,000 1,575.00 732.39 500 160 600 125 770 1,700 408 80 415 45 340 363 3 83,926 48, 000 150,000 30,000 3 133,749 322,467 3 349. 69 600.00 361.45 666. 67 31,114. 58 888.34 50 1,140 175 600 300 28 433 94 60 96 20, 782 310, 619 (2) 118, 200 59, 741 742. 21 454. 79 305 35 457 31 200 450 134,175 (2) 226,000 30,191 76,165 258,118 494. 53 973.90 380.83 573. 60 8, 419 « 4, 225,858 501.94 8 500 1, 500 475 2 1 2 1 2 2 1 2 1 1 1 400 100 472 100 250 600 44 16,662 a 1 hom e on ly. P er capita T o ta l 8 253 600 1 1 1 1 1 1 2 1 1 1 1 1 1 1 Average num ber of aged in residence 0 622.30 439. 92 4 38 hom es. As the above table shows, the per capita cost of these homes ranges from $55.50 to $1,575, writh an average cost .of $501.94. TJ\e high cost of the Maryland home is due to the large plant, with few inmates, making the cost of upkeep and operation per person unusually high in this State. It is seen that the average number in residence is far below the number which the homes can accommodate. In some cases the dis crepancy between capacity and actual number of residents is due to the fact that admittance is limited to veterans of the Civil War, whose number is decreasing from year to year. In general, however, it is because the figure for capacity includes the total number which the home can accommodate, regardless of age, while the average number of residents given includes only those aged 60 or over. The column showing the number of residents is the significant one for the purposes of this study, inasmuch as it shows the number of old people being cared for in these homes. The size of these homes is indicated by the statement below: N u m b e r of hom es Homes caring for— Fewer than 25 persons_______________________________________ 25 and under 50 persons____________________________________ 50 and under 75 persons____________________________________ 75 and under 100 persons___________________________________ 100 and under 200 persons__________________________________ 200 and under 500 persons__________________________________ 500 and under 1,000 persons________________________________ 1,000 persons and over______________________________________ Not reported_________________________________________________ 2 0 3 5 8 11 4 1 1 T otal_______________________________________________________ 44 80 CARE OF AGED PERSONS IN UNITED STATES instead of cash.” Another county has a monthly allowance system through which 100 persons are now receiving aid at the rate of $15 per month. Wisconsin.— In the three years’ operation of the law, five counties have put the pension plan into effect. Taking advantage of the former provision of the law permitting a county to discontinue the pen sion plan after it has been in effect one year, Wood County, which had adopted the plan in 1925, discontinued it a year and a half afterward, but six months later adopted it again. Another of the original five counties revoked its acceptance, but its place was taken by another county which has recently accepted the plan. Homes for Soldiers and Sailors and Their Wives and Widows HERE are 39 States which have erected homes where soldiers and/or sailors honorably discharged from the forces of the United States may spend their declining years. Many of these were opened after the Civil War and were restricted to veterans of that war. Practically all of those in the North, however, have changed their requirements in this respect, so as to admit veterans of the later wars and even of the World War. In one or two of the border States there are two homes— one for the veterans of the Confederate Army and one for those of the Union Army— while several States have homes espe cially for soldiers’ and sailors’ widows. In some cases the home was founded originally not by the State but by some organization, such as the Grand Army of the Republic or the Woman’s Relief Corps, and was later turned over to the State.4 Those of the Northern States receive a certain amount of Federal aid. Altogether there are 48 such homes, and the Bureau of Labor Statistics has data for 44 of these. The table below shows for each of the States the total number of soldiers’ and sailors’ homes, the number reporting, the number of residents, and the cost of operation in their last fiscal year: T T able 2 1 .—N U M B E R O F R E S ID E N T S A N D C O S T O F O P E R A T IO N O F S T A T E H O M E S F O R S A IL O R S , S O L D IE R S , A N D T H E IR W IV E S A N D W ID O W S A n n u a l cost of opera tion (all ages) Inm ates State A la b a m a______________ _____ ______ _____ ______ A rkansas_________________________ _____ _______ C alifornia_________ ________________________ C olora d o__________________________ _____ ______ C on n ecticu t________ ______ ________ _______ . _ _ F lo rid a . _____________________________________ G eorgia _______ ______________ _______________ Id a h o ____ _____________ ______________ ______ I llin o is .. _______ ___________________________ Indiana . __ . _____ __ ______ Iow a . . . ___ __ ___________ . K ansas. ___ _ __ _ _ __ _____ ________ K e n t u c k y .. _ _ _ _ ____ __ L o u is ia n a _______ . . . ______________ _ T otal num ber Num ber report ing C a p a city (all ages) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 100 200 949 250 400 50 110 150 1,615 700 750 683 80 100 A v erage nu m ber o f aged in residence 30 170 828 96 105 20 65 85 730 450 450 613 48 28 T otal $24,000 95.000 335,882 116, 212 (b) 1,110 50.000 38,191 354,922 258, 387 245, 000 144, 981 42, 440 24, 000 P er capita 0 $800.00 558.82 405. 65 726. 33 55. 50 769. 23 449. 31 486.19 574.19 544. 44 236. 51 884.17 857.14 “ P er capita cost sh ow n b e lo w is n ot in all cases the cost d iv id e d b y n u m ber of aged inm ates, as som e of the hom es ad m it y o u n g m en also. b N o data. 4 F or data o n hom es for soldiers, their w iv e s and w id o w s , w in ch are n o t operated b y the State, see p . Is4. CHAPTER V .---- STATE PROVISION 79 own (not the State) system is aiding some 70 aged persons at a cost of about $7,500 a year; in this county the relief system is regarded as “ much better than the almshouse but not nearly so good as a home for the aged [who are chronic invalids or incurable], which the Eastern Shore counties are working to get at the coming session of the legis lature/’ Another county aids about 150 persons with an allowance of $5 per month, another 6 persons at the rate of $1 per month each, and a third 25 at the same rate. Montana.— In Montana, among the auditors of the counties which have the pension system, 21 are unqualifiedly favorable to it, and 7 unqualifiedly opposed. Of those opposed, one county auditor states that he favors the almshouse plan because the pension is not adequate for the pensioner’s entire support and the latter could live better at the county poor farm. Another expresses the opinion that the county should have a “ home” large enough to care for the aged dependents in the county. Another states that the prevailing opinion in his county is that the almshouse would be more economical, and another prefers the almshouse system because fewer persons would make application for entrance to a poor farm than apply for the pension. A fifth replies that the pension system “ is not as economical as an almshouse, and the fact that mismanagement has been the cause of a pensioner’s plight, so the habit of mismanagement does not help him in his status as a pensioner. Many of the inhabi tants of our county farm seem to be much more satisfied with their present conditions than they were when receiving their pensions.” Other opinions are that the pension plan is “ very satisfactory in our county as we have been able to care for many of our people at a less expense than at the farm and our farm is full at the present time” ; that the pension is preferable to the almshouse “ from the viewpoint of saving to the county” ; preferable “ both for the people and the county” ; “ because the majority [of the pensioners] are partially self-supporting or are aided by their children” ; or that the “ pension is by far the best.” One auditor thinks the results are about the same under either pension or almshouse plan, and two others think the pension plan is better in small counties and the almshouse in larger ones (in one case because of the expense in large counties). One report states that the county in question “ is going to try out the home system when they get it fixed up for that purpose; put them in the home and have a caretaker.” In the eight counties reporting which have not adopted the pension plan, four think the almshouse preferable to the pension plan; and one auditor states that “ neither is the proper way to care for paupers,” but does not state what, in his opinion, would be the proper way to handle the problem. Nevada.— Only two counties reporting in Nevada have formally adopted the pension plan and in one of these it is as yet inoperative because of lack of funds. The commissioner of one county which has no pension plan but does give “ aid” at the rate of $17.50 per month each to 24 persons states that in his opinion, the pension plan is impracticable for the reason that “ many indigents in this county are not capable of han dling their money and our county gives orders for groceries, etc., 78 CARE OF AGED PERSONS IN UNITED STATES funds or relatives, because the majority of the pensioners are incapable of handling money wisely, etc. One county judge, in a county which had a pension system but discontinued it, gives his reasons for pre ferring the almshouse to the pension as follows : There are too many people who can not take care of money given to support them and many swear falsely to secure same. If they are in need they would prefer a comfortable infirmary to a poor living allowance given them. Another expresses his opinion as follows: “ If the person lived with relatives who would assist him, the pension would be preferable. If destitute or wholly dependent the almshouse system is preferred.” Another states: In some cases I would prefer the pension system but in many cases it would cost much more to care for them with a pension. W e care for old or helpless persons who are without means of support and have no one to support them, either at our almshouse or by an amount allowed by the court per month for their aid and support when it costs less than the cost of the almshouse. Another county which has no regular pension system and dis approves of it, but which practices something very like that system in an informal way, reports as follows: W e have several old people who are too old to help themselves and too poor to live without some assistance whom we help by making small monthly allowances and let them stay at home or remain with some member of the family. W e have been doing this for years and find it gives satisfaction. Our county is not able to have a general old-age pension system and merely help these who are needy. Of course we have the usual Kentucky “ poorhouse” but usually have but three or four there. Have five now. One county gives aid to aged poor in certain cases, one is paying $10 per month to 12 old people, and a third pays $5 per month in certain cases where the old person can live with relatives. “ We find it cheaper to keep charity claims other than blind with relatives if possible. But we can not do without the almshouse for we find cases that no one will keep in their families.” The reporting officer in a fourth county, which has no pension sys tem but has four persons who are each receiving $20, is inclined to favor a pension system. Maryland.— None of the counties in Maryland have adopted the State pension plan, although opinion is quite favorable to old-age pensions among those counties which reported. Many of the counties which have not adopted the plan offered by the State law nevertheless grant allowances (really poor relief) under an informal plan and have done so for years. One county has abandoned its almshouse entirely in favor of such relief; in a few instances, former inmates of the alms house are boarded in private families. One county reports that this allowance system has been practiced for at least 40 years; in 1927 there were 76 old people who each received the sum of $15, the county paying out $1,140 during the year. Another such county makes allowances of from $10 to $25 a year to some 140 persons, the total costing from $1,600 to $1,800 per year. A third, which has an almshouse, nevertheless has for many years been granting small yearly sums— from $7.50 to $30 to persons able with this help to get along at home. The number of persons aided and the total amount paid, it is reported, remains nearly constant from year to year; during the year ending May 31, 1928, 140 persons received assistance, at a total cost of $2,265. Another county which has its CHAPTER V .---- STATE PROVISION 77 when they feel like doing so. Sometimes I have the magistrate commit them as vagrants for a short time, but I seldom do this with white people as preservation of self-respect helps many a poor person to start to climb again. (G) For larger communities I consider almshouses necessary. The trend of opinion disclosed in the various pension States is shown below: Colorado.— The Colorado law is very recent, haying been passed only in 1927, and the reports received from counties of that State indicate that only one county has availed itself of the pension law; and that county reports that it does not believe the system to be any improvement on the almshouse system. Thirteen other counties reporting are flatly opposed to the pension system, while five believe the pension to be preferable to the poorhouse. Several replies indi cate that while they have no general criticism to make of the idea of old-age pensions, they can see no advantage in the adoption of the present law. Thus, the report from one county runs as follows: W e can see no advantage in the Colorado old-age pension law" and therefore have never accepted or put it into use. It is more binding than our law governing expenditures for care of paupers and anyone requiring assistance can be taken care of from the poor fund. The old-age pension law limits any person receiving benefits from it to a total maximum income of $1 per day from all sources and requires the making of a separate levy, distribution of another fund from taxes collected, and in all is of no benefit, except that possibly the person receiving it may not feel that he is receiving charity if called an old-age pension rather than poor or pauper support. It comes as a direct county tax if adopted by a county and therefore only adds to the red tape of administration. Four counties have a system of providing outdoor poor relief. Of those who have poor relief, one is aiding 8 aged persons at an average cost of $18.12 each per month, while another is assisting “ a very large number in this way.” One of the poor-relief counties expresses the opinion that “ the pension system is not preferable [to the alms house] unless the State makes some provision for funds. As long as the county must supply the funds, we prefer to handle the cases under the poor fund.” Three counties prefer the almshouse system because, in their opinion, it is cheaper. One of these states: “ Pension system induces people to apply who under the old system would not do so.” Another expresses practically the same idea thus: “ People will apply for a pension, but will avoid going to the county poorhouse as long as possible.” The third reports: “ I think we have gotten along cheaper this way as many would have been helped by a pension [whom] we are not now helping.” Kentucky.— In Kentucky, where only 3 of the 120 counties have adopted the pension system, the county judge (who administers the system) in one prefers the almshouse system but without giving rea sons, one prefers the pension system, and one failed to reply on this point. Of the remaining counties the majority who expressed an opinion were unfavorable to it, quite generally on the ground of expense. One of these states: W e have spent quite a lot of money on our county infirmary and it is costing $20,000 to $25,000 every year to operate the infirmary in addition to the invest ment which we have in the farm. W e have approximately 100 inmates in the home. Others frown upon the pension system because of the inadequacy of the pension to cover the full support of the pensioner who has no 76 CARE OF AGED PERSONS IN UNITED STATES relatives are willing to receive him into their homes or contribute to his support. (2) That pensions are too expensive to be considered by counties which cover poor districts or which are only sparsely settled. (3) That dependent aged people find themselves in a position in which assistance is necessary mainly because of mismanagement in money matters, lack of thrift, etc. (4) That persons apply for pensions who would not apply for relief if this meant being sent to the poorhouse, and the cost to the county is therefore greater under the pension system. It is seen that these objections are based upon purely utilitarian reasons— mainly financial. In only two replies was the matter given consideration from the point of view of the pensioner, i. e., whether considering the self-respect and human feelings of the aged applicant for public assistance, the pension is preferable to the almshouse. As regards the comparative annual per capita cost of pensions and almshouses, the following statement is of interest. It shows the average annual per capita cost of operation of almshouses, as dis closed in a previous study of the Bureau of Labor Statistics,3 and the annual amount of the average old-age pensions now being paid in these States. Alm shouse P ension Colorado_________________________________________ $228. 40 $120. 00 Kentucky________________________________________ 216. 40 240. 00 Maryland________________________________________ 269. 49 __________ Montana_________________________________________ 518. 91 199. 08 865. 10 180. 00 Nevada__________________________________________ Wisconsin________________________________________ 290. 46 230. 40 The above figures show that as regards actual per capita expendi ture for these two purposes, in only one State does the annual pension per person exceed the amount spent per year to maintain a person in the county almshouse. It is true, indeed, as some critics point out, that the present pen sions are inadequate for full support. Of interest in this connection, however, is the report from a county of Maryland— one of the two cases in which the question was considered from a humanitarian standpoint. (A) W e do not have a sufficient number of homeless pensioners to justify maintenance of such an institution. (B) It seldom happens that our applicants for county aid are entirely depend ent. This is evidenced by the fact that most of them receive not more than $60 annually. Some get $30, others $40 and $50. (C) In rural communities there is usually some kind neighbor who is willing to shelter an old or infirm friend with a little help from neighbors and the county. This, I find, applies to negroes as well as the whites. (D ) Occasionally we have a case of an old man or woman without a home. These I have succeeded in placing in almshouses belonging to either Frederick, Baltimore, or Montgomery counties. At this time we have one such patient who is in Montevue Hospital, Frederick. W e pay them $300 a year for his maintenance which includes medical attention and nursing. (E) M y experience has taught me that old folks prefer to spend their final years in familiar surroundings, rather than enter an institution of any kind. (F) In cases of emergency I have used our county jail with very satisfactory results. All of the wives of our jailors have been exceedingly kind. Mrs. C. is always ready to take in an unfortunate on my recommendation and in a short time, with good food and a warm bed, she puts them on their feet. Such cases are not confined to cells, but sleep in the hospital room and go out in the sunshine CHAPTER V .— STATE PROVISION 75 Eighty per cent were unable to work, but 50 pensioners were still able to follow occasional occupations of one sort or another, of whom 20 were in domestic service. About three-eighths were living with relatives, principally children, and 24 per cent owned their own homes which the pension enabled them to keep. There was no other source of income than the pension for 64 per cent; the others had some income but in no case was this sufficient for their support. “ The occupations of the pensioners’ children indicate that they are not any more than making a living for themselves and their family.” Criticisms of Old-Age Pension Systems Now in Force T h e o p p o n e n t s of old-age pension legislation base their objections upon, several grounds. They claim that a noncontributory system, the only kind which has been adopted in this country, decreases self-reliance, discourages thrift and energy, and promotes pauperism by relieving it of some of its more unpleasant features. They object because of the expense, and because pensions may weaken the sense of responsibility for their own aged relatives which decent people should feel. They fear a tendency toward increasing reliance upon Government aid rather than on private resources, and they claim that wherever the system has been tried there has been a disposition to make pensions increasingly large, and the conditions of granting them increasingly easy. The friends of such legislation look with apprehension upon the present situation from entirely different motives. The real purpose of old-age pensions, they say, is to make it possible for those reduced to poverty by age to spend their declining years in self-respecting privacy, free from the anxieties of want and the stigma of pauperism, living independently in their own surroundings instead of being massed together in an institution. The mere substitution of outdoor for indoor relief, although perhaps a step in the right direction, is far from accomplishing this end. At present, they say, the pension is not sufficiently differentiated from poor relief, and the laws are usually administered by the same authorities who have charge of the poor relief. Consequently their tendency is to look upon the pension merely as an extension of the principle of poor relief. Appraisal of Pension System by Counties I n e a c h case in the present stu dy inquiry w as m ade as to the opinion o f the adm inistering officer as to the relative valu e o f the pension system as com pared w ith the alm shouse system (though in m a n y instances the tw o system s are being practiced jo in tly ). The replies indicate that, in general, those counties which have adopted the pension plan like it and feel that it is superior to the almshouse as a means of caring for aged poor. As would be expected, the majority of counties which have not accepted the pension plan cling to the almshouse as preferable. The main objections raised against the county old-age pensions by those who are administering them are: (1) That they are inadequate for full support and are feasible only where the pensioner has some means of his own or where friends or 35777°—29--- 6 CHAPTER V I.— BY LABOR ORGANIZATIONS 93 The last column of the table shows that, although year by year the excess of receipts over expenditures fluctuated considerably, up to 1921 the accumulated surplus rose steadily. The conditions in the industry and throughout the country reduced this accumulated fund considerably in the period 1923 to 1925, but recovery is indicated in the past two years, and the fund would appear now to be on a safe basis, if the estimate of the actuary be accepted, that safety would be assured with the maintenance of a fund of $1,250,000 at a net interest of 3J^ per cent. Basis and Status of Trade-Union Pension Plans M o st of the old-age pension plans of the unions are of the cashdisbursement type; i. e., pensions are paid from whatever funds are at hand. At the same time, study of the proceedings and reports of the unions discloses a quite general desire to insure the accumulation of sufficient funds to place the pension department on a sound financial basis. In a number of cases, actuarial estimates of probable cost were secured and carefully studied before the plan was put into effect. In some cases, however, the union failed to see merit in the actuary’s recommendations and some plans have come to grief or encountered difficulties because of this fact. The pension plan of the bridge and structural-iron workers is stated to be operated on an actuarial reserve basis. In 1922 and again in 1925, the International Typographical Union submitted its pension plan to the examination of actuaries. Both reports declared that unless changes were made in the financial basis of the plan, failure was certain. Notwithstanding the serious condition of the fund at the time of the first report, no action was taken until 1924, when the propor tionate share of the fund in the assessment on earnings was increased. The actuary had recommended that the assessment on earnings be abandoned in favor of a straight per capita tax. The union’s committee on laws, however, was of the opinion that this was not practicable for the organization. “ The present system distributes the burden so that those best able to pay by reason of large earnings pay for the less fortunate.” In 1925 the age limit was raised so as to bring it to 65 by 1930. The commission appointed to study the whole plan, which reported to the 1927 convention, adduced data showing that no hardship would be worked upon the fund by restoring the 60-year age limit, inasmuch as the tendency was to remain in active service as long as possible. The following figures were presented by the commission showing the average age at retirement during the 19 years of operation o f th e f u n d : 1909____________ 1910____________ 1911____________ 1912____________ 1913____________ 1914____________ 1915____________ Age at retire ment 69. 6 66. 4 66. 7 66. 5 65. 8 65. 7 65. 6 Age at retire ment 1916_______________ 65. 1 65. 1 1917______________ 63. 1 1918______________ 64. 9 1919______________ 64. 2 1920______________ 1921______________ 60. 1 1922_______________ 1923_______________ 1924_______________ 1925_______________ 1926_______________ 1927_______________ Age at retire ment 64. 3 64. 3 64. 8 66. 2 66. 9 67. 2 It is seen that although, up to 1925, retirement with pension was permitted at 60 years, in no year did the actual average of those who 94 CARE OF AGED PERSONS IN UNITED STATES retired fall that low, with the single exception of 1921, when it is probable that retirement was due not so much to old age as to the general economic conditions which made it impossible for the older men to obtain work. As the result of the commission’s report the age of eligibility was again reduced to 60 years. During the two years of operation of the railroad trainmen’s pension plan, receipts exceeded expenditures by $97,006 in 1925, and by $151,573 in 1926. The condition of the fund December 31, 1926, as shown by the report of the board of trustees for 1926, was as follows: Balance Jan. 1, 1926___________________________________________________ $233, 518. 52 Cash receipts: Application fees______________________ $4, 201. 00 Assessments__________________________ 190, 859. 15 Interest received_____________________ 12, 101. 68 --------------------- $207, 161. 83 Bond discount realized_________________________________ 312. 85 Accrued interest at Dec. 31, 1926: On bonds_____________________________ $5, 194. 98 On certificates of deposit____________ 212. 50 On bank balances___________________ 443. 62 ---------------------5, 851. 10 ----------------------- 213, 325. 78 446, 844. 30 Cash disbursements: Pensions paid______________________________________ Commissions paid_________________________________ Accrued interest on bonds purchased____________ Expenses of pension department— Salaries__________________________ $7, 470. 46 Printing, stationery, and sup plies___________________________ 1, 308. 60 Postage__________________________ 331. 61 Freight, express, and dray age __ 19. 56 ------------------ -- 31, 080. 00 12, 662. 04 2, 716. 20 9, 130. 23 ---------------------- Balance pension fund, including accrued interest Dec. 31, 1926____ 55, 588. 47 391, 255. 83 Payments to Wife, Widow, or Other Beneficiaries Wije.— The laws of the International Typographical Union pro vide that if a member “ is admitted to an eleemosynary institution, whether publicly or privately maintained, and such member has a wife dependent on him, the secretary-treasurer is authorized to make the pension payable to the wife.” Widow.— The widow of a pensioner of the bricklayers’ union may receive his pension provided she is 60 years of age and has no other means of support. A railroad trainman’s widow is entitled to receive his pension as long as she remains unmarried and keeps his union dues paid. The Brotherhood of Locomotive Firemen and Enginemen and the Brotherhood of Locomotive Engineers both provide pensions for widows of members, through a special department operated inde pendently of the members’ pension department. The Brotherhood of Locomotive Engineers also operates a widows’ and mothers’ pension department. Men who are in good standing and have not reached a specified age (40 for firemen, 50 for engineers) may make CHAPTER V I — B Y LABOR ORGANIZATIONS 95 provision for their widows through the widows’ pension department. The medical examination taken for membership in the men’s pension department suffices also for this. Upon the member’s death the widow of a fireman is entitled to a pension of $35 per month during her life or until she remarries. The engineers provide pensions of $25 and $30 a month until remarriage for widows of engineers who took out membership in the widows7 pension department, and of $30 per month for the mother if covered by the beneficiary certificate. An engineer is permitted to take out two beneficiary certificates, thus doubling the above benefits. Assessments for the widows’ pension offered by the firemen’s organization vary from $1 to $3.50 per month, according to the husband’s age when he entered the scheme. The engineers require monthly dues of $2 for each certificate in the widows’ pension and dues ranging from $2 to $3 per month, according to the husband’s age at entrance, for the “ widows’ and mothers’ pension.” Other beneficiaries.— The bridge and structural-iron workers’ rules governing old-age and disability pensions provide that any pensioner who becomes an inmate of an institution which makes a charge for residence there may direct that his pension be paid to the institution. In such cases the officers of the local union “ must visit such member and see that he is properly cared for.” Discontinued or Rejected Plans T h e Order of Railway Conductors inaugurated a pension plan but later was forced to discontinue it. Membership in the pension department was optional with the members, and it developed that only the older men took advantage of it. The result was that the income of the fund was not sufficient to offset the heavy drain upon the fund due to the retirement of the older members. Perkins and Woll in'their study, “ Trade-union benefits,” state that the Order of Railroad Telegraphers has at different times tried two old-age pension schemes. Following the convention of 1921, a plan based on actuarial experience was submitted to the membership. The acceptance by 1,000 members w^as required before putting the plan into practice. Since the interest among the membership proved insuf ficient to induce 1,000 to join the plan, it was finally abandoned. The brewery workers had adopted the pension idea and were about to put it into force, but the advent of prohibition prevented the con summation of the plan, while the bakery workers also made a start and had accumulated some funds for pension purposes, but the mem bership was unwilling to wait until sufficient money was collected and therefore voted to divert the funds already in hand to the erection of a headquarters building for the union. The flint-glass workers by referendum vote rejected the old-age pension plan submitted to them, and similar action was taken by the barbers in 1926. The Amalgamated Lithographers of America em ployed an actuary to study the feasibility of establishing an old-age pension plan. His calculations showed that such a plan would not be practicable for a union of the size of the lithographers’ organiza tion,5 except at a cost which would be prohibitive, and the idea was therefore abandoned. 5 A b o u t 5,700 m em bers. 96 CARE OF AGED PERSONS IN UNITED STATES Homes for the Aged T HERE are five homes for the aged which are owned and oper ated by labor organizations for the benefit of the membership. One of these— the Home for Aged and Disabled Railroad Employees of America—is owned and operated jointly by three train-service brotherhoods. Two institutions, those of the International Typo graphical Union and the International Printing Pressmen and Assistants’ Union, also have a tuberculosis sanatorium in connection with the home. The question of providing a home for aged and disabled members has frequently been before the conventions of the American Flint Glass Workers’ Union, and the matter was referred by the 1924 meeting to the national officers for further study. They reported to the 1927 convention that, in their opinion, such a step was impracti cable, because of the expense, for a union of the size of the flint-glass workers’ organization.6 The same question has been agitated in the Brotherhood of Main tenance of Way Employees, but no action has been taken. Carpenters’ Home A f t e r much debate, the United Brotherhood of Carpenters and Joiners of America decided to provide a home for its aged and infirm members and their wives. Some years ago the brotherhood acquired a tract of 1,826 acres near Lakeland, Fla., at a cost of $750,000. Of this, 600 acres were in orange, tangerine, and grapefruit groves. It is expected that the income from the fruit will render the home selfsupporting to a great extent. The building, which was opened early in January, 1929, stands on an incline facing the east and overlooking Lake Gibson, and is three stories in height. It cost $875,000 and will accommodate 400 persons. It is built in the form of the letter E, and is 331 feet in length and 227 feet deep. The home is provided with its own laundry, power plant, and water system. The north , wing contains the sleeping rooms. The dining rooms and service kitchens occupy the first floor of the south wing. The main dining room is a cafeteria. The middle arm of the E is the assembly hall. Conditions of admission and residence.— The regulations adopted require that the candidate for admission must be 65 years of age and have had a continuous membership in the union of 30 years. He must also show that he is unable to provide a livelihood for himself. T h e general secretary states th at it will be the practice to adm it not only superannuated m em bers bu t their wives also. Medical care and material and recreational provision.— The insti tution contains an auditorium or assembly hall seating nearly 1,000 persons and equipped with a pipe organ and stage; there are also a library, parlors, and lounging rooms. Recreation is pro vided in the form of lectures, motion pictures, radio, and fishing and boating. 6 6,564 m em bers in 1927, of w h o m 5,264 are a ctu ally e m p lo y e d at the trade. CHAPTER V I.---- BY LABOR ORGANIZATIONS 97 Io is said that “ the original plans call for the erection of a casino, boathouse, and band shell on the lake, game courts, roque, croquet, and bowling green.” A hospital occupies the third floor of the south wing. Maintenance.— The construction of the building was financed by a per capita tax of 10 cents per month upon each of the nearly 400,000 members of the brotherhood. Printing Pressmen's Home T h e International Printing Pressmen and Assistants’ Union of North America has acquired a large tract of land in northeastern Tennessee, where it has established a number of projects, including a home for aged pressmen, a tuberculosis sanatorium, a hotel, a technical trade school, etc. This group of projects forms what is known as Pressmen’s Home. Situated in a valley in the mountains, and covering an area of some 1,800 acres, Pressmen’s Home has become a self-contained community. The union has built at the foot of the mountain a building of 240 rooms, which will be used as a home for “ aged, invalid, or infirm” members. It is a white frame building with broad verandas across the front and sides. From the front of the home the lawn slopes down in broad terraces to the foot of the valley. Conditions of admission and residence.— To become a resident of the home the applicant must have reached the age of 60 years and have been a member in continuous good standing in the union for 20 years. He must also show that he is “ incapacitated for employment under the jurisdiction of the international union.” As already stated, an aged member eligible for the benefit may choose between the old-age pension or residence at the home. Material and recreational provision.— The home contains a large handsomely furnished library and living room extending across the eastern end of the building. A smoking room for the men and a general clubroom for the women are also provided. Both are equip ped with couches, easy chairs, etc., and at one end of the room there is electrical equipment for making coffee, toast, and other dishes. The home building itself contains no specific recreational features. At the foot of the terraces in front of the home is a building containing a swimming pool, dressing rooms, etc. This will be open to the use of the residents at the home, as also will be the gymnasium, billiard room, and motion pictures at the hotel maintained by the union just outside the grounds. Medical care will be given by the physician at the tuberculosis sanatorium nearby, maintained by the union. In case of death, if the body is unclaimed by friends or the local lodge, burial expenses will be borne by the home. Administration.— Home and sanatorium are administered by a board of five members selected by referendum vote of the members of the international union. The sanatorium is under the immediate charge of the resident physician. Funds are secured by a per capita tax of 25 cents per month, levied upon each of the more than 40,000 members of the international union, 98 CARE OF AGED PERSONS IN UNITED STATES Home for Aged and Disabled Railroad Employees T h e Home for Aged and Disabled Railroad Employees of America was established in Chicago in 1891, but was moved to Highland Park in 1903. Up to August 1, 1911, it was supported “ by soliciting subscriptions from all possible sources/’ and was open to members of the four train-service brotherhoods— those of the locomotive engi neers, the firemen and enginemen, the trainmen, and the conductors. The 1909 convention of the trainmen appropriated from the brotherhood funds the sum of $15,000 to be used toward the con struction of a fireproof building. The engineers and firemen each contributed a like amount, and the home was built. In 1924 the building was remodeled, and a wing containing 39 rooms was added, the whole costing some $172,000, the expense again being borne by the same three brotherhoods. The Order of Railroad Conductors ceased to have a voice in the management of the home in 1925. Its retired members, however, continued to reside at the home, but since the union had made no financial contribution to the building of the home the order was, thereafter, charged for its residents one and a half times the per capita cost of maintaining the home. The con ductors, in 1927, completed the construction near Savannah, Ga.,of a home for aged members, and to this its residents at Highland Park were removed early in November of that year. The Brotherhood Home is situated at Highland Park, a suburb to the north of Chicago, and is only four blocks from Lake Michigan. The home building is a three-story brick structure. Each floor has a sun porch 10 feet wide and 50 feet long. The building contains 64 single and 30 double rooms and can accommodate as many as 150 at a pinch, although the normal capacity is 135. At the time of the agent’s visit, in October, 1927, there were 97 in residence; 13 of these, however, were conductors who were shortly to leave for their new home in Georgia. The power plant and laundry are in a separate building. The home is surrounded by lawns comprising altogether some 2J^ acres, and buildings and grounds are valued at nearly $350,000. Conditions of admission and residence.— The object of the home is to provide a refuge for “ worthy, aged, and disabled, helpless and destitute railroad men who are no longer able to provide for them selves.” To gain admission to the institution it is necessary that the applicant be a member in good standing in one of the three brother hoods and that he be eligible for insurance therein. A certificate from a physician showing that he is “ permanently incapacitated for rail road work” must accompany his application. The home does not accept “ insane or dangerous persons, or persons afflicted with any contagious or infectious disease or addicted to the use of liquor/’ nor any person otherwise eligible “ if suffering from a disabling incurable affliction or a progressive disease which is liable to result in death within a reasonably short time after admission to the home, or which requires at time of admission or is liable to require shortly thereafter continuous hospital treatment or other constant medical attention.” The rules of the home require that “ every inmate of this institution shall make himself useful in every way consistent with his physical condition and cheerfully cooperate with the management in the per formance of such duties as may be assigned to him ” ; also that he care for his own room, keeping it “ neat and tidy when his physical CHAPTER V I.— B Y LABOR ORGANIZATIONS 99 condition will permit, attending to it the first thing in the morning after a thorough airing.” In practice, the manager has rather dis couraged the residents from helping around the building. He stated, however, that when a section of the grounds was being beautified and he called for volunteers to give 15 minutes’ time each day to clearing the newly sown grass of weeds, he was surprised at the ready and general response from the men. It is pointed out that a member “ can not come and go at will. He may be furloughed by the management to visit relatives and friends at reasonable times.” In such cases, while the home does not under take to provide transportation, the manager is usually able to secure railroad tickets through the courtesy of the railroads. Material, medical, and recreational benefits provided.— All the neces saries required by the men are provided. When ill they are cared for in the home hospital, which consists of two wards and a diet kitchen. The two wards usually contain eight beds, but on occasion can accommodate 16. In serious cases or for surgical operations the patient is removed to an outside hospital, where he is treated at the expense of the home. A trained nurse is in attendance at the home hospital and a local physician visits the home and gives any necessary treatment. The services of dentist and oculist are also provided by the home as needed. The building is kept in immaculate condition and, in the interests of sanitation, it is the present practice to furnish the new bedrooms with steel furniture. The new wing contains 39 bedrooms, each of which will be a “ memorial” room; i. e., a member of one of the supporting organizations undertakes to furnish the room at a cost of $100, the room being named for the person memorialized and a bronze tablet to that effect being placed on the door of the room. The furniture includes armchair, straight-backed chair, bed, and a dresser one drawer of which pulls out and down to form a desk. An automatic elevator enables those residents who are confined to wheel chairs to move about from floor to floor without help. The meals are prepared under the supervision of the manager’s wife, who acts as matron. Especial care is taken to provide as much variety in the menu as possible. In addition to meals and lodging, each inmate is given clothing, laundry, and barber service; tobacco, stamps, and numerous small comforts are also provided. The home contains, for the recreational use of its inmates, a fine library, smoking rooms, reading rooms, lounging rooms, billiard room, and sun room. The institution has its own motion-picture machine, donated by the ladies’ auxiliary of the locomotive engineers, and pictures are shown in the chapel once a week during the year (except during hot weather). Cards, checkers, and a radio also furnish entertainment. In 1923 the same ladies’ auxiliary presented the home with a seven-passenger automobile, and since that time automobile rides have been a regular recreational feature for the old men at the home. This was an especially welcome addition to the recreational facilities, since there are usually in residence men confined to wheel chairs or on crutches who would otherwise be unable to leave the home grounds. Administration and maintenance.— The home is under the general supervision of a society composed of the chief executive of each of 100 CARE OF AGED PERSONS IN UNITED STATES the three supporting brotherhoods, each of whom appoints two addi tional members of his organization and three members from the ladies’ auxiliary of his order. The society so composed then elects from its number a board of three trustees which oversees the management of the home. The secretary-treasurer of the society is the manager of the home, hiring all employees and paying all bills. The funds are furnished by the three brotherhoods, which con tribute on a pro rata basis according to the number of days’ occu pancy by their members. As already stated, a higher rate has been charged for members of the Order of Railroad Conductors. The table immediately following shows the amount chargeable to each of the organizations in 1926: T able 2 6 .— A M O U N T O F H O M E - M A I N T E N A N C E C O S T C H A R G E A B L E T O E A C H B R O T H E R H O O D , 1926 Average num ber of resident m em bers A m ount B roth erh ood of R ailroad T ra in m e n . _ ______ ______________ _____ __________ _____ B roth erh ood of L o co m o tiv e Engineers __ ______________ _ _ ______ B roth erh ood of L oco m o tiv e F irem en and E n gin em en _________ __ __ O rder of R ailroad C on ductors . . _______________________________ __ _____________ 32 30 7 15 $23,971. 23,416. 5, 639. 16, 754. T o t a l _________________________________ __________ - ____________________________ 84 Organization 10 50 86 21 69, 781. 67 The Brotherhood of Locomotive -Engineers levies upon each of its members an assessment of 25 cents a year for the home, while each member of the ladies’ auxiliary of that organization contributes 5 cents a year. Other sources of income are special contributions from individual members of the brotherhoods, and honorary and associate memberships, which yield a small income. The table below shows the expenditure for each item in 1926: T able 2 7 — O P E R A T IN G EXPENSES OF E x pen di ture Item B u ild in g expenses: M aintenance of b u ild in g ___________ U p k eep of grou n d s. __ _____________ M aintenance of elevator and m a c h in e r y .- ___ ________________ M aintenance of furniture and fix tures . . _____ . . _______________ M aintenance of heating p la n t___ . L ig h t and p o w e r . __ __ H eating plant fuel H eating plant, w a g e s . . . . nti nn l^mlrli'no’Q nlH Xyt5|Jlt5L/lcltlUily UIXLlvllligOf U lLi —--------D epreciation, furniture, fixtures, equipm ent, and m achinery, o ld —. E x p en d i ture T o t a l . __________ _______________ . 25,946. 35 288. 04 90. 43 1, 456. 66 3, 947. 00 2, 416. 30 1, 388.15 H o m e expenses: Care of ro o m s ______________________ S u p p lies____________ _. . 674.15 112.15 817. 47 4, 213.19 1,164. 00 120. 60 146. 80 314. 34 395. 95 937. 78 ________ 7, 292. 66 T a b le expenses: G r o c e r ie s ______________ ___________ M eats W a ter__ __ __ _ ________ Freight and express R ange fu e l. __________ _______________ 13, 548. 98 5, 629. 88 600. 89 214. 95 957.12 Item 1926 262. 55 G eneral expenses: A d m in istra tive Office, salary____________ __ Office supplies Teleph on e and telegrams T ran sp ortation . __ ______ G eneral. _ ________ __ P u blication _______________________ ________ HOM E, $4, 552. 55 441.98 17, 058. 00 _ BROTHERHOOD T a ble expenses— C on tin u ed . K itch en and dining room , w ages. _ R en ew als of wares and lin e n s .. _ _ $6,184. 60 206.80 T o t a l________ ____________ _______ T o t a l. R A IL R O A D T o t a l....... ... ..................................... 786.30 In m ates’ expenses: C lo th in g . _____________________ . . B a rb er______ L a u n d r y ___ . . . . T o b a cco A m u sem en ts_______________________ 1, 658.07 1,079.50 2, 596. 76 602. 28 134. 67 T o t a l_____________________ _______ 6, 071. 28 H ospital expenses: Salaries of nurses A tte n d a n ts’ wages ______ M ed ica l attendance . . D rugs and hospital su p p lies______ A u to m o b ile — M ain ten an ce__________________ D e p re cia tio n ___________ _______ T o t a l____. . . . ______ T o ta l expenses........................ 1,161. 00 2, 001. 00 2,310. 60 906.17 431.07 232. 50 7, 042.34 64,196. 93 101 CHAPTER V I.---- B Y LABOR ORGANIZATIONS The cost of maintaining a superannuated member varies with the number in residence and with the amount of medical and other care necessary. Table 28 shows for the past 13 years the total and average cost of maintenance: T able 2 8 .— T O T A L AND Year 1914_______________ _____ _________ 1915_______________________________ 1916______________________________ 1917______________________________ 1918______________________________ 1919______________________________ 1920______________________________ 1921______________________________ 1922______________________________ 1923______________________________ 1924______________________________ 1925______________________________ 1926______________________________ AVERAGE M A IN T E N A N C E E X P E N S E S B R O T H E R H O O D H O M E , 1914 T O 1926 Average num ber of in mates T o ta l m ain tenance expense 56 55 55 53 52 46 48 59 65 64 74 76 76 $28, 381.19 33,690. 85 34, 455. 93 35, 917. 00 33,914. 81 33, 734.16 44, 371. 91 45, 349. 35 44, 822. 94 50, 217. 01 51,380.48 65,919. 94 64,196. 93 OF R A IL R O A D Average cost per inm ate Per d a y Per w eek $1. 39 1.67 1.70 1. 87 1. 81 2. 01 2.54 2.12 1.89 2.15 1.90 2. 38 2. 31 $9. 74 11. 67 11. 91 13.10 12. 72 14.16 17. 82 i 14. 82 13.26 15.09 13. 30 16.68 16. 24 Per m on th $42.31 50. 73 51. 64 56. 89 55.13 61.38 76. 35 i 63. 53 57.46 65. 39 57. 86 72.28 70.39 Per year $507. 72 608. 82 619. 66 682. 68 661. 63 765. 57 916. 20 i 772.89 689. 58 784. 64 694. 33 867. 37 844. 70 1 A s show n in the report. Based on n um ber of inm ates and total expense as given, the average cost should be $768.63 per year, $64.05 per m on th , and $14.78 per w eek. Railway Conductors’ Home T h e Order of Railway Conductors until November, 1927, main tained its superannuated and disabled members at the Brotherhood Home owned by the other three train-service brotherhoods— those of the engineers, firemen and enginemen, and trainmen. The question of the provision of a home owned by the order itself arose some time ago, and when it became known that various localities were being considered for the site of the home, citizens of Savannah, Ga., donated to the order 100 acres of land on Oatland Island, near Savannah, and pledged $20,000 toward the construction of the building. The 1925 conductors’ convention authorized the erection of a building to house not only the superannuated members, but also their wives and the widows of members. The contract of construction was let early in 1927, and the building was formally opened November 10, 1927. Its erection cost $366,684. The home is a 2 -story building of reinforced concrete and brick. It is built in the form of an H , with a frontage of 250 feet; wings on each end run back 108 feet. The floors are connected by automatic elevators. A glass-inclosed porch runs along the entire length of one wing. There are 75 bedrooms, 21 of which are on the first floor. The living room is stated to be a large, attractive room, with paneled walls and a large fireplace. The kitchen is completely equipped with electric appliances. The second floor contains bedrooms, linen rooms, and sewing rooms. One wing on this floor is given over to the medical department. Since the opening of the home 37 aged persons have been admitted. The average number in residence is 30. The building is steam heated and has its own water system sup plied from a pneumatic pump on the grounds. Accommodations for 102 CARE OF AGED PERSONS IN UNITED STATES 30 servants are provided at the rear of the building, and a garage housing five cars has also been constructed. It is planned to erect individual cottages, each with its own garden and orchard, for the use of family groups in residence at the home. Conditions of admission.— To be eligible for residence at the home applicants must have been members of the order for 10 years or more, be “ physically and financially unable to provide for them selves/’ of good moral character, and free from contagious or infec tious diseases. Wives are also admitted. Medical care and recreational provision.— Ordinary medical care is given at the home. Guests requiring hospital attention are sent to a near-by hospital. The home contains a card room, billiard room, and a game room, all situated in the right wing of the building, and recreational activi ties will be centered there. Other recreations include hunting, fish ing, and boating. Administration and maintenance.— As already noted, 100 acres of land and $20,000 were donated by citizens of Savannah. Additional funds were raised by special assessments levied upon the 60,000 mem bers of the Order of Railway Conductors, and individual contribu tions were also received. Some of the members have pledged them selves to pay $1 a week to the home. A number of the rooms have been furnished by local divisions or by the ladies’ auxiliary units. No data are available as to what the source of funds for the cur rent expenses of operation will be. It was stated at the headquarters of the order, however, that the organization owns some 3,500 acres of land on which pecan trees have been set out. It is expected that the income from the pecan groves will eventually Gover the operat ing expense of the home. Potatoes and cotton are being raised pend ing the attainment of bearing age by the pecan groves. The home is managed by one of the deputy presidents of the order and his wife. Union Printers’ Home T h e Epochal History of the International Typographical Union, issued by the union, states that even in the earliest conventions of that body the matter of the establishment of a home for aged and infirm members was brought up. Even though discouraged by com mittees time and again, the proposal kept recurring. Finally, in 1886, two wealthy men of Philadelphia made the union an unconditional gift of $ 10,000. Several offers of land for a site were received, but that of the city of Colorado Springs, Colo., was finally accepted. The site included 80 acres of land on a hill situated about a mile east of the city. Private subscription had increased the original $ 10,000 to more than $20 ,000. Additional contributions were secured from the mem bers, and union printers throughout the country donated an hour’s pay, or the price of 1,000 ems of type composition. Later a per capita tax was levied to increase the funds. The home was formally dedicated May 12, 1892. This first build ing cost approximately $60,000. Successive additions have been built, and the present edifice has a frontage of some 300 feet. Build ing and grounds are now valued at approximately $3,000,000. CHAPTER V I.— BY LABOR ORGANIZATIONS F ig u r e 1 3 - P a n o r a m ic V ie w of U n io n P r i n t e r s ’ H o m e at C o l o r a d o S p r in g s , C o l o . 104 CARE OF AGED PERSONS IN UNITED STATES The grounds of the home now cover some 300 acres situated on an eminence overlooking the city of Colorado Springs. From the front of the home can be obtained a panoramic view of the Rocky Moun tains for about 120 miles, with Pike’s Peak straight ahead. The land slopes down to the city on the west and to Prospect Lake on the southwest. On each side of the driveway, extending from the front gate to the main building— a distance of 650 feet— there is a broad cement walk; bordering it and surrounding the home are lawns comprising an area of 12 acres. These lawns abound in flowers, shrubs, and trees, maples and elms alternating in front and along the driveway. The main building is of white lava stone, with red sandstone trim mings. The main edifice is about 300 feet long by 50 feet wide, with a wing extending to the rear from each end. The south wing is used exclusively for hospital purposes. Across the east (rear) side of the building are screened sun porches, those at the south end being devoted to the use of the tuberculosis patients for sleeping purposes. Each story of the building contains a main hallway, extending the entire length of the building, into which all the rooms open. An automatic electric elevator has been installed for the convenience of the residents. The most elderly residents, how ever, are given rooms on the first floor. There are three dining rooms, all located on the ground floor. In the main dining room are served the meals of the able-bodied resi dents, the nurses, and the office force; in an adjoining room those sanatorium patients who are able to dress and come to the table, wiiile in still another are served those wiio, while able to be out of bed, are yet too weak to bear the exertion of dressing for meals. To this room they may come in their bath robes and slippers. The kitchens are equipped with the most modern appliances. The meals of the sanatorium patients are prepared under the super vision of an expert dietitian in a special kitchen equipped for this purpose. In addition, there are diet kitchens located in convenient places on the upper floors where special nourishment is prepared for bed patients. An automatic dumb-waiter is also provided for carrying trays from the ground-floor kitchen to the upper floors, to those patients wiio are confined to their beds. In August, 1927, there were 140 aged members in residence in the home, of whom 6 were women. A dormer wing on the third floor has been set aside for the use of these women. As already indicated, the hospital occupies the south wing of the main building; it provides accommodations for 54 patients. The tower room on each floor (except that on which the offices of the medical department are located) is used as a recreation and lounging room for the patients. In addition, there are 20 octagonal tents grouped at the south end of the main building. These tents are mounted on cement bases and are securely anchored to withstand the most severe winds. The walls are of the best Army canvas, impervious to snow or rain. A system of ventilators is provided in the floor on four sides of the tent, as well as in the peak of the roof; these can be opened or closed at will. Each tent is electric lighted and steam heated and is provided with an electric call bell. If a patient needs attention he presses the bell, which rings in the nurses’ room in the hospital and at the CHAPTER V I — B Y LABOR ORGANIZATIONS 105 same time causes a light over the tent door to glow. This remains lighted until his call is answered. To supply a central place for the use of the tuberculosis patients a solarium was built in 1907. Still more space was found necessary, and an open-air pavilion was then constructed, supplying accom modations for 30 additional patients. In August, 1927, there were 140 patients in the hospital and sanatorium. A separate building houses the laundry, carpenter shop, and power plant; and the second floor contains sleeping rooms for the male employees of the institution. A 3-story building, formerly part of the main building, was moved, when the hospital wing was built, to a space just back of the main building. It contains a laboratory, sewing room, 39 bedrooms, and a barber shop where two union barbers are constantly employed. The plants and shrubs used in beautifying the grounds and the flowers for use in the building are grown in a separate greenhouse built in 1922, which has two wings 68 by 20 feet each. Adjoining the greenhouse is a potting shed. The whole is heated by a hotwater system in connection with a smokeless furnace. In 1921 a fruit and vegetable cellar was constructed, 40 by 24 feet, with concrete walls 16 inches thick and 9 feet high. Adjoining this cellar is a record vault 10 by 12 feet, with double walls and air cham ber, fitted with steel doors. Access to the cellar and vault is had through a tunnel, 72 feet long and 6 feet wide, leading from the main building. Some distance to the east of the home is a dairy building, 100 by 300 feet. There are also large barns about a quarter of a mile to the east of the main building for the horses and for the large herd of Holstein cattle from which are obtained the milk and cream so neces sary to the treatment of tuberculosis. The milking is done by electric machinery. There is also a garage building for the cars belonging to the institution. The superintendent of the home occupies a 6-room, modern, white lava-stone cottage, located just north of the main building. It has telephone connection with every department of the institution. The medical director occupies a cottage just outside the main grounds of the institution but on land belonging to it. The other two resident physicians have quarters in the main building. Conditions of admission and residence.— Applicants for admission to the home must have been members of the International Typographical Union for not less than 10 years, at least 3 of which must immediately antedate the date of application for admission. Persons suffering from tuberculosis, however, may be admitted after 18 months’ con tinuous membership except in cases where it appears that the appli cant joined the union for the sole purpose of securing admission to the sanatorium. No persons afflicted with any mental disease are admitted In case of there being more applications for admission than there are vacancies the rules provide that preference shall be given “ ( 1) to the afflicted as against the infirm; (2) to those of the afflicted to whom the greatest probable good can be done by admission as against those to whom a less degree of good is probable; and (3) to those of the infirm whose infirmity is greatest.” If the prospective resident is 106 CARE OF AGED PERSONS IN UNITED STATES unable to defray his traveling expenses to the home, these are borne by his local union. When he is discharged, an amount equal to that expended in his transportation to the home is appropriated by the home to buy him a railroad ticket in whatever direction he may select. Residents who are able to do so are expected to care for their own rooms, and may also be asked to perform light tasks relative to the upkeep of grounds or buildings, subject to the judgment of the medical director. “ It is recommended without being made a duty * * * that landscape gardening, or some similar vocation, be undertaken on said grounds as a source of exercise and recreation to the persons domiciled at said home. But no task or duty shall ever be imposed under the guise of exercise or recreation on any inmate of said home.” Medical care.— Within 48 hours after admission to the home or sanatorium the resident is given a thorough physical examination, and during his period of residence he receives all possible medical care, including operations. In case of death, the home bears the burial expenses if the body is unclaimed by friends or the local union. The institution’s medical staff consists of a medical director, two resident physicians, a consulting neurologist, a consulting ear, nose, and throat specialist, a consulting eye specialist, a consulting surgeon, and a dentist. In addition, when occasion demands, a specialist in genito-urinary diseases is also called in. Major operations are provided for by arrangement with a local hospital. The medical director is of the opinion that some system should also be worked out by which discharged patients could be kept under medical observation “ for a long period after leaving.” The equipment of the medical department cost more than $ 10,000 and includes an up-to-date X-ray machine, ultra-violet lamp, dental outfit, etc. The home has an arrangement with a local laboratory clinical company whereby laboratory-test work is done by the company, which also has supervision of the X-ray department of the home. The home employs a technician, who is also a nurse, to do the X-ray work. In order that the medical department may be in touch with the latest development in the medical field, the trustees have inaugurated the practice of sending the medical director or one of the resident physicians to attend two medical meetings each year, all expenses in connection therewith being met by the home. Material and recreational provision.— The rules governing the home are very restrained in their promises of care for the residents, provid ing merely that “ persons admitted into this home shall be fed with plain but wholesome food, clothed with plain but decent apparel (no distinctive dress ever to be worn), and lodged in a plain but safe manner; due regard shall be paid to their health, comfort, and happi ness, and to this end their persons, clothes, and apartments shall be kept clean.” 7 The actual spirit prevailing in the treatment of these aged and tubercular printers in residence at the home, however, is much better expressed in another article of the same document which declares 7 T h e rules o f the printing pressm en’s u nion also contain this identical provision, presu m ably adop ted from the printers’ regulat.ons. CHAPTER V I.— B Y LABOR ORGANIZATIONS 107 that “ its bounty shall be unpurchasable; its charity shall be given without price.” Each resident receives not only food, lodging, clothing, and laundry, but also 50 cents a week. This sum is granted to those whose local unions are unable to make any allowance to their members who are at the home; if the local union supplies pocket money, the home does not. As the funds of the home warrant, the amount will be increased to $1 a week. Additional payment is made to those residents who perform tasks on the grounds or in the buildings. A room in the main building is equipped with tables for cards, chess, or checkers for the use of the residents. From this room, an arched doorway leads into a library which contains between nine and ten thousand volumes. More than 100 newspapers are received, as well as magazines and several religious publications. A number of the magazines are donated by the publishers, and the home subscribes for two copies of each of the other leading monthlies. The archway between card room and library is so arranged that it can be converted into a stage. Here motion pictures are shown once a week from October 1 to April 1 each year. A 6-piece orchestra furnishes the music accompanying the pictures. On this stage the local lodge of Elks gives a performance of its minstrel show every winter, and various other entertainments are given. The library will seat 300 persons. A billiard room with two tables furnishes recreation for those who care for this type of alnusement, while piano and victrola provide for those musically inclined. Usually several dances are given during the winter, those on St. Valentine’s Day and St. Patrick’s Day being costume affairs. As the inmates consist only of elderly or sick people, outside amusements are few. There are, however, two croquet grounds which seem to be well patronized. Tournaments are held and prizes are given to the most successful players. During the year ending May 31, 1927, $1,792 was expended to provide amusement of various sorts for the residents. Administration and maintenance.— The institution is managed by a superintendent acting under the direction of a board of seven trustees, one of whom resides in Colorado Springs. The superintendent’s wife acts as matron. The physicians are appointed by the board of trustees, but all other employees are hired by the superintendent. The institution is supported entirely by the membership of the International Typographical Union .8 Each union printer pays to the international union, as dues, 65 cents a month plus 1 per cent of his earnings. Of this amount 40 cents goes to the home fund .9 As would be expected, the cost of maintenance of this extensive institution is heavy, amounting to $348,955 during the year ending M ay 31, 1927. During that year the number of persons in residence averaged 263. The cost of maintenance per member was therefore $1,326.83 for the year, or $110.57 per month. Excluding such items as permanent improvements to the building, insurance, care of ceme tery, upkeep of grounds, etc., the average cost per resident was $69.79 per month. s Since the original gift of land and m on ey, in divid u al donations have am ou n ted to o n ly $9,898. 9 A t the tim e the hom e was started each m em ber paid 5 cents per m o n th tow a rd the su pport 9f the h om e. T h is am ount was subsequ ently increased to 10 cents, in 1908 to 15 cents, in 1915 to 20 cents, in 1920 to 30 cents, and in 1925 to 40 cents. 35777°—29--- 8 108 CARE OF AGED PERSONS IN UNITED STATES The table below shows the expenditure for each item: T able 2 9 .— C O ST OF O P E R A T IO N Item A d m in istra tive expenses: Clerical w ork ________ _____ ________ E m p loy ees’ salaries_________________ Trustees’ m eeting s_________________ M edica l care, drugs, etc.: D e n t is t .. __________________________ D ru gs _____ _________________ _____ Special s e r v i c e . _____________ Spectacles and repairs._ _______. . . G roceries and m e a ts .. ___________ . S un dry supplies___ . . . __________ _ . _____________ . C lo th in g .. . . . . . . _ F u rn iture and fixtures________________ . Funeral and burial, etc., expenses: F or deceased residents_____________ Care of cem etery p lo ts . __ _______ A m u sem en ts. ______________________ A u to m o b ile . __________ . . . _______ . . . Book s, stationery, and office s u p p lie s ... Street-car tick e ts . _ _______ ___________ T ran sp ortation of residents_____________ OF U N IO N P R IN T E R S ’ H O M E , Y E A R M A Y 31, 1927 E x pen di ture $1, 300.00 79, 754. 26 5,199. 46 3,044. 25 7,965. 68 4, 611. 30 583. 95 81, 580. 68 3, 790. 09 15, 308. 63 25, 614. 92 758. 23 305. 00 1, 791. 91 3, 997. 55 1,949. 66 213.00 5, 726.09 ENDED E x pen di ture Item Expense of farm ________________________ Freight and express H a y and grain___ H eat and lig h t_ W ater___________ _____________ _. L a u n d r y .. ________________ Taxes and insurance T elephon e and telegraph. __ B uildings: General repairs _ Perm anent im p rov em en ts Expense of trip to m edical m eetin g___ Legal services__ __ _ L i b r a r y __________ ______________ M iscellaneous p rin tin g__________ _ R esidents’ allow ances_____________ P ostage. _ ______________________ __ M iscellaneous___________________ _____ T o t a l................... ............. ............. .. $5,005.23 568. 72 10,841.70 16,148. 88 2, 204. 20 2,683. 62 5, 733. 97 492.08 12, 773. 43 38, 636.40 285.49 50. 00 167.02 372.07 6, 898. 65 220. 80 2,377. 67 348, 954. 59 The statement below shows how the cost of maintenance of each resident per month has varied from 3 ' to year since the establishment of the home: Cost per m on th per resi dent July M ay July July July July July July July June June June June June June June June June 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1892, 1893, 1894, 1895, 1896, 1897, 1898, 1899, 1900, 1901, 1902, 1903, 1904, 1905, 1906, 1907, 1908, 1909, to M ay 1, 1893_. $43. 43 42. 38 to July 1, 1894.. to July 1, 1895_. 29. 82 26. 43 to July 1, 1 8 9 6 .. 22. 71 to July 1, 1897_. 21. 66 to July 1, 18 98 _. 21. 42 to July 1, 18 99 _. 23. 37 to July 1, 19 00 _. 29. 08 to June 1, 1901__ 30. 07 to June 1, 1902_. to June 1, 1903_. 29. 56 27. 51 to June 1, 1904_. to June 1, 1905.. 26. 20 25. 60 to June 1, 1906_. 26. 81 to June 1, 1907_. 26. 07 to June 1, 1908_. to June 1, 1909_. 27. 06 30. 66 to June 1, 1910_. Cost per m o n th per resi dent June June June June June June June June June June June June June June June June June 1., 1, 1 1 1., 1., 1., 1 1., 1 1, 1, 1 1, 1, 1, 1, 1910, 1911, 1912, 1913, 1914, 1915, 1916, 1917, 1918, 1919, 1920, 1921, 1922, 1923, 1924, 1925, 1926, to to to to to to to to to to to to to to to to to June June June June June June June June June June June June June June June June June 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 9 1 1 - $30. 81 1912__ 31. 96 1913__ 31. 49 1914__ 28. 72 1915__ 26. 66 1916__ 28. 35 1917__ 32. 63 1918__ 35. 60 1919__ 35. 78 1920__ 55. 42 1921__ 62. 74 1922__ 63. 52 1923__ 66. 82 1924__ 68. 85 1925__ 68. 76 1926__ 67. 01 1927__ 69. 79 The cost of maintaining a sanatorium or hospital resident is greater than in the case of the home resident, since the major part of the salaries of physicians and nurses, as well as of cost of drugs, is included in the former charge. Last year these costs were $80.80 per month for the sanatorium patients and $58.77 for the home residents. Although only the best foodstuffs are used at the home, the cost of these is lessened by the fact that some of the supplies are furnished from the farm and gardens of the home. Thus in 1927 the total value of products from the farm, garden, cattle, and poultry was $17,456.64. The cattle produced 48,961 gallons of milk, valued at $14,070.70, while the flock of 1,600 chickens furnished products CHAPTER V I.---- BY LABOR ORGANIZATIONS 109 valued at $2,186.52. Forage crops are also raised for the cattle, although in 1926 these crops were a failure due to the exceptionally hot and dry season. The 1927 expenditure was made unusually high because of the construction of the new wing to the main building and other improve ments. The expenditure for permanent plant, made since the inauguration of the home in 1892, is shown in the table below: Building and furnishing main building______________________________ $70, 114. 44 22, 082. 54 Building and furnishing hospital annex_____________________________ Building and furnishing superintendent’s cottage and addition thereto______________________________________________________________ 3, 824. 57 Building laundry, machinery for same, etc_________________________ 12, 241. 55 Heating plant addition_______________________________________________ 14, 376. 87 Library, building addition to and furnishing_______________________ 42, 297. 79 Main building, addition No. 1 ________________'______________________ 14, 023. 15 Main building, addition No. 2 _______________________________________ 35, 414. 86 Main building, addition No. 3 _______________________________________ 157, 803. 09 Open-air pavilion_____________________________________________________ 9, 902. 80 Additional real estate________________________________________________ 8, 000. 00 Maintenance, salaries, repairs, improvements, etc., from opening of home to M ay 31, 1927_________________________________________ 3, 693, 578. 84 Total___________________________________________________________ 4, 083, 660. 50 Conclusion.— The Epochal History of the International Typo graphical Union points out that of the benefits derived from the home not the least has been “ the tightening of bonds of sympathy within the fraternity and the growth .of pride” in the international union. The value of the institution has been recognized by the Women’s International Auxiliary to the International Typographical Union, which has had the matter of the establishment of a similar home under consideration for several years. At the 1927 convention of the auxiliary, by unanimous vote, it was decided to erect a home for auxil iary members who have become aged or incapacitated, the building also to be situated at Colorado Springs. Local unions are making contributions and every union printer is asked to make a voluntary contribution of $1 toward the project. Chapter VII.—Care of the Aged by Religious Organi zations Church Pension and Relief Plans for Ministers I NQUIRY was made of 31 national churches as to whether or not provision is made by them either for aged ministers or for aged members of the church. Replies were received from 26. Of these, 16 reported having a pension or relief plan for aged ministers, and data were secured concerning 11 of these. The 11 organizations from which data were obtained were the Seventh-Day Adventists; Northern Baptists; Congregationalists; Methodists, North and South; Moravian Church (Northern Province); Presbyterians, N orth 1 and South ; 2 Episcopalians; Reformed Church of the United States; and the Unitarians. Three other organizations (the United Brethren, the Anglican Universal, and Universalist Churches) have adopted pension schemes, but these are not yet in operation. The Reorgan ized Church of Jesus Christ of Latter Day Saints has no regular pen sion system, but continues the salary of its ministers as long as they live. The Northern Baptists, Congregationalists, Northern Presbyterians, Reformed Church, and Unitarians have both a retirement fund and a system of relief for cases of special need. The system in the Roman Catholic churches is different from that of the Protestant churches. The church has no general retirement system; the care of the aged priest is left to the particular diocese in which he has served. In case of absolute incapacity he is cared for in one of the Catholic hospitals or he may receive an allowance from the general diocesan funds. In general, the aged priests continue in service until death, being usually assigned to light duties in the parish or to an easy position (such as chaplain) in one of the church institu tions. In about two-thirds of the dioceses from which the bureau received data there is a “ clergy relief fund,” to which the priests belong and from which retirement or disability allowances are paid. These funds may be supported entirely by the priests, jointly by the parishes of the diocese and the priests, or entirely by the dioceses. The basis upon which pensions of the Protestant churches are granted varies. In those cases in wrhich the system is contributory, the annuitant receives his allowance as a matter of right, and in at least one case (Congregationalists) retirement is not required, the annuity beginning on reaching a specified age. Where the allow ance is paid for entirely by the church or where the whole system is one of “ relief,” the need and means of the applicant are more likely to be taken into consideration. Thus, the Adventists, the Southern Presbyterians, and the Reformed Church (relief plan) take into con sideration the need of the pensioner and whether or not he has private means. The Adventists, however, state that the pension is not to 1 P resbyterian C h urch in the U n ited States o f A m erica. 2 Presbyterian C h u rch in the U n ited States. 110 CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS 111 be regarded as charity, but as a just reward for service. The Mora vian Church states that need is not a prerequisite for the receipt of the pension, and the Unitarian Church that the pensions “ are not a charity; those qualified receive them as a right.” Age and service requirements.— Sixty-five years is the most usual age set for the retirement of ministers, the Baptists, Congregationalists, Presbyterians, and Unitarians having this provision. The age of retirement is set by the Episcopalians at 68 and by the Reformed Church at 70. Service requirements vary rather widely. For ordinary retirement the Moravian Church requires 10 years’ service, the annuity increasing in amount with additional years of service and the maximum being reached after 30 years’ employment. The Unitarians set the years of service at 20 ; and the Northern Baptists, the Congregationalists, and the Northern Presbyterians require that the clergymen shall have been in the employ of the church for 35 years (though in the latter case retirement at a proportionally reduced rate may be allowed for fewer years of service). For permanent total disablement while in the service of the church, the Congregationalists and Northern Presbyterians allow retirement at any time, and the Reformed Church after five years’ service, the allowance in all three cases being proportioned upon the number of years of active service at the time of disablement. If, however, the disablement proves to be only temporary, the minister may resume his membership in the pension fund. The Seventh-Day Adventists allow retirement for disability after 10 years’ service. Amount of age annuity or pension.— The sustentation allowances of the Adventist Church vary with the marital status of the pensioner and his state of health, a greater amount being granted where con tinuous medical treatment is necessary. The allowances vary from $10 per week for single persons not requiring medical treatment to $17.50 for man and wife, one of whom is undergoing constant treat ment. These are maximum rates and may be decreased if the bene ficiary has means of his own. The Northern Baptists set the annuity at one-half the average salary during the years of membership. In the “ expanded” retirement plan of the Congregational Church it is calculated that the pension for a man retiring at 65 after 35 years’ service will be equal to half his average salary for the 35 years. Under the system now in force in the Methodist Episcopal Church (North), the rate of pension varies from conference to conference but may not fall below 1 per cent of the average remuneration for every year of “ effective” service. The Northern Presbyterian Church fixes the annuity at 1 / x i per cent of the salary for each year of service, using $ 1,200 as a minimum annual salary. The annuity may not fall below $600 per year nor exceed $2,000 per year, after 35 years of service. Under the plan of the Episcopal Church the annuity is fixed at \x / i per cent of the average salary for each year for which contribu tions have been paid, subject to a minimum of $600 and a maximum of 50 per cent of the average income. The maximum pension in the Reformed Church is $500 per year; in the Unitarian Church it is $700 per year, receivable at 65 after 20 years7 service. 112 CARE OF AGED PERSONS IN UNITED STATES Amount oj disability 'pension.— Under the retirement plan of the Congregational Church a disabled minister receives as annuity the amount purchasable by the accumulations to his credit in the fund at the time of disablement. The Northern Presbyterians and the Episcopalians allow 40 per cent of the average annual salary for the previous five years, but the allowance may not be less than $600 nor more than $2,000 per year. The Reformed Church allows $100 a year if the minister becomes disabled after five years’ service, increas ing this amount $10 for every additional year of service. Provision for widows and children.— The amount in the fund to the credit of a deceased minister of the Congregational Church is used to pay an annuity to his widow, or if there is no widow, to the minor children or other dependents. Widows of Moravian ministers (Northern Province) receive up to $430 per year, and those of Northern Presbyterian and Episcopalian ministers one-half the service pension, subject in the latter case to a minimum of $300 per year. In the Adventist and Presbyterian Churches a widow’s pension ceases upon remarriage. The Moravian and Presbyterian Churches of the north pay to children of deceased ministers $100 per year, and the Episcopal Church from $100 to $300 per year, according to the age of the child. The plans of the Presbyterian (North) and Episcopal Churches provide that the sum of the grants to widow and minor children may not exceed the amount of the father’s service pension. In the Reformed Church a widow receives from the sustentation fund three-fifths of the amount to which her husband would have been entitled, and this goes to the minor children in case of her death. The Adventist, Methodist (North and South), and Unitarian Churches also make some provision for widows or children or both, but the reports do not state upon what basis this is done. Since the priests of the Roman Catholic Church are celebate, the problem of the care of the family does not arise there. The table following shows the experience of the churches under the various plans. As is seen, the relief plans are uniformly noncontrib utory, while the pension plans for which this point is known are about evenly divided between contributory and noncontributory. The contributory plans are generally on an actuarial basis. Two of the churches having noncontributory pension plans are now consider ing the adoption of actuarial contributory plans. Although the system in the Roman Catholic Church is different from, that of the Protestant churches, it is included for the sake of completeness. As the table shows, the various religious denominations are spend ing several millions of dollars every year for the care of their aged ministers. Of those which do this through the medium of a pension or retirement system, the most liberal in its allowances is the Protes tant Episcopal Church, while of those which make “ relief ” allowances, the Southern Presbyterian Church is the most liberal. For those denominations which reported both number of beneficiaries and amounts disbursed in benefits the average pension allowance is $373 and the average relief allowance is $225. 113 CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS T able 3 0 .— P E N S IO N S A N D A L L O W A N C E S P A ID TO M IN IS T E R S R E L IG IO U S D E N O M IN A T IO N S Year estab lished R eligious denom ination A d v en tist, S ev en th -D a y : Susten tation . __ 1911 B a ptist (N o r th ): P en sion _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j 1913 R elief_______________ ___________________ j 1913 Congregational: I P en sion.............................................................s 1914 R elief___ ______ ________________________ Latter D a y Saints: P en sio n _______________ M eth od ist (N o r th ): Pensions, regular service........................... Pensions, su p p ly service............. ............. R elief___________________________________ M eth od ist, South: P en sion _________ ______ M ora v ia n (N orth ern P r o v in c e ): Pen sion.. P resbyterian (N o r th ): P en sion .................. ............. ........... ............... R elief___________________________________ P resbyterian (S ou th ): R e lie f........ ................. Protestant E p iscopal: R etirin g fu n d __________ _____ __________ Pen sion fu n d ______________ ________ ____ R eform ed: P e n s io n ....................................... ................... R e lie f___________________________________ R om a n C a th olic: R elief___________________ U nitarian: P en sions....................................... .. T ota l: Pen sion s. R elief____ 1 Inclu des children. 2 N o data. 3 Inclu des 3 orphans. * Age; original plan. 6 Age; expan ded plan. 6 C on tin u ed salary. (2) (2) Y e s .. Y es_. No___ 1840 (2) 2, 268 N o ... (2) N o ... N o ____ N o ___ 74,946 326,963 3 129, Y e s .._ 1,044 45 300, 6 29, 7 8, 530 i 3,069, 10, 2,573 49 1867 (2) Y es__. N o ___ N o ___ 1400 l 2,050 1 472 1 176, (2) l 188, 1874 1917 Y e s ... N o ___ l 297 l 1, 503 1 29, I 678, 1917 1753 No__. 14 74 287 62 1 3, i 54, II 90, 43, 1927 (9) 1907 (2) (2) (9) N o__. (2) 14,806 6,195 Average allow ance for age, per year 1 $470,689 1 $3,953,992 171, 857, 23, 1734 S P E C IF IE D A m o u n ts paid S y s te m N um ber co n in receipt tribu W h ole o f benefit L ast fiscal tory period o f year operation 120 (2) (2) (2) OF 5, 594,862 1,132,187 (2) (2) 144 4 487 541 i 385,900 287 (2) (2) !, 251,000 (2) 554 88 (2) (2) 1 176,000 428 570 1440 (2) ., 988,925 (2) 199 736 :, 749, 764 12, 598 3 359,856 (2) (2) 47, 529,254 2,348,781 1 267 ii 827 700 12 373 225 12 7 Inclu des 917 orphans. 8 Since June 11, 1920; earlier records n ot available. 9 Varies from diocese to diocese. i° 40 dioceses. 11 11 dioceses. 12 C o m p u te d on basis o f those reporting b o th beneficiaries and benefits. Seventh-Day Adventists T h e g e n e r a l conference of Seventh-Day Adventists established a “ sustentation” fund January 13, 1911. Those eligible to the allowances include “ all laborers under the direction of conferences and mission fields, including colporteurs, nurses, and church school-teachers, who have devoted their lives to continuous service in the work,” and employees in the church insti tutions. Sustentation allowances may also be paid to workers of the above classes who become permanently disabled after having been employed for at least 10 years. Persons entering the employ of the church after reaching their fortieth year of age are not eligible to benefit until they have served 15 years. Widows and orphans of deceased workers are also eligible to allowances from the fund. Only members of the immediate family and children under 16 are “ ordi narily” considered as dependents. The sustentation cases are reviewed annually to determine “ whether support should be continued and whether the rate paid in each case is proper in view of all the circumstances and conditions of the beneficiary.” In the case of widows and single women the benefits cease upon their marriage. 114 CARE OF AGED PERSONS IN UNITED STATES Cases of temporary sickness or disability are not eligible to benefits from the sustentation fund. The local conferences and church in stitutions provide care in such cases for a period of six months. After the expiration of that period application may be made to the sustenta tion fund. Rates of allowance.— The maximum allowances payable from the sustentation fund are as follows: 1. To man and wife one of whom is sick and undergoing medical treatment, $17.50 per week. 2 . To man and wife not undergoing treatment, $14.50 per week. 3 . To single persons undergoing treatment, $12 per week. 4 . To single persons not undergoing treatment, $10 per week. The above are maximum rates which are correspondingly reduced in cases where the beneficiary has private means. The average amount of pension per week paid in 1927 amounted to $11.06. Payments are made direct to the beneficiary by the central committee every four weeks. Administration.— The fund is administered by a central sustentation committee at the denominational headquarters in Washington, D. C. Application is made to the local or State conference which passes upon the merits of the case. If its decision is favorable to the applicant, the case is referred to the central committee. Source of funds.— The funds consist of a certain proportion of the tithes paid into the local and union conference treasuries. Union and local conferences pay into the fund 7 per cent of the tithe; pub lishing houses and sanitariums 3 per cent of the tithe, and tract societies 1 per cent on their net sales. The pension plan is a contributory one in the sense that a part of each church member’s tithe goes to the fund. Also beneficiaries of the fund must continue the payment of their tithes. Emphasis is placed upon the fact that “ in no case is the person re ceiving such allowance a subject of charity, but that this arrangement has been made for the definite purpose of providing a just and neces sary support for those laborers who have given their lives and means for the building up of this cause, but have made no provision for sick ness or age, and to supplement such private incomes of our laborers as prove insufficient for their needs.” Payments from the fund.— During the year ending December 27, 1927, the payments from the sustentation fund amounted to $470,689, and during the whole period since 1911 to $3,953,992. On August 23, 1928, there were 840 persons in receipt of the pension. Northern Baptist Convention T h e Northern Baptist Convention established its Ministers and Missionaries’ Benefit Board in 1913. The board has two lines of activity: It makes grants on the basis of need, and “ cooperates in the preparation of a pension for men who are now in active service upon which they may draw after attaining age 65.” On April 30, 1928, there were 2,268 persons receiving “ relief,” and the amount so disbursed during the year ending on that date amounted to $326,963. Under the pension plan the pastors, or their churches on their be half, contribute 6 per cent of their salaries the first year. The second CHAPTER V II.---- B Y RELIGIOUS ORGANIZATIONS 115 year the board undertakes to pay 70 per cent of the pastor’s contribu tion, the latter therefore being required to contribute only the remain ing 30 per cent, or 1.8 per cent of his salary. Pastors entering at the age of 30 years and remaining in the fund for 35 years become entitled to an annual pension of one-half the average salary during the years of membership. On April 30, 1928, there were 2,241 members of the pension plan. Contributions by the board on behalf of members amounted to $172?501 during the year, and disbursements for pensions to $74,946. Congregational Church Pension Plan T h e a n n u it y ’fund for Congregational ministers was put into operation in May, 1914, and operated until December 31, 1921. At that time the basis of the scheme was changed, persons who had taken an annuity under the original plan being allowed the option of con tinuing it or of transferring to the new plan. Both plans are con tributory, the dues in the original plan being based upon age and in the so-called “ expanded plan” being based upon salary.' Operated in conjunction with the annuity plan is the Pilgrim Memorial Fund, amounting in 1927 to nearly $5,000,000, the income from which is used to help defray the payments under the original plan and to assist the members of the “ expanded plan” to meet their dues after the first year. The credit from this fund in 1928 is $90 per member, “ which takes care of a very considerable portion of the dues of the member after the first year of membership. During the first year the full dues must be settled for by, or on the account of, the member.” Those eligible for membership in the annuity fund include ( 1) pastors of Congregational churches; (2) secretaries of church organizations, and missionaries; (3) editors of denominational literature; (4) professors in theological seminaries; (5) teachers in school and college whose work could be considered parallel to that of a Congregational minister; and (6) pastors of community or federated churches. Others engaged in undenominational work may also be admitted, each case being determined on its own merits. Kinds of annuities.— Under the original plan annuities were paid at age 65, 68, or 70, without requiring retirement. The premium payments were met by the minister himself and the Congregational churches, he paying one-fifth and the church four-fifths. The premium rates were set at an amount sufficient to produce an annuity of $500 after 30 years’ service. The maximum annuity payable to the widow or minor children under the plan was $300. The annuity was also payable for total disability to perform the ministerial duties. If the disability proved to be only temporary, the member could begin the payment of premiums and resume his standing in the fund. Under the “ expanded plan” the rates are fixed at 6 per cent of the salary of the member (the free rent of a parsonage, where furnished, being regarded as 15 per cent of the salary). It is intended that the local church shall contribute to the payment of the dues, on a 50-50 basis. Up to December 31, 1927, however, only 624 had done so, a 116 CARE OF AGED PERSONS IN UNITED STATES number which the 1927 report of the fund characterizes as “ far below what it ought to be.” It is calculated that the above dues for a man entering the plan at 30 years of age will be sufficient to provide a single-life annuity at age 65 equivalent to one-half the average salary for the 35 years, or a joint life and survivorship annuity of approximately 80 per cent of the single-life annuity. Retirement is not a requisite for the receipt of the annuity. If the member becomes permanently and totally disabled before beginning to receive the annuity, he may use the entire amount accumulated to his credit to purchase a disability annuity to con tinue for the rest of his life. As in the original plan, if he becomes able to assume his duties, he may resume his membership in the fund without prejudice. If the member dies before receiving the annuity, the entire amount to his credit is used to pay an annuity to his widow, or if there is no widow, to his minor children until they become of age, or failing these, to other dependents. In case of withdrawal from the fund the amount to the member’s credit, including the supplement from the Pilgrim Memorial Fund, remains at interest until he reaches the annuity age, when it becomes payable on the basis of the amount available. Interest on credits is computed at the rate of 4 per cent, but is adjusted each year to the earnings of the investments. The fund will also receive from members additional payments which it places to their credit to receive interest at the same rate as the premium payments. In this way the minister may increase his final annuity considerably. All such deposits are subject to the rules of the fund and are not withdrawable. Administration.— The fund is administered by a board of nine trustees elected by the membership of the fund from a list of eligibles approved by the national council of the church. They may be either clergymen or laymen, but must be male citizens, over 21 years, and in ecclesiastical relationship with the Congregational churches in the United States. A majority must be citizens of New Jersey, the Stata under whose laws the fund is incorporated. Statistics oj the plan.— At the end of 1927 there were in the original plan 1,383 members, of whom 350 were receiving annuities. Of these, 234 were receiving the age annuity, 17 were receiving the dis ability annuity, 96 were widows receiving their husband’s benefits, and 3 were orphans. The average annuity paid in 1927 for age amounted to $487.24 per person, and that for disability to $331.63. The widows received an average annuity of $205.54. The total amount paid in annuities during the year was $129,336, of which $119,834 was for age. Total payments made under this plan since its inauguration amount to $385,707. The expanded plan had a membership at the end of 1927 of 997. Of these, 23 were in receipt of the annuity— 3 for age, 2 for disability, and 18 because of widowhood. Payments for annuities under this plan in 1927 amounted to $121.76, an average of $40.59 per annuitant. So far, $193.46 has been paid in annuities under the expanded plan, CHAPTER V II.---- BY RELIGIOUS ORGANIZATIONS 117 The amount in the annuity fund— both classes of plan-—at the end of 1927 was as follows: Pilgrim Memorial Fund_________________________________________________ $4, 926, 910 Profit reserve____________________________________________________________ 132, 980 Assets— annuity fund___________________________________________________ 3, 132, 841 Total_____________________________________________________________ 8, 192, 731 Income from Pilgrim Memorial Fund_________________________________ Supplementary fund____________________________________________________ 231, 213 37, 105 Relief Allowances Along with the annuity fund is operated a relief fund, administered by the Congregational Board for Ministerial Relief. From this fund provision is made for sick or aged ministers, their widows, and orphans, who are known to be in need and for whom no other provi sion has been made. Amounts paid in relief average up to $500 per year. In 1927 there were 1,044 such grants made, the total so expended aggregating about $300,000. In addition to the annuities and relief for ministers, it is stated that “ practically all Congregational churches of any size have small funds for the relief of the needy, varying in amount according to the local situation.” Latter Day Saints As a l r e a d y noted, the Reorganized Church of Jesus Christ of Latter Day Saints has no regular pension system. The report from that organization states that the church pays its ministry “ on the basis of lifetime service.” When a minister becomes too old for service, he is retired and his salary is continued until death, if he “ continues worthy.” The family of a minister dying in active service is provided for until the children are able to care for themselves. There are now 45 superannuated ministers on the retired list. Their salaries last year amounted to $29,145. Methodist Episcopal Church (North) T h e p e n s i o n plan of the Methodist Episcopal Church (North) was put into operation in 1908. Ministers, their widows and orphans, and other persons in the employ of the church or its institutions are eligible to the benefit. Statistics of the System The report of the secretary of the board for the year ending Decem ber 31, 1927, showed that there were in receipt of the pension 8,530 persons, of whom 3,516 were ministers, 4,097 were the widows of ministers, and 917 were ministers’ orphan children. A total of $3,069,343 was disbursed in pensions during the year. Under the present system the rate of pension may not be less than 1 per cent of the average salary (including free house rent as 15 per cent of the salary) for every year of “ effective” service. The local conference may increase the above rate if it pleases. The average salary paid to ministers varies from conference to conference, falling below $500 per year in 2 conferences and exceeding $2,000 in 18 con 118 CARE OF AGED PERSONS IN UNITED STATES ferences. The pensions therefore vary just as widely. In 1927 there were 20 conferences where the average annual pension was $50 or less, while 27 conferences paid pensions of more than $ 1,000. The average pension in all conferences combined is about $14.50 per year of service. In 1927 the average pension paid to ministers was $554, to widows $297, and to children $67. Since 1908, when the plan was started, $38,251,000 has been dis bursed in pensions. The statement below shows the growth of the pension plan by 4-year periods since 1900: P en sions paid 1 9 00 -1 903________________________________________________ $1, 183, 000 19 04 -1 907 - _ ______________________________________________ 1, 473, 000 19 08 -1 911________________________________________________ 3, 171, 000 19 12 -1 915________________________________________________ 4, 431, 000 1916 -1 919________________________________________________ 5, 497, 000 1920 -1 923________________________________________________ 9, 849, 000 19 24 -1 927 ________________________________________________ 12, 647, 000 T otal______________________________________________ 38, 251, 000 In some cases where the pension is inadequate it is supplemented by additional grants. Such grants amounted to $171,266 in 1927. The amounts so disbursed are decreasing year by year as the regular annuities increase. A special committee deals with the retirement of supply pastors. A yearly appropriation of $ 10,000 is made for this purpose, but, ac cording to the report, “ five times that amount is needed.” The number of beneficiaries from this fund in 1927 was 120 and the total distribution $10,505. Basis of Plan, and Substitute Proposed At present the fund operates largely on a current revenue basis. There are no actuarial reserves, though approximately $20 ,000,000 is held in permanent funds. The actuarial stability of the fund has been causing some concern, and the General Conference of 1924 directed that the whole matter be referred for study to a special committee. That committee has recommended a plan which, if adopted, will place the whole scheme on an actuarial basis, and make the fund a contributory one. Under the plan each conference will contribute to the fund an amount equal to 8 per cent of the minister’s salary, and each minister will contribute 2 ^ per cent of his salary (subject to a maximum an nual payment by him of $200). The claimant will have the right of retirement at 68 years, but the conference may, at its option, retire him three years earlier. Service retirement.—The annual benefits are to consist of a “ service annuity,” payable out of the funds contributed by the annual con ference, and an “ income annuity” payable out of the contributions of the annuitant, the whole to be termed the “ pension.” In case the minister dies while still in service his widow shall be entitled to the annuity provided by her husband’s contributions plus two-thirds of his accumulated service annuity. If this falls below $300 per year, the amount may be increased to that amount, in the discretion of the board. In case of her remarriage her annuity ceases, but she is to receive any sums remaining from her husband’s contri butions to the fund. Each minor child of a deceased member is en titled to an annuity of $75 until reaching age 16, unless schooling CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS 119 continues beyond that age, in which case the annuity may be increased $150 to continue until age 21. The total annuities to the widow and minor children of a deceased annuitant may not exceed the pension received by him. If a mem ber dies before retirement the combined pension may not exceed his average annual salary for the three preceding years. Disability benefit may be granted to members less than 65 years of age if disability “ has been plainly evident” for not less than 180 days, if it is certified by a physician’s report, and if it is such as to incapaci tate him permanently and totally from performing his duties. This benefit may be equivalent to 40 per cent of his average annual salary, subject to a maximum of $800 per year. In case of a member dis abled between 60 and 65 years of age, the total disability payment shall not exceed the pension which his income and service annuities would purchase at age 65, assuming the same rate of contribution as that prior to the disablement. Payment of benefits for the waiting period of 180 days is left to the discretion of the board. If the disabled pensioner recovers his health he may return to the employ of the church and reenter the fund. Methodist Episcopal Church, South Pension Plan T h e . 48 annual conferences of the Methodist Episcopal Church, South, levy an annual assessment upon the local churches of the con ference for the support of retired ministers and their widows. The church at large has a superannuate endowment fund the interest of which is used as annuities, and many of the annual conferences also have funds raised for the purpose. During the past four years a special effort has been made to reach a goal of $ 10,000,000 in the endowment fund. The 1927-28 report of the church board of finance shows that on March 31, 1928, the general endowment fund amounted to $3,110,584 and the conference funds on deposit with the board to $1,790,795. During the year 1926-27 there were on the pension rolls of the church 2,573 persons, of whom 1,090 were superannuated ministers and 1,483 were widows of ministers. A total of $857,128 was paid for their support, of which $718,014 came from the conference boards and $139,114 from the general board. In many cases the superannu ated minister is given the use of a house, rent free. Poor Relief All the well-organized congregations of the church, it is stated, have a monthly collection called the “ social service offering,” which is used for the relief of the poor in the community. Moravian Church (Northern Province) Pension Plan F r o m the very beginning of the Moravian Church in America— about 1734— the church has made provision for its superannuated ministers. 120 CARE OF AGED PERSONS IN UNITED STATES All who have served the church in its ministry, in either the home field or foreign field, are eligible for the retirement annuity after 10 years’ service. The amount of the annuity is graduated with the years of service, the maximum, $700 per year, becoming payable after 30 years of service. Need is not a prerequisite for the receipt of the pension. The treasurer of the sustentation fund states that the pension “ goes into effect automatically upon retirement without application having to be made.” In addition to the pension certain pensioners also are allowed the use of a dwelling, rent free. The widow of a minister may also receive a pension, the maximum amount being $430 per year. The rules of the fund provide that children between the ages of 13 and 17 shall receive an allowance of not to exceed $100 per year when the condition of the fund will allow it. Such allowances were paid for the first time in 1927-28 to 28 children. During the year ending April 30, 1928, pensions were paid to 22 retired ministers and 27 widows, the amounts paid totaling $23,448. The allowances to the children amounted to $2,600. At the end of the fiscal year the sustentation fund of the church amounted to $370,658. Relief Work Many of the older congregations have “ poor funds” from which aid is given to aged and needy members. Presbyterian Church (North) Annuity Plan T h e a n n u i t y system of the Presbyterian Church in the United States of America was established April 1, 1927. The plan allows retirement at the age of 65 (or earlier if disabled) after 35 years of service. Retirement is also allowed after a shorter period of service, but at a proportionally reduced rate. In calculating the pension $ 1,200 is taken as the minimum salary. (If a manse is furnished, its rental is calculated as 15 per cent of the salary.) The pension equals l^ i per cent of the salary for each year of contribution. The minimum pension is $600 per year and the maximum $2,000 per year, after 35 years of service. The disability pension equals 40 per cent of the average salary for the previous five years, subject to the same minimum and maxi mum as above. If granted before the age of 60, the allowance may not exceed the earned service annuity (subject to a minimum of $600). Pensions paid to widows of ministers who were retired members of the fund may not exceed half the service pension. A pension to the widow of a minister who was still in service may not exceed one-half the service credits earned by him. Her pension ceases upon remar riage. Minor children are entitled to an annuity of not to exceed $100 per year during their minority, but the sum of the grants to widow and the minor children may not exceed the amount of the father’s service pension. Funds are secured by a contribution of 23^ per cent of the salary by the minister himself and 73^ per cent by the employing church. On March 31, 1928, the fund had to its credit $5,473,064. CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS 121 On that date it had 7,500 contributing members and 400 pensioners. The amount paid in annuities during the year ending March 31, 1928, was $176,000. Relief Department The board of pensions also administers a relief department. In 1927-28 there were 2,050 persons assisted through this department. No data are available as to the amount disbursed. Presbyterian Church (South) S i n c e 1867 the Presbyterian Church in the United States has been making provision for its aged and infirm ministers and their widows. In that year the home missions committee of sustentation was author ized to appropriate 5 per cent of all contributions for this purpose. Several other schemes of relief were tried as years went by, but did not prove satisfactory In 1902 the endowment fund of ministerial relief was started, the income of which has been used for relief purposes. In granting relief “ service to the church, age, need, number of dependents, and other sources of supply are all taken into consideration.” During the year 1927-28 those on the rolls of the fund included 165 ministers, 251 widows, 52 orphans, and 4 unordained missionaries— a total of 472. The average amount paid to each of the retired min isters was $559.55, to the widows $338.89, to the orphans $190.25, and to the missionaries $259.50. The total amount expended in pensions during the year was $188,319. Since 1903 the church has spent a total of $1,988,925 for the relief of aged ministers and their widows and orphans. The endowment fund now amounts to $1,564,381. The church has a reciprocity agreement with the Presbyterian Church in the United States of America by which each gives credit for the time spent by a minister in the service of the other. New Plan Since the present arrangement is not sound from an actuarial stand point, an annuity plan is to be put into effect. This fund will pro vide, for each member retiring at the age of 65 years, an annuity of one-seventieth of his salary for each year of service during which con tributions have been made. For permanent total disability after one year’s membership in the fund, an annuity will be paid amounting to 40 per cent of the average salary of the member for the five years previous. The minimum retirement allowance will be fixed at $600 a year. Provision will also be made for the widow and minor children of a deceased minister. Funds will be provided by joint contributions from churches and ministers. A sum will be raised from the whole membership of the church sufficient to cover the accrued liability for service rendered prior to the inauguration of the plan, each local church or agency employing a minister will contribute an amount equal to 7 ^ per cent of his salary, and the minister himself will contribute 2]4, Per cent of his salary. It is estimated that approximately $3,000,000 will be needed to cover the accrued liability, and it is hoped to accumulate this amount by 1930, 122 CARE OF AGED PERSONS IN UNITED STATES Protestant Episcopal Church Retiring Fund Society I n 1874 the Clergymen’s Retiring Fund Society of the Protestant Episcopal Church was organized. Its membership was open to all clergymen of the church. Rates were $12 per year per share taken, payable until reaching 60 years of age. Funds so accumulated were also increased by income from investments, legacies and gifts, offerings from the parishes, etc. The annuity purchased began at 60; its amount was left to the discretion of the trustees but usually amounted to 25 per cent of the member’s payments. In 1917, however, a general pension system for the whole church was adopted. Since that time no new members have been admitted to the society and former members have been forbidden to increase their holdings. The society is therefore declining and gradually going out of business. On October 31, 1927, there were 119 contributing members and 297 annuitants. The average annuity paid to these amounted to about $99. During the year ending with the above date $29,026 was dis bursed in annuities. Church Pension Fund The Church Pension Fund started operations on March 1, 1917. Its plan covers all clergy ordained and in the active service of the church after that date. Under the scheme four classes of provision are made: ( 1) For age, 1}{ per cent of the average salary for each year of paid assessments, subject to a minimum pension of $600. The retirement age is fixed at 68 years. No pension may exceed 50 per cent of the average salary. (2 ) For disability, 40 per cent of the average salary for the previous five years, subject to a minimum of $600 and a maximum of $2 ,000 . (3) For widows, one-half of the pension to which the husband would have been entitled at the time of his death, subject to a mini mum of $300 per year. (4) For minor children, fixed amounts graduated according to age, ranging from $100 for children below 7 to $300 for children from 14 to majority. The combined allowance to widow and minor children may not exceed the annuity to which the husband would have been entitled. The funds are secured by contributions from each employing church of a sum equal to 7% per cent of the pastor’s salary. The minister himself contributes nothing. As noted above, the scheme contemplated pensions for only clergy entering the service of the church on or after March 1, 1917. But there were many who had been in its service long before that date and who had to be taken care of. The pension fund, upon its forma tion, took over liability for all of the grants of the general clergy relief fund and the various diocesan relief funds. On December 31, 1926, the fund was carrying, on these accounts, an annual expendi ture of $51,993 not provided for under the rules of the pension system. Permission was obtained from the general convention to use a fund of $450,000 which had been raised previously for the general relief CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS 123 fund. When this fund was exhausted the trustees began to use the surplus income in the pension fund to pay assessments for these priorservice ministers and to grant pensions on the basis of these assess ments. This action, which means an attempt completely to wipe out the accrued liabilities, was to be done in the order of the ordination of the clergy who were in active service when the pension system started. In order that all might have an equal chance of sharing in this improvement in the pension system, such back assessments were not to be paid all at once for any given clergyman, but only at one time sufficient to produce the next step in the amount of the pension; and the clergy were to be grouped, by order of ordination, in hundreds, with one more hundred always in each step in the pensions than in the step immediately higher. On September 1,1927, the pension fund had by this means been able to pension 319 of these prior-service ministers. The condition of the funds proving to warrant such action, the trustees took a further step in adding to the widows’ pension of $300 a year, a lump sum of $1,000 payable immediately upon the death of the husband. On December 31, 1927, there were 1,503 persons on the pension roll, to whom a total of $678,642 was paid during the year. The average allowances per year for the four classes of pensioners are as follows: Age annuitants, $735.68; disability annuitants, $603.22; widows, $369.52; and orphans, $137.95. Since the inception of the pension plan a total of $4,749,764 has been disbursed. Reformed Church in the United States T h e Reformed Church in the United States has two funds from which provision is made for retired ministers and their widows— the relief fund and the sustentation fund. The first grants for minis terial relief were made in 1752. The first organization for ministerial relief was known as the “ Widows’ Fund,” and was established in 1755. Out of this society grew the “ Society of Guardians for the Relief of Widows of the German Reformed Clergymen Being Mem bers of the Society,” chartered on March 26, 1810, and the “ Society for the Relief of Ministers and their Widows,” established February 28, 1865. The present Board of Ministerial Relief was created by the General Synod of the Reformed Church in the United States in May, 1905. The sustentation fund was established in 1917. Benefits from the relief department vary, according to the need, from $50 to $700. The sustentation fund is a contributory one. The maximum benefit payable for superannuation (at 70 years of age) is $500 a year. For disability the allowance varies according to the years of service, beginning with $100 a year for five years’ service, $10 being added for each additional year. A widow receives three-fifths of the amount to which her husband would have been entitled, and this amount goes to any minor children in case of her death. Since the sustenta tion fund has not yet been completed, at present only 40 per cent of the maximum rates are being paid; these range from $24 to $164 per year. At the end of 1927 there were 205 annuitants on the roll of the relief fund, of whom 74 were ministers and 131 were ministers' widows. A 35777°—29--- 9 124 CARE OF AGED PERSONS IN UNITED STATES total of $54,659 was expended for relief during the year, an average of $266.63 per person. Many of the early records of the church have been lost, and therefore no data are available as to the total amount of ministerial relief paid by this church. Since June 1, 1920, how ever, $359,856 has been disbursed. Pensioners on the sustentation roll at the end of 1927 numbered 35, of whom 14 were ministers and 21 were widows. Sustentation pay ments amounted to $3,132, an average of $89.48 per person. Since 1922, when the fund began the payment of benefits, these have totaled $12,598. Roman Catholic Church T h e p r o b l e m of the care of aged and infirm priests in the Catholic Church is much simpler than that faced by the Protestant churches. In the first place, the Catholic clergy being celibate, there are no families to care for. Again, in the Roman Catholic Church the priests who are members of religious orders or communities are cared for in their old age by the order. The matter of the care of aged priests in charge of parishes, however, is left to the various dioceses, and the provision made varies from diocese to diocese. In the attempt to ascertain just what is done for superannuates, the Bureau of Labor Statistics addressed an inquiry to each of the more than 100 dioceses of the church in the United States. Replies have been received from 71 of these. In general these indicate that the great majority of the parish priests continue “ in harness” to the end of their days. As one diocesan chancellor expresses it: The nature of a parish priest’s work is such that he can go on with it at any age, provided his health is fairly good. Even when his health fails, if it does not utterly fail, some of the lighter forms of a priest’s work in the diocese are found for him. In the event that his health fails in a degree that incapacitates him, he is looked after in our hospitals suited to the illness from which he suffers. However, all but five of the dioceses reporting make some pro vision for the care of the aged priests, though 18 report that no cases are being cared for at present. A number of dioceses report that their practice, when a priest becomes too old or too infirm for active parish work, is to secure for him a position with very light duties, such as that of chaplain in a religious institution. In such cases he receives board and lodging in the institution and often an allowance from the diocese in addition. In about two-thirds of the dioceses reporting there is a special relief or pension fund from which allowances are made to superannuated priests.^ In some instances the clergy relief fund, as it is usually called, is maintained entirely by an assessment upon the priests who are members of the fund; this is the situation in 13 of the dioceses reporting, although in 2 of these if the funds so collected are not sufficient the difference is made up by the diocese from the general funds. In these cases the contribution of the priest varies from $5 to $30 per year. In 7 cases the relief fund is formed from the dues of the priests plus a certain contribution from the parishes; the latter may be raised by an assessment upon the parish of a certain amount per priest or through an annual church collection taken for the purpose, or through appropriation of a certain proportion of the general income of the diocesan relief fund. In 19 cases the cost of the fund is met CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS 125 altogether from the diocesan funds or by the parishes. Eleven other dioceses report having a clergy retiring fund but do not state how it is supported. The allowances made vary considerably from diocese to diocese. One diocese pays an allowance of $40-$45 per month, one of $40-$50, one of $45, one of $40-$70 per month, one of $40-$75, four of $50, and one of $100 per month. In one diocese the pensioner receives $20 per month from the funds raised by a levy upon the parishes plus $25 per month from the fund of the priests themselves, while in another the allowance is $50 from each of these sources. One diocese each pays $400 per year, $400-$600, $400-$800, and “ $600 and up,” and two pay $ 1,000 per year. Several others have no specified pension amounts, but allow whatever amount the circumstances require. Some of the provisions made are most liberal. One diocese reports that a retired priest is generally assigned to a chaplaincy in a religious institution which gives him his living expenses; in addition he receives $ 1,000 per year from the parish. Another reports as follows: The policy in this diocese for superannuated and sickly members of the clergy is to deal with each case individually. In other words, it is our desire to have each priest write his own ticket. When his desires are made known to us, then we make every effort to meet them. Thus far we have had no trouble in giving satisfaction. A t this time we have four members of the clergy who are receiving an annual pension. W e correspond with them regularly in order to see if any new situation has developed that would suggest a change one way or the other. On several occasions it has been discussed as to the advisability of building homes. After mature deliberation it was generally agreed that the clergy would prefer to be free and spend their declining days as they themselves choose. Ordinarily they pick a sanitarium, a hospital, one of our many homes for the aged, and have even been invited to share the hospitality in the bishop’s house. In other words, there are so many different angles to the solution of the individual case that we prefer to leave them free to make their own decision. In some instances the aged priest remains as “ pastor emeritus” in the parish where he has served, being supported by the parish and living in the local clerical residence. In one diocese the aged priest remains as before, but is given an assistant. The bishop of one diocese takes the stand that “ priests should provide for themselves by saving some money for days of sickness and old age; but if they can not do it or have neglected to do so, the diocese will help when it becomes necessary.” Another, however, states that “ from their rather meager salary during their producing years the priests of our diocese can save very little. * * * We have a fund for infirm and indigent priests. This represents a small amount of money contributed annually by each parish. The fund is woefully small and far from meeting the many demands on it.” The priests have therefore formed a relief fund of their own which pays a disability or old-age allowance after the third month of disability or after reaching 65 years of age. Altogether, 40 dioceses reporting are paying retirement allowances to 287 superannuated pastors, in addition to those who are being cared for in hospitals or other institutions of the church or who have been assigned to some light duties. Data as to the annual amounts spent for retirement allowances are available in only 11 cases; these are expending $90,980 per year for the care of 110 priests, making an annual average pension of $827. 126 CARE OF AGED PERSONS IN UNITED STATES Of those which make no provision for the aged pastors one reports that the priests are urged to carry health insurance, but otherwise the matter is “ left to the charity of the people/’ and another that a plan is under advisement. Unitarian Church T h e r e are several aid and relief associations in the Unitarian Church. These include temporary aid in case of pressing financial emergency, special continued relief for unusual cases of necessity among ministers not yet retired, relief funds for clergymen’s widows, and a service pension (in operation since 1907) for ministers of retiring age. The service pension of $700 per year is payable to Unitarian min isters, 65 years of age or over, who have served at least 20 years. “ These pensions are not a charity; those qualified receive them as a right.” On April 30, 1928, there were 62 ministers in receipt of the pension. The amount paid in pensions during the year ending with this date was $43,400. The amount in the permanent pension fund in 1926 was $440,096. Church of United Brethren in Christ A m i n i s t e r i a l pension plan has been adopted by the Church of United Brethren in Christ, but its operation is postponed until a suffi ciently large endowment ($ 1,000,000 is estimated as necessary) is obtained. It is hoped that this can be had by 1930. Several of the annual conferences of the church have endowments for the relief of their ministers and their widows. Other Churches Having Pension Plans T h e Congregational Methodist Church reports that it has a super annuation fund from which small annual amounts are paid to minis ters, and the Universalist and Anglican Universal Churches report that they are just starting a pension plan. No details are available for any of these plans. A number of other church organizations reported having pension plans, but the Bureau of Labor Statistics has been unable to obtain any data concerning these plans. These include: African Zion Methodist Episcopal Church. African Methodist Episcopal Church. United Presbyterian Church. United Lutheran Churches in America. Christian Reformed Church. Evangelical Synod of North America. The General Conference of Seventh-Day Baptists has no pension plan, but has a ministerial relief fund, the interest on which is used in aiding aged ministers. Some of the regional conferences of this church have similar funds. CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS 127 Pension and Insurance Plans of Church Fraternal Organizations ATHOLIC.— The Catholic Order of Foresters in its certificates of insurance includes a clause permitting the policyholder to surrender it upon his reaching the age of 70 years, the member re ceiving its cash value at the time of surrender. The Ladies’ Catholic Benevolent Association issues paid-up insur ance certificates to members who were 59 years of age or older Octo ber 1, 1921. The First Catholic Slovak Ladies’ Union provides for payment of the cash value of the member’s benefit certificate at age 70, besides giving relief to needy members in amounts up to $ 100. The Union Saint-Jean-Baptiste d ’Amerique inaugurated a pension plan in November, 1918. The plan provides for “ aged, crippled, and incurable members and the wives and children of deceased members.” This is done, it is pointed out, not through charity, but “ through motives of duty and gratitude.” Members who have reached 70 years of age, the wives and children of deceased members, and disabled and incurable members, who are unable to provide for their own wants, are eligible to benefits. The pension varies according to circumstances and ranges from $15 to $30 per month. At the end of 1927 there were 157 pensioners. During the year $31,161 was paid in pensions and since 1918, when the fund was started, disbursements have amounted to $189,467. The Pennsylvania Slovak, Roman, and Greek Catholic Union has no regular pension plan, but does make allowances of $25 per year to members submitting proof that they are unable to support them selves. The Polish Roman Catholic Union of America and the Western Catholic Union issue certificates of insurance which may be surren dered at reaching 70 years of age. The latter is considering the establishment of a home for aged members. Several years ago the order undertook to place aged needy members in an old people’s home, the expense to be borne by the order; thus far no members have made application for such assistance. The Bohemian Roman Catholic Union of Texas has an old-age relief fund from which needy members 70 years of age or over may be assisted. Jewish.— The Jewish National Workers’ Alliance of America has a relief fund made up from voluntary contributions from members. In addition, at least 75 of its branches have local funds for this purpose raised by voluntary contributions and quarterly assessments upon the membership. Lutheran.— There is within the Wisconsin synodical conference a mutual insurance organization, called the Aid Association for Luther ans, which offers a policy covering old-age benefits as well as perma nent disability benefits and life insurance. Upon reaching the age of 70 the member may elect ( 1) to receive as an old-age benefit, the full reserve of $868, in one sum; (2 ) $ 1,000 in 10 equal annual installments, or (3) $ 1,200 as paid-up insurance for life. C 128 CARE OP AGED PERSONS IN UNITED STATES Homes for the Aged Maintained by Religious Organizations HE Bureau has the names of 526 homes for the aged and infirm run by religious organizations. These include 444 homes estab lished and supported by churches of individual denominations, 13 homes which churches of several denominations cooperate in main taining, 58 homes which are run by philanthropic organizations of a religious aspect or connection, and 1 which is the home of a religious fraternal society. The church home may be a national home, such as the National Lutheran Home for the Aged, which is supported by the whole Lutheran body, it may be maintained by a State or district conference of a specified denomination, or it may be a purely local affair supported by one or more local churches. Homes which are operated through the joint support of several denomina tions— say, the various Protestant churches, or the Methodist and Presbyterian churches of a city, have been classified as “ joint church” homes. In the classification, “ religious philanthropic organizations,” have been included organizations which, while undenominational, have a distinctly religious aspect, such as the King’s Daughters’ and the Jewish homes. The latter were not included with the “ church ” organ izations because it is understood that seldom, if at all, are these homes supported by any specified Jewish congregation. The Salvation Army and the Volunteers of America are also included in this group because, while distinctly religious bodies, they nevertheless are essentially social service and philanthropic rather than denominational organizations. Of the 526 homes, the Bureau of Labor Statistics has obtained data for 444, distributed by States as follows: T T able 3 1 .— D IS T R I B U T IO N O F H O M E S F O R A G E D R U N B Y R E L IG IO U S B O D IE S State T o ta l num ber o f hom es Num ber re port ing 1 25 4 19 2 12 1 4 2 43 14 14 7 7 6 2 19 22 19 24 1 1 19 3 19 2 12 1 4 2 40 13 11 7 3 5 1 19 15 16 22 A la b a m a _____________________________ C a liforn ia ______ _________ ___________ C olo r a d o _____________________ _______ C o n n e c tic u t________________________ _ D elaw are_______________________ _____ D istrict o f C o lu m b ia . ...................... .. F lo r id a _________ ______ _______ _______ G eorgia...... ................................................. Id a h o ____________________ ___________ Illin ois ______ _______ ____ I n d ia n a____ _____ _________ __________ I o w a ........................... ....................... ......... K a n sa s_________________________ _____ K e n t u c k y ___________________________ L ou isiana________________ ___________ M a in e ...................... ..................... ........... . M a r y la n d .................................... ............. M assachusetts............ ....................... .. M ic h ig a n _______________ ____________ M in n esota M ississip p i......................................... .. State T o ta l N u m n u m ber re ber o f p o r t hom es ing M issou ri__________________ ________ __ N e b r a s k a .................................................. N e w H am psh ire.......... _......................... N e w J e r s e y . . ____________ ____ ______ N e w Y o r k .......... ....................................... N o rth C a r o lin a ...______________ N o rth D a k o t a ......................................... O h io............................................................. O r e g o n ........................................ ...... P e n n sy lv a n ia . __ R h o d e Isla n d ______ _________ South C arolina . . . . South D a k o t a ................................. Tennessee _ ____________ ______ T exa s.............. .................................... .. V erm on t _____________ _________ V ir g in ia ____________ _____ ______ W a sh in g to n ________ _____ W isco n s in ........................................... 13 6 6 15 i 86 2 1 27 2 62 5 8 1 3 9 2 7 7 16 10 5 3 11 i 73 1 T o t a l................................................. i 526 1444 22 2 56 5 3 1 2 9 5 5 16 1 In clu d es 1 religious fraternal h om e. Table 32 which follows shows the total number of homes and the number reporting, the capacity and average number in residence, and the annual cost of operation, classified by type of organization supporting the home. 129 CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS T able 3 2 .— N U M B E R O F A G E D IN H O M E S O F R E L IG IO U S G R O U P S , A N D A N N U A L C O ST O F O P E R A T IO N N um T o ta l ber of nu m ber hom es of report hom es ing Sponsoring organization Inm ates C a p acity o f hom es Average n u m ber in residence A n nual cost of operation R eligious denom inations: B aptist ___ ________________________________ D isciples of C h rist-. _________________________ __ ______________________ E v an gelical. _ E vangelical S yn od _ _ _ __________ Friends - - __________ _________ . . . Latter D a y Saints _ _ _ L u t h e r a n . ________ __ _________ , _______ M en n on ite - ___ M eth od ist. __ _ - ________ M oravian _ ___ _________ P resbyterian __ _ ___ _______ Protestant E p iscopal _ R eform ed and Christian R eform ed Churches _______ of A m erica _ _ _ R eform ed C h urch of the U n ited States______ R iv er B rethren __ _ __ . . - _______ R om a n C ath olic Scandinavian E vangelical __ _________ U n ited B rethren ___ ___ __ __ ________ U niversalist___________ ._ _ ___________ __ ____ ____ __ __ U n classified_____ Joint c h u r c h .. ________ ____________________ T o ta l- __ . ______________ _____ ______ R eligious philan th ropic organizations: _______________________ J e w i s h . . . __ K in g ’s D a u g h te r s .._____________ ________ _______________________ Salvation A r m y __ Volunteers of A m e r i c a ______________________ T o t a l . _________ _____ _______________________ R eligious fraternal..................... ............. ......... .............. G rand tota l___ ________________ ______ I Inclu des 1 h om e for m inisters. 2 17 hom es. 3 14 hom es. 4 7 hom es. 6 5 hom es. 611 hom es. 7 12 hom es. 8 9 hom es. 9 1 hom e. i° 48 hom es; includes cost o f orphanage in 2 cases. II 45 hom es. 12 41 hom es. 13 3 hom es. 14 Inclu des 4 hom es for m inisters. 1 1 i 20 i2 1 13 8 6 6 1 5 4 2 65 3 48 4 14 21 58 1 1 1 18 12 1 13 8 6 6 1 5 4 2 53 2 46 4 1 18 42 50 20 2 878 50 85 6 472 236 217 352 16 410 154 115 2, 525 48 2, 893 13 72 875 1,208 45 18 818 43 85 7 442 221 » 179 272 16 400 139 90 2, 325 46 11 2, 432 13 51 745 12 1,052 $11,335 3,307 3 231,652 12,065 108,074 8 113, 552 4 85, 335 68, 566 86, 706 5, 612 141,014 102,431 9 8,190 10 780,151 9 8,000 12 1,158,793 9 7, 875 is 300,100 16 504, 985 6 2 2 155 2 i4 4 10 13 4 2 2 128 2 14 4 3 13 357 60 125 15,733 132 187 154 93 576 328 49 115 17 13, 795 131 158 146 88 536 87,077 19,844 31, 763 is 2, 201, 766 44,159 13 33, 500 71,855 27, 310 198,162 467 14 395 2° 28,093 21 24, 765 22 6,453,179 43 13 1 1 34 12 1 1 3, 879 323 24 30 3, 370 286 20 30 23 1, 619, 900 8 46,420 8,270 14, 221 58 48 4, 256 3, 706 24 1, 688,811 1 1 125 19 526 14 444 2<* 32, 474 ( 25) 27 28, 471 ( 25) 288,141,990 1513 hom es. 16 24 hom es. 17 125 hom es. 18 74 hom es. 19 Inclu des 7 hom es for m inisters. 20 391 hom es. 21 387 hom es. 22 293 hom es. 23 29 hom es. 24 40 hom es. 2®N o data. 26 440 hom es. 27 435 hom es. 28 333 hom es. As is seen, the various Catholic organizations operate the largest number of homes. There are in that church certain orders, such as the Little Sisters of the Poor, Sisters of St. Francis, etc., whose members devote their lives to the care of the poor, sick, and aged, and many of these homes are carried on by those orders. It will be noted that only 74 of the 128 Catholic homes reporting gave data as to cost. Failure to report on this point was, in most cases, due to the fact that these homes are almost entirely supported by contributions and donations in kind upon which it is impossible to place a value. 130 CARE OF AGED PERSONS IN UNITED STATES Other denominations or organizations which are especially active in the care of the aged are the Lutherans, Methodists, Episcopalians, and Jews. Some 30 per cent of these homes shelter fewer than 25 persons each, and 57 per cent have fewer than 50 persons. The largest homes are run by Catholic and Jewish groups; 22 homes of the Catholic and 5 of the Jewish groups have more than 200 people each. The average sized home shelters 65 persons. Table 33 shows the distribution, by size of home. T a b l e 3 3 . — S IZ E O F H O M E S F O R A Q E D O F S P E C I F I E D R E L IG IO U S G R O U P S N u m b e r o f hom es w ith inm ates num bering— Sponsoring organization Less than 25 25 50 75 100 200 and and and and and • under under u nder under under 75 50 100 200 500 R eligiou s denom inations: 1 A postolic Christian . B a ptist __ __________ _ _ _ ____________________ Christian _ _ _ _ ____________________ Christian Science .. ____________________ C h u rch o f the B reth ren ___________________________ C on gregational____________________________________ D isciples of C h rist_______ ____ ______ ____________ E v a n gelica l__________________ - ___________ - ____ Evangelical Congregational .. . ___ E vangelical S y n o d ________________________________ F rien ds____________________________________________ Latter D a y S aints. _ _ _ __ __ __ L u t h e r a n ___________ _____________________________ M en n on ite __ __ - . __ M eth od ist __ . . _ __ ______ ______ ____________ M o r a v i a n ___________ ._ ________________________ P resbyterian _________________________________ __ _ Protestant E p is co p a l______________________________ R eform ed and Christian R eform ed Churches of A m erica . _ . ___________ R eform ed C h u rch in the U n ited States__________ R iv e r B reth ren ____________________________________ R o m a n C a th olic___________________________________ Scandinavian E v an gelical______ __ __ ________ U n ited B rethren_____________________ __________ U niversalist_________________________ _____ ________ U nclassified................. ......... ........... ..................... .......... Join t ch u r c h ___ ________ ________ _______ __________ 1 6 1 7 4 2 1 1 1 1 13 1 14 3 9 24 1 19 1 3 1 5 5 1 4 2 3 1 2 1 1 2 2 3 2 1 21 1 11 5 14 1 1 21 1 1 1 2 1 2 1 1 1 1 1 1 12 4 3 7 6 7 1 2 1 2 2 1 2 2 13 9 41 1 22 2 1 1 4 1 2 1 1 T o ta l 1 1 18 2 1 1 12 8 i 5 6 1 5 4 2 53 2 145 13 18 42 4 2 2 a 125 2 4 4 3 13 T o t a l______________________ _____ __________ ______ 119 103 56 29 58 23 a 388 R eligiou s p h ilan th rop ic organizations: Jew ish__________________________ ______ _____________ K in g 's D aughters_____________ _______ ____________ Salvation A r m y ..... ......................... ........... ..................... V olunteers of A m e rica ........................................ ........... 4 9 1 9 2 7 4 5 1 5 34 12 1 1 T o t a l___________ _____________________ ___________ 14 12 7 4 6 5 48 G rand tota l_________________ _____ ______ ________ 133 115 63 33 64 28 * 436 1 1 N o t in clu d in g 1 h o m e w h ich d id n o t report on this point. 2 N o t in clu d in g 3 hom es w h ich d id n ot report on this point. s N o t in clu d in g 7 hom es a b o v e n oted, w h ich d id n ot report on this p oint. * N o t in clu d in g 1 religious fraternal h om e and 7 hom es abov e noted, w h ich d id n ot report on this p oin t. Sixty-nine homes have been established during the past decade; but 224 have been in existence twenty-five years or more, and 77 of these, fifty years or more. The oldest is the Lafon’s Asylum of the Holy Family, at New Orleans, La., which was established in 1848. The Baptist, Congregational, Episcopalian, and Catholic homes are the oldest. Of the Episcopal homes, 24 of the 38 covered are 131 CHAPTER V II.-— BY RELIGIOUS ORGANIZATIONS more than 50 years old, as are 26 of the 124 Catholic homes, 4 of the 18 Baptist homes, and 3 of the 8 Congregational homes. The details are shown in the table following: T able 3 4 .— A G E S O F H O M E S O F R E L IG IO U S G R O U P S N u m b e r of hom es in existence— Sponsoring organization 1 year or less R eligiou s denom inations: A d v en tist, S e v en th -D a y __________________ A p ostolic C h ristian________________________ B a p tist_____________________________________ C h ristian____________ ______________________ C hristian Science__________________________ C h u rch of the B reth ren . C on gregationa l.............................................. _ D isciples of C h rist____________ _ _ _ _ _ _ E v a n g e lic a l..-.................... __ _ _ ._ E vangelical Congregational _ ___ E v angelical S yn od _ ________ _______ _ F r i e n d s ______________ _____ _ _ _ Latter D a y Saints_________ _ Lu th eran ....................... M e n n o n ite . ________ _ _ ____ __ M e th o d is t _____ _____ ________ ____________ M ora v ia n ____________________________ P resbyterian _ _ .......................................... Protestant E p is c o p a l.. _________________ R eform ed and Christian R eform ed Churches of A m erica ___________________ R eform ed C h u rch in the U nited States R iv e r B reth ren ____ _______ ______ _________ R om a n C a th o lic .. ________________ _______ Scandinavian E v an gelical____ __ _______ U n ited B reth ren . ____________ ________ U n iversalist.......................................................... U nclassified................. ..................... ................... Joint c h u rch _______________________________ T o t a l............ ......................... ................... 2 and under 5 years 1 N ot 2 N ot <■N o t 4N ot 8 N ot in clu d in g in clu d in g in clu d in g in clu d in g in clu d in g 25 and under 50 years 2 1 5 1 7 1 2 6 1 3 6 2 2 1 1 1 1 25 3 3 1 15 1 12 1 1 ! 1 1 1 1 1 2 1 1 1 2 5 2 7 4 2 i ! I 4 1 s 8 50 years and over 10 7 1 19 1 6 4 2 1 1 27 1 2 2 1 3 10 2 1 1 50 1 1 1 1 5 4 3 1 2 4 1 4 24 8 | T o ta l 1 1 18 2 1 13 8 15 6 1 5 4 2 2 51 i 1 145 i3 i 17 * 38 5 4 2 2 3 124 2 4 4 3 13 130 75 <380 12 5 2 i 33 12 1 1 20 17 2 i 47 134 147 77 s 427 1 1 2 23 30 114 1 1 3 2 15 4 1 2 6 25 36 26 1 1 T o t a l_____________________________________ _ __________ _____________ 10 and under 25 years 1 R eligiou s p h ilan th rop ic organizations: J ew ish .. ___ ______________________________ K in g ’ s D a u gh ters. __ __ ___ ______ Salvation A r m y ___________________________ V olunteers of A m erica _________ _______ G rand to ta l. 5 and under 10 years 1 w h ich d id not report on this point. 2 w h ich d id not report on this point. 4 w h ich d id not report on this point. 15 w h ich d id not report on this p oin t. 1 religious fraternal h om e and 16 above noted w hich d id not report on this poin t. Terms of Admission Kind and character of persons admitted.— Sound mind and good health are a general requisite for admission to the church homes, as to other homes for the aged. One Baptist home requires “ fairly sound mind and reasonably good health,” and a Catholic home that the applicant be “ respectable, of sound mind, and free of contagious disease.” Some homes require that the applicant submit to a physi cal examination before admitting him to the home. “ Good character” or “ Christian character” is often specified as a requisite. “ Good reputation” is required by one home. One home accepts only deaf mutes, while another admits only “ childless women” of good health and sound mind, and a third “ aged women of the better sort, i. e., women of education and refine ment, who have very small means or no relatives.” 132 CARE OF AGED PERSONS IN UNITED STATES The Salvation Army home, “ Eventide Home,” has as its residents principally men whom the army has aided through its social service institutions and who are incapacitated and unable to provide for themselves. There is one home in New York City which, as far as the knowledge of this bureau goes, is unique of its kind. It is a “ waiting home,” maintained by the Protestant Unity League. This home has been in operation since April, 1925. No permanent guests are admitted; the home is operated simply for the benefit of persons who are on the waiting lists of the benevolent homes of the city. The period of “ waiting” in the home averages about two years. If the aged resi dent is able to pay, a nominal board is charged; otherwise the service is free. This home is mainly for poor people who have painfully managed to hoard the entrance fee required by the home on whose waiting list their names are entered, but who are unable to maintain themselves until a vacancy occurs. Up to the present the waiting F ig u r e 1 4 - e n t r a n c e a n d m e m o r ia l Pe r g o l a at M o n t e f io r e ( J e w is h ) hom e, C l e v e l a n d , O h io home has had accommodations for only 11 old ladies, but the league has been negotiating for the purchase of a larger house which will enable it to care for five men, for married couples if occasion arises, and also for a larger number of women. There are 10 so-called “ widows’ homes” conducted by religious denominations. Three are Congregational homes, 5 are Episcopal homes, and 2 are Moravian homes. One home gives preference to widows of ministers, but ministers’ unmarried daughters, teachers in church boarding schools, and others, are also admitted. These homes furnish living quarters either free or at a nominal rental, the light, heat, water, and janitor service being supplied free in some cases. The residents are otherwise self-sustaining. Together, these homes shelter 144 persons. A number of homes are maintained solely or principally for ministers and their wives or widows, or for other workers in the church (mis sionaries, deaconesses, etc.). Thus, the Baptists of Ohio, Indiana, Michigan, Illinois, and Wisconsin have a home at Fenton, Mich., for CHAPTER V I I .---- B Y RELIGIOUS ORGANIZATIONS 133 “ aged, infirm, and destitute” ministers and missionaries of that faith who have served 5 years in that capacity. The home also admits their wives, widows, and orphans. A fee of $100 is required at entrance. There are 14 residents at the home. There is also a privately endowed home in Philadelphia for retired Baptist ministers. A home for ministers of the Christian Church is provided at Lakemont, N. Y. This home admits ministers who have served 20 years in the Christian church or some other Evangelical denomination, and their wives and widows. Men are admitted at 70 years (unless unable to preach, in which case at 50) and women at 60. The nominal entrance fee is $ 100, but this may be waived in the dis cretion of the home board of trustees. The home can accommodate 13 persons, but the average number of residents is 6 . Although there are some 46 homes for the aged conducted by Methodists, none of these are exclusively ministers’ homes. One such home which takes only “ Christian people,” is open to ministers F ig u r e 15.—C o r r i d o r of M e t h o d is t h o m e f o r a g e d , C in c in n a t i . C o n c e r t s a n d “ S in g s ” O h io , in T h is R o o m A r e H e l d and their widows, missionaries, deaconesses, and other workers in the church. Another, an African Methodist home, was started to care “ for worn-out ministers and their wives or widows,” but in practice the home has taken in “ any worthy person of good repute.” The Presbyterian Board of Ministerial Relief conducts four homes for retired Presbyterian ministers, one of which is in Indiana, one in New Jersey, one in New York, and one in Pennsylvania. The bureau has data only for the Thornton Home, at Newburgh, Ind. Each of these homes has an average family of 15 persons. Twenty years’ service in the church is required, but there is no admission fee. The Thornton Home accepts retired ministers and their widows, and missionaries of the church. No fee is required. The home at present has 24 residents, but the board announces that enlargement to a colony is contemplated, so as to “ care for the large number of aged or disabled ministers and missionaries whose afflictions have made it impossible for them to be cared for at one of our homes.” The original tract of 50 acres owned by the board has been added to by a gift of 25 acres with six houses “ and attractive building sites for many more.” Cottages will be erected for the use of the residents, 134 CARE OF AGED PERSONS IN UNITED STATES and a samarium or hospital is also contemplated. There is also a privately endowed home just outside of Philadelphia.3 The church of the United Brethren in Christ has a home for retired ministers of that church and their wives, in Puente, Calif. The home is run on the cottage plan. The superannuated ministers, of whom there are now 25 in residence, are assigned to a cottage where they keep house as if in their own homes. No fee is required. The home association provides the cottage, electric lights, water, and garden, free, and in needy cases, makes an allowance of from $20 to $30 per month. This home also takes residents with means, on an annuity basis, paying 7 per cent interest on all property transferred to the home. In this way, considerable property has been acquired by the home. Sex.— The great majority of these homes (326) not only admit individuals of either sex but also take in married couples. In 91 homes, however, only old ladies are taken, and in 5 homes only old men. Twenty homes take individuals of either sex but do not admit married couples. T able 3 5 — R E S T R IC T IO N S AS T O S E X A N D C O N JU G A L C O N D IT IO N IN H O M E S R E L IG IO U S G R O U P S OF N u m b e r of hom es adm itting— Sponsoring organizations M en on ly R eligiou s denom inations: A d v en tist, S ev e n th -D a y ________ __ ________ __ A p ostolic C h ristian_____ _______ _______ _______ B a ptist _______________________________ - __ C hristian _________________________ - ____ Christian Science. _ _ C h u rch of th e B rethren _ _ . . . . C ongregational - __ - - ____ - ___ D isciples of C h r i s t __ ______ __ E vangelical - __ __ -_______ E vangelical Congregational ________ ____ - _____ E v angelical S yn o d __ __ - ______________ -- - - -F riends L atter D a y Saints - - __ _____________ - Luth eran ______ ______ ______ - -------M e th o d is t ______- ____ - ---------------- M ora v ia n - __________ - - ________ Presbyterian _________ ____ ____________ Protestant E p iscopal __ ______ - R eform ed and C hristian R eform ed Churches of A m erica ___________ ______________ __ R eform ed C h u rch in the U n ited States___ ___ R iv e r B rethren _______________________ R o m a n C a th olic ________________________ S cand inavian E vangelical _____________ U n ited B rethren ______ _______ U niversalist _________________________ U nclassified ______________________ Joint ch u rch __________________ W om en on ly B oth sexes and m arried couples B o th sexes 50 2 40 1 11 6 1 1 18 2 1 13 8 6 6 1 5 4 2 53 2 46 4 18 42 4 2 2 101 2 3 2 1 4 4 2 2 128 2 4 4 3 a ll 1 1 3 1 1 . 15 1 1 13 4 4 6 J 4 2 _____ ' 1 ! ! 1 4 2 2 1 4 3 6 33 2 3 I 1 1 17 1 1 1 7 9 1 T o ta l 3 85 19 286 a 393 R eligiou s ph ilan th ropic organizations: Jewish - ____________________ __ - _______________ K in g ’s D aughters Salvation A r m y -- - - ____ V olunteers of A m erica-------------------------------------------- 1 1 6 1 6 34 4 1 34 12 1 1 T o t a l.--------------------------- --------------------------------------- 2 6 1 &39 48 G rand tota l______ _____ ____ _____ ________________ 5 91 20 1 1 326 a 442 « N o t includ ing 2 w h ich d id n ot report on this point. h In clu d in g 1 w h ich takes w om en and m arried couples. 3 T h ere is also a Presbyterian rest h om e in M ilw au k ee, established to p rov id e a tem p orary hom e for P rotestant clergym en and their w ives (b u t Presbyterians are given preference). T h e length of residence varies from 2 to 6 m onths. 135 CHAPTER V II.— BY RELIGIOUS ORGANIZATIONS Age.— Seventy-five of the homes have no fixed minimum age of ad mission, and 5 did not report on this point. All of the remaining 364 homes have an age below which admission is refused, this age varying from 50 to 75 years. The most common ages of admission are 60 and 65 years, these being set by 174 and 156 homes, respectively , while 21 homes admit only persons of 70 years or over. The superintendent of one Method ist home, in which the age of admission is 60 years, reports in this connection that in his opinion 60 years is too low by at least 5 years; “ great care should be taken that homes like this be not made a refuge for lazy folks. I have found them here and elsewhere.” The requirements of the various homes in this respect are given in Table 36: T a ble 3 6 .— M I N I M U M A G E O F A D M I T T A N C E T O H O M :E S O F R E L I G I O U S G R O U P S N u m b e r of hom es setting age of adm ittance at — 51 to 59 Sponsoring organization 50 60. 61 to 64 66 to 69 65 No T o ta l O ver age re 70 quire m en t 70 R eligiou s denom inations: 1 ___________ _____ B aptist _ Christian ________________ _______________ Christian Science C h u rch of the B r e th e r n .................... ________________ Congregational D isciples of Christ __ ______________ E vangelical _ . ____________ E v an gelical C on gregation a l________ E vangelical S yn od __________________ Friends _ _ ________________________ L a tter D a y S a in t s ________ ________ L u theran _________________________ M en n finite____ ______________________ ____ _______ ___________ M eth od ist M oravian ____________ ___________ P resbyterian __ _____ ______ ____ ______ P rotestant E p iscop a l________________ 3 1 1 10 1 1 1 2 2 1 4 1 1 i 9 5 6 2 4 1 2 1 3 1 1 17 1 4 1 2 13 28 3 1 1 1 3 85 1 2 2 5 3 35 1 12 12 a 4 a 1 2 21 2 2 3 13 1 1 18 2 1 13 8 6 6 1 5 i 3 2 53 i 1 46 4 18 42 R eform ed and C hristian Reform ed C hurches of A m erica________ _____ R eform ed C h u rch in the U nited States______________________________ R iv e r Brethren ______________ _____ R o m a n C a th olic________ ____________ S candinavian E v an gelical__________ U n ited B reth ren _____________________ U niversalist__________________________ U nclassified_________________________ Joint ch u rch ___________ ____________ 6 T o t a l- _________________________ 9 3153 1 Religious ph ilan th ropic organizations: Jew ish _______________________________ K in g ’s D au gh ters .............. ................. .. Salvation A r m y ______________________ V olunteers of A m erica ............................ T o t a l - - ____________________________ R eligious fraternal ______ _ . . . 1 1 3 6 13 1 1 2 3 2 2 « 126 2 i 3 4 3 13 73 7 390 91 2 34 12 1 1 01 2 48 75 7 439 1 19 2 61 1 1 4 132 61 15 5 1 8 18 4 21 8 23 *1 20 21 1 1 1 ___ __ G rand to t a l____________ ________ _ 10 1 N ot includ ing 1 w h ich d id not report on this p oint. 2 75 years. 31 takes m en at 60 and w o m e n at 50 years. 4 63 years. 6 N o t in clu d in g 2 w h ich d id not report on this point. 6 68 years. 7 N o t includ ing 5 w h ich d id not report on this point. 8 1 takes w om en at 60. ®67 years. « 1 h om e takes m en at 70 and w o m e n at 65 years. 41 4 174 1 156 1 2 20 1 136 CARE OF AGED PERSONS IN UNITED STATES Admission jee and other monetary requirements.— Nearly half of these homes require no entrance fee. The other 231 reporting have an admission fee, but in 40 of these admittance is not refused, as long as the resources of the home permit, to those who are unable to pay the fee. Many of the homes which require a fee in most cases, neverthe less accept persons who are unable to pay it. Thus, one Methodist home in Illinois, which has 140 residents, reports that 50 of these have paid nothing whatever to the home. Another, a Catholic home with accommodations for 50 persons, reports that about half of the resi dents are charity cases or have paid only part of the regular fees; in fact the great majority of Catholic homes, especially those of the Little Sisters of the Poor, require no fees of any sort from the aged for whom they are caring. A larger proportion of the homes of this denomination than of any other have no entrance fee, as Table 37 shows. T able 3 7 .— R E L IG IO U S H O M E S , C L A S S IF IE D AS T O M O N E T A R Y R E Q U IR E M E N T S O F IN M A T E S H om es requir ing entrance fee Sponsoring organization N um ber R eligiou s denom inations: A d ven tist, S e v e n th -D a y .________________________ ____________ _. _________ A p ostolic C hristian. ______________________ ____ ____ ____ B a ptist C h r i s t ia n ______ _ _ ________ ______ _______ Christian Science _________ _ . _________ _ - _______ C h u rch of B ret hern _____ ________ C o n g r e g a tio n a l____ __ - _ __________ __________ D isciples of Christ __ E v a n g e lic a l.______ __ _ __ _____ __ _________ E vangelical Con gregationalE vangelical S yn od _ _ __ F rien d s_______ . - - _ Latter D a y Saints. _ ____ _______ Luth eran _ -_ _ _ _ M en n on ite _ _. . _ _ _ _. __ . _......... M eth od ist . . _ . . . . . . _ . . . . . . . . . _________ M ora via n _ _ _ _ _ ____ ______ _ Presbyterian _____ _________ _____ ______ _______ Protestant E p iscopal ___ ____________ __ _ __ R eform ed and C hristian R eform ed C hurch es of A m erica. _ _ ______________ ________ R eform ed C h urch in the U n ited States____ . . . R iv e r Brethren ____________________________ R om a n C a th olic. ______________ . ________ S candinavian E v a n g e lic a l... ____________________ U n ited B reth ren ___ _________________________ U n iv e rs a lis t... _. . . . . _________________ __ . U nclassified____ __. __ ._ ________ _____ . Joint church _ __ ____________________ __ 1 1 16 2 O f these, n u m ber taking free residents H om es having H ornet B o a rd requir both ing ing no T otal life hom es entrance m em bers o n ly fee and boarders 1 1 18 2 1 13 8 6 6 1 1 4 3 6 6 1 5 2 44 7 42 2 13 22 5 4 2 2 24 12 2 1 4 2 53 20 2 104 2 1 ] 2 3 2 8 46 4 18 42 4 2 2 128 2 4 4 3 13 213 33 182 395 Religiou s p h ilan th rop ic organizations: Jew ish ________ ________ ___________________ _ K in g ’ s D a u g h te r s ._____ ._ _______________ _ S alvation A r m y ___________________________ V olunteers of A m e rica ................................... ................ 8 8 1 1 6 26 4 34 12 1 1 T o t a l - - .................................... ..................... ............... 18 7 30 48 1 1 231 40 213 444 1 _____________ _____ _______________ G rand tota l........................................................ 1 1 T o ta l ____________________________ ______________ R eligiou s fraternal 4 1 3 1 2 1 1 .1 2 9 2 49 3 6 2 76 12 2 1 2 2 78 14 1 The size of the minimum fee demanded varies considerably, rang ing from $5 (for one home for colored women) to $5,000. In most cases where there is a range, the fee varies according to the financial means of the applicant. Such is the case under the arrangement made by a Methodist home quoted below: CHAPTER V II .— B Y RELIGIOUS ORGANIZATIONS 137 The home expects each incoming resident to turn over whatever they may have materially to the home that is going to care for them in their declining years. Taking this into consideration the home has three plans of entrance to which the incoming resident adjusts himself as near as possible. These plans are as follows: 1. People having in the neighborhood of $400 to $600 pay the home an entrance fee of $400, deposit a burial fee of $150 if possible and designate some responsible organization, relative or friend who will make an annual payment of $52 a year as long as that resident remains in the home. 2. Incoming residents having in the range of $700 to $1,500 turn over that amount upon their entrance and this takes care of every expense during their stay in the home and no one else is obligated in any manner to pay anything further. 3. Incoming residents having $1,500 to $4,000 or upwards turn that money over to the home. From the amount that is turned over, the entrance fee and burial fee amounting to $550 is deducted and the balance is placed into an annuity fund yielding a rate of interest according to the resident’s age. This is paid to them in a regular manner as long as they remain in the home. In many instances, however, the home waives its rules and regulations and takes in cases that are penniless or nearly so. This is not an unusual occurrence. Of the homes which require no entrance fee, 78 are boarding homes which do not take life members, but charge a specified rate per week as long as the resident is at the home. Eleven homes take both life members and those who come in on a temporary (i. e., boarding) basis. One Catholic home reports that from 1880 (when the home was established) until 1913 life members were accepted for a fee of $1,000. Under this arrangement, however, it was impossible to meet expenses, and so the system was changed. The home now takes boarders only, the rates being $10, $12, and $15 per week, according to the location of the room chosen. The rates of admission and of board are shown in the table below. T able 3 8 .— M O N E T A R Y R E Q U IR E M E N T S O F H O M E S T A K IN G L IF E M E M B E R S A N D O F B O A R D IN G H O M E S O F R E L IG IO U S G R O U P S Life members A m o u n t of entrance fee $5 ........................ ............. ....................... ........... .............. . . $15 $100 . . ............ . $200 .................... ........... $250 ________________ U p to $300 $300 $300-$500 .......... $300-$600 ................ $365 ______________ D p to $400 - -$400 ________________ $400-$500 ______ $400-$800 U p to $500 __________ $500 ..................... $500-$1,000 ................. $600 .................$700 $700-$900 U p to $ 8 0 0 .....................- ................... ............. N um ber o f hom es 1 2 10 11 4 i 1 15 22 1 1 1 10 22 31 1 4 44 51 89 2 31 1 A m o u n t o f entrance fee $800................................ ......................................... U p to $1,000____________ ______ —................... $1,000______________ ______ ______ __________ $1,000 or $2,000............... ............................. ....... $1,000-$3,000_______________________________ $1,200............. ......... ............................................... $1,200-$3,750_______________________________ $1,500______________ _____ _____ _______ _____ $1,800______________________________________ $2,000________________________ __________ $2,000-$3,500________________________ _______ $2,000-$4,000...... ........................................... — . $2,500__________ _____ _____ _______ _________ $ 3 ,0 0 0 .................................................................... U p to $4,000.......... ................................... ........... $4,000___________________ _____ _______ ______ U p to $5,000...... ..................... .......... ................... A ccord in g to m eans, e t c . . .............. ...... ......... T o t a l....................................................... .. N u m ber o f hom es ®10 1 7 21 1 3 2 2 31 5 2 2 1 31 »1 2 1 1 1 55 231 1 P er year. 2 A ccordin g to age in 1 case. 3 A ccord in g to age. 4 $800 for nonresidents in 1 case; plus funeral expenses (am ount not specified) m 1 case; plus funeral expenses of $100 in 1 case. * $1,000 in 1 case if nursing is required. 6 Plus funeral expenses in 1 case. 7 Or $100 and $75 per year in 1 case; plus $200 for funeral expenses in 1 case, s Or $300 and $8 per w eek. 138 T able CARE OF AGED PERSONS IN UNITED STATES 3 8 .— M O N E T A R Y R E Q U IR E M E N T S OF H O M E S T A K IN G L IF E M E M B E R S A N D O F B O A R D I N G H O M E S O F R E L I G I O U S G R O U P S -C o n t in u e d Boarders R a te P er day: $1........................................................ ............. $1.15___________________________________ P er w eek: $2-$10................................... ..................... .. $3_.................. ............................. ................... $5____________ ________ _________________ $5-$6.................... ........... ................... ........... $5-$8___________ _____ _______ _________ $5.50........... ............... ..................... ............... $7.............................. ................... .......... ....... $7-$10.................. — ................... ............... .. $8-$10........................................ ..................... $10-$18 »........ ..................... ............. ............. N o t r e p o r t e d - ............................................ P er m on th : $10 .............................. ................... ............. $16-30.................................. ........................... $18-$22.......................................................... .. $20............................................ ................... „ $20-$35 $20-$40........................................................... N u m ber of hom es 8 1 2 2 2 1 1 1 2 1 1 1 6 3 1 1 2 1 1 R a te P er m o n th — C on tin u ed . $ 2 0 .5 0 ......................................................... . $21. .............. ......................... ................... .. $25.......................................... ................. ....... $25-$35...................... ......... ................. ......... $25-$40_______________ _______ _________ $30____________________________________ _ $30-$ 100...................................... ................... $ 3 5 __________________________ _______ $3 5 -$ 4 0 ...................... ............................... .. $35-$50............................ ...................... ....... $35-$60_______________________ ________ _ $40____ ______ ___________________ ______ $40~$50......................... ................. ................ ...................... ................. $45 _ . $50___________ _____ ____________________ $65................................................ ................... $65 and $75.............. ................................ .. N o t reported.................................... ........... N o t rep orted ........................................................ T o t a l......................................................... N um ber o f hom es 1 1 6 2 2 12 1 4 1 1 1 3 1 2 1 1 1 7 3 89 o N o t includ ing m edical care. The incoming life resident is required by 152 of these homes to transfer to the home, either at entrance or at death, all or part of such property, insurance, pensions, and other income as he is or may thereafter be in possession; in one of these he is required to make over one-half of his property up to $10,000, in one all up to $1,500, and in a third all up to $5,000. In 73 of these cases thehom e pays to the resident who has made such transfer of property either all or part of the income from it or a fixed rate of interest upon it. Many homes accept only persons in destitute circumstances and therefore require no admission fee; in such cases, of course, the applicant has no property and the property-transfer clause would mean nothing. Nationality.— One hundred and thirty-six homes make requirements as to race, nationality, or color. Of these 1 takes only citizens of the United States, 30 Americans only, 4 only persons speaking English, 6 Germans only, 4 German-Americans only, 1 Germans or Americans, 2 French only, 6 Swedes only, 2 Norwegians only, 7 Scandinavians only, 27 Jews only, 2 Dutch only, 21 whites only, 11 negroes only, and 3 homes any but negroes. One home takes all nationalities but gives preference to Swedes, 2 give preference to Germans, and 6 to Scandinavians. Religion.— Of the 395 homes maintained by specified religious denominations, 194 take only (or give preference to) applicants who are members of the denomination sponsoring the home. One Episcopal home makes the following requirement on this point: No adult shall be received as an inmate of the Church Home unless she has been a communicant of the Protestant Episcopal Church for two years, and can give satisfactory testimonials of good character. Exceptions to this rule may be made by a majority vote of the board of managers if the applicant has been in regular attendance upon the Episcopal Church services, and through long attachment to the church m ay be classed as “ ready and desirous to be confirmed.” Applicants must live within the diocese of western New York, or have previously been residents of the diocese for a long period of years. Residents of Rochester shall have the preference. 139 CHAPTER V I I — BY RELIGIOUS ORGANIZATIONS The requirement of the various homes on this point are shown in the table below: T a b le 3 9 .— R E L IG IO U S R E Q U IR E M E N T S O F H O M E S F O R A G E D O F S P E C IF IE D D E N O M IN A T IO N S D en om in a tion A d v en tist, S even th -D a y A p ostolic C h ristia n ___ B a p tis t___________ _ _ C h ristia n ____ _______ ______________ C hristian Science_________________ C h u rch o f th e B reth ren ________ _ C o n g r e g a t io n a l.._________ _____ __ D isciples of C h rist________________ E v a n gelica l______ _________ _______ E v an gelical C on gregation a l______ E vangelical S y n o d . ...................... Friends L atter D a y Saints .................. L u theran M e n n o n ite ................................... ....... M e t h o d is t............................................ T o ta l num ber re porting N um ber requir ing m em bership in speci fied church 1 1 18 2 1 13 8 6 6 1 5 4 2 53 2 46 1 1 14 2 1 8 5 6 3 1 4 2 2 37 1 30 D en om in a tion N u m ber requir ing T o ta l m em nu m ber re bership portin g in speci fied church M o ra v ia n ............. ................. ............. Presbyterian ___ _____ _____ __ Protestant E p isco p a l____________ R e fo rm e d and C h ristian R e form ed C h urch es of A m e r ic a R eform ed C h u rch ____________ R iv e r B rethren ____________ R o m a n C a th o lic- _ ____________ Scandinavian E v an gelical_______ U n ited B reth ren ____________ ___ U niversalist______________________ U nclassified........................................ Joint c h u r c h ...................................... 4 18 42 2 11 28 4 2 2 128 2 4 4 3 13 2 2 T o t a l , - ..................................... 395 22 1 1 7 194 Of the religious philanthropic organizations, 16 require that appli cants belong to a Jewish congregation (in 4 cases an orthodox con gregation) and 3 that they be Protestants. Personal property.— The regulations as regards furniture and personal effects vary. Some homes require that the applicant have a supply of clothing sufficient to last one or two years. Others furnish this from the time the person enters the home. In some instances the home requires that the resident furnish his own room or that he supply his own bed linen. Others go to the opposite extreme, and prohibit the resident from bringing any furniture with him, except possibly a favorite chair. One home, each of whose residents has a private room comfortably furnished, allows the members to keep their personal belongings, “ those little trinkets and mementoes, those precious links to the unforgettable past. And with what loving care these residents look after their own little possessions!” A Methodist home in New Jersey requires that an incoming resident bring with him the following: “ One single iron bed, one bureau, one washstand, one mattress, six sheets, six pillowcases, three counter panes, six napkins, two pairs blankets, one washbowl, pitcher, and soap dish, one rocking-chair, one straight chair, three rugs 36 by 72, one commode, one small table, some family pictures, books, small clock, six bath towels, six face towels.” Another, in its prospectus and report, writes as follows: It is the purpose of the institution to afford comfort and care to the aged fathers and mothers who make this their home. They are provided with care fully prepared food, and their rooms are kept clean and comfortable. The rooms are nicely furnished, but if those coming into the home desire to bring, say, a rug, or rocker, or clock, or nice, clean bedding, as good as new, or some other small things that would.help to make their room more homelike, they should write the superintendent about it, who would be glad to advise in the matter. 35777°—29-- -10 140 CAKE OF AGED PERSONS IN UNITED STATES Residence.— Residence requirements are very infrequent among these church and religious homes. Only 16 homes make regulations on this point. Six require residence in the city where the home is located (one for three years and one for one year), one six months7 residence in the county, and six residence in the State (two for two years, one for three years, and one for five years); while one home gives preference to residents of the State. One home accepts only persons who have been resident in the United States for five years. Another, while accepting nonresidents, charges them a higher fee at admission. Rules and Regulations Governing Home T h e s t r i c t regulations governing some of the homes undoubtedly detract from the attractiveness of the prospect of spending the rest of one’s life there. One home, for instance, reports that “ Inmates are not permitted to leave the grounds without the permission of the superior” ; in this home the residents are permitted to receive visitors only on two days a week from 2 to 5 p. m. The following extracts from the rules of another home illustrate another case in point: 4. Rooms must be kept in a neat, orderly condition, and ready for the inspec tion of managers at any time after 10 o’clock in the morning. 5. Inmates will not be allowed to bring furniture to the home for storage, and only such articles as approved by the house committee will be allowed in the rooms. Position of the furniture in the rooms shall not be changed without asking members of the house committee. One trunk can be kept in closet of each room. The matron will store any extra trunks belonging to inmates, not exceeding two to each person. 7. Driving tacks or nails in the walls of the rooms, closets, or halls forbidden. 8. Inmates are not allowed to go to the kitchen, the pantries, storerooms, linen closets, laundry, or cellars without permission of the matron. This rule must be enforced. 11. Each inmate will be allowed eight plain pieces in the wash weekly. All articles must be plainly marked with the owner’s name. The assistant matron will advise as to the care of all soiled linen. 12. Food and crumbs for birds or animals must not be thrown from windows or left on window sills. Clothing shall not be left out to air from either windows or verandas. Only six potted or growing plants allowed in a room with permission. 13. Keys of bedrooms must not be taken out of the home. Any inmate lock ing her door when about to leave the house shall leave the key in her letter box on first floor. Bedroom doors must not be locked at night except by permission of the matron. Quite otherwise is a home which “ relies more upon the good sense and character of its members for the orderly and happy ongoings of the family life than it does on formal rules.” A Cleveland home reports its attitude as regards “ institutionalism” thus : T h e ----------- Home is in no sense a place of isolation. Friends and relatives of residents are welcome at any time. There is a complete absence of the “ visiting hours” which characterize the routine of so many institutions. Residents may leave the grounds when they desire and are accorded all reason able privileges consistent with their safety and welfare. ^ When the home was built every detail of its design and arrangement was de cided upon with a view to eliminating every trace of the institutional. The paramount object was to make this a real home for our aged and infirm people. The present building and grounds are striking evidence of the attainment of that objective. Everything is done to promote a “ fam ily” spirit, to provide recreation and entertainment for the residents as a group, yet to preserve for each resident the privacy so essential to peace and comfort. CHAPTER V II.— BY RELIGIOUS ORGANIZATIONS F ig u r e 1 6 - d i n i n g R o o m at K ir k l e i g h v il l a . R o m a n C a t h o l ic B o a r d in g H o m e for Aged Wo m en , at Ba l t i m o r e , md . 142 CARE OF AGED PERSONS IN UNITED STATES One unusual requirement found was that of a home which forbids marriage of residents. If a resident does marry while in the home this action “ shall forfeit such person’s place and rights in the home.” Duties of Residents •As t o what is expected of the residents, as regards conduct, the following is typical: In order to maintain a cheerful home atmosphere, all members are expected to keep their rooms in order, and to be neat in their personal appearance, to be kind and obliging to other members of the home, and to those in charge; to be prompt at meals and give reverent attention upon Divine worship conducted in the home; to make all criticisms to the matron or members of the board of managers and to no one else. The 444 homes reporting are divided in the matter of requiring service of the residents; 199 require the performance of such light tasks as the old people are able to do, while 245 require no assistance (though 58 of these latter accept volunteer assistance from the residents). The details are shown in the table following: T able 4 0 .— S E R V IC E R E Q U IR E M E N T S O F H O M E S O F R E L IG IO U S G R O U P S H om es having no serv ice requirem ents N um ber R eligiou s denom inations: A d v en tist, S ev e n th -D a y . ______ ______________ _ 1 A p ostolic C h ristian________ 4 B a p tis t_______________________ __ C h ristia n _____________________ . . . ... . ____ ..[__________ _ C hristian S cience_________ _ ___ 1 C h u rch of the B reth ren _____________ 4 C on gregational__________ ________ _ . . ________ _ 1 D isciples of C h rist_____ ___ E v a n gelica l. ________________ ___ ___ ____ ... ___ 1 E van gelical C o n g re g a tio n a l.. _ _ _ _ _ _ 1 E vangelical S y n o d ___ __ F rien d s..... ....... .............. L atter D a y S a in ts ._ ................... . 31 L u th era n _____ __ ____________ __ _ _ _ .... 1 M e n n o n i t e ________ _____ _ ___ __ 21 M eth od ist ____________________ _____ . . . ________ M o r a v i a n ______________ _________ ________________ 2 10 P resbyterian ___ ___ _______ Protestant E p is c o p a l _______ ___________ ___ ____ 31 R eform ed and C hristian R e fo rm e d Churches in 1 A m e r ic a ______ ____ ______________________ 1 R eform ed C h u rch in the U nited States____ 1 R iv e r B reth ren ___________ _________ _______________ R om a n C a th olic_____________________________________ 80 Scandinavian E v angelical_____________________ 2 1 U n ited B r e th r e n ._ __________________________________ U niversalist____ ____________ ______________ _______ 2 U nclassified___________ ________________ ____________ 2 Joint ch u r c h ___ __ ___________________________ _____ T o t a l_____________________________ ________ ____ _ R eligiou s ph ilan th ropic organizations: Jew ish__________ ______ ______________________ _______ K in g ’ s D au gh ters_______ __________ _______________ Salvation A r m y ________________________ ________ _ _ V olunteers of A m erica _____ __ __ ... _ ___________ T o t a l_____ _______ __________________________ _______ R eligiou s fraternal................. G rand total _ _ ________ ______ ________________ _____________________ H om es requiring light duties O f these, num ber acceptin g voluntiiry assistance Sponsoring organization 1 14 2 4 5 i I 4 1 2 22 1 25 2 8 11 1 1 12 8 1 2 3 1 1 48 27 1 T o ta l 1 1 18 2 1 13 8 6 6 1 5 4 2 53 2 46 4 18 42 4 2 2 128 2 4 4 3 13 1 3 2 1 8 213 55 182 395 27 3 3 7 9 1 34 12 1 1 17 48 1 31 3 1 1 245 j 58 1 199 444 CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS 143 Generally the service required is the care of the resident’s own room, if physically able. In other instances the inmates are expected to help with the housework (setting the tables, helping with the ironing, sewing, etc., washing dishes), or (in the case of men) to assist around the grounds, help in the garden, with the poultry, etc. One Lutheran home reports that about half of the members help, the men in the garden and on the lawns and flower beds and the women washing the dishes, doing mending etc.; “ just a little to keep them more spry, bodily and mentally.” In another home the old ladies “ knit, patch, darn, or do any little handwork at which they are proficient. They have for themselves whatever they earn in such work.” One or two homes have the cottage system,, and in such cases the residents are expected to do the housework connected with it. In the “ widows’ homes,” quarters are provided, the inmates are in all other respects independent and self-supporting, each doing her own housework, cooking her own meals, etc., as if in her own home. Occupational therapy is practiced in several homes in the belief that those who are busy are happiest. One Methodist home of this class reports that some of the articles so made are sold and the resi dents who made them receive all the money realized by the sale over the cost of the materials used. The report of this home states: In this connection we can lay special emphasis on the fine value of our carried on occupational therapy. More and more is it evidencing a great mental stimulus, inestimable in its effect on health, as well as according days of delightful busy ness. Our pride in the artists we are discovering and developing in this house hold is very great. While the changes in coming and going have to be many, there is no abating in evidence. Homes of this kind now in existence are far insufficient. One Catholic home has a special committee whose duty it is “ to provide work of an agreeable nature for the entertainment and employment of the members of the home.” Another committee, called the “ pricing committee,” places a value upon articles so made for sale by the home. A Congregational home which holds a yearly “ fair” exhibits articles made by the members. The following, taken from the annual report of the home, gives some idea of the work done by the residents: Mrs. R. cuts and plans all quilts and most of the linens, crochets, hemstitches, sews, and does drawn work; 80 years of age. The late Miss T. quilted on 30 quilts, of which she did 10 alone, tied 4 quilts, and joined 6, stitched the bindings once around on 22 quilts (by machine); 82 years of age and very poor eyesight. Miss W . made four hooked rugs, which were sold before they were finished, assisted in quilting most of the quilts, crocheted two very large and beautiful corners for a table runner, and assisted in other ways. Mrs. R. assists with the quilts and general sewing and hemstitching. Miss P. crochets many corners for the linen pieces. Miss R., though nearly blind, makes rag rugs. Miss B. makes rag and braided rugs. Mrs. Q. and Miss C. make tatting. Miss H . takes charge of the pillowcases, makes the same, and embroiders. Miss P. embroiders and makes aprons. Mrs. P. makes aprons and does plain sewing. Miss M c K . crochets afghans, baby articles, and pieces quilts. Miss E. M c K . makes silk quilts and does very fine sewing. Miss W . pieces quilts and makes herself generally useful. Miss W ., sr., crochets pillowcase lace. Mrs. B. crochets lettuce bags. 144 CARE OF AGED PERSONS IN UNITED STATES Miss L. is unable to work at present, but has hemstitched and crocheted. The late Miss W . made very artistic silk quilts, knit baby blankets, and embroidered. Mrs. R. knits baby articles and sweaters. Mrs. M ., before she became totally blind, knit horse reins. Mrs. C. made porch pillows. Miss L. pieces quilts. Miss W . pieces quilts. Mrs. G. does machine sewing. Mrs. S. hems and does very fine sewing. Mrs. B., with almost helpless fingers, makes very pretty buffet sets with corset lace. Mrs. W ., Miss G., Mrs. G., Mrs. A ., Mrs. E., and Mrs. G., do plain sewing and piece quilts. Miss Van V. solicits from her friends and usually has a very good collection of fancy articles. Mrs. F. braided rugs and pieced velvet quilts. Mrs. W . pieces silk quilts. Miss H . and Miss R. are accomplished pianists, the latter having rendered very brilliantly two selections at the Christmas entertainment. Mr. Lawrence entertains the family with his beautiful playing of hymns and old-time favorites. One of the most beautiful of the homes studied, an endowed Jewish home, reports its position as regards the activities of the residents as follows: The dominant thought in the management of t h e ----------- Home is that each resident shall take an active part in its conduct, since it is natural that old people are infinitely happier when they know that their efforts are helping to make life easier for themselves and for those about them. Morning finds them at their simple tasks— putting their rooms in order, doing their bit around the grounds and gardens, helping with the meals— doing all those things that make for normal life and remove from their minds all thought of institutional routine. Evening finds them in cheerful groups in the reading or recreation rooms, where the men and women residents may find amusement to their tastes, or enjoying the peace and quiet of their own individual rooms, where they are as undisturbed as they would be in a private home. Benefits Provided P e r s o n s taken into these homes receive board, lodging, and laun dry for the remainder of their lives. The individual accommodations vary. In some of the larger homes the sleeping quarters are on the dormitory plan, with many beds in a room. In others, however, each individual (or couple) has a private room. One home describes the benefits as follows : Each person is given a cheerful, well-furnished private room, with furnace heat and electric lights. Also, the use of the pleasant living rooms, freedom of the grounds, and every privilege that goes with real family life. Each member is guaranteed comfortable support, wholesome food, competent medical care and nursing, and at death, Christian burial * * * unless interment is other wise provided. The president of the home association of another large institution reports: “ It would take an entire day to tell you the benefits our old people enjoy. Food of the best, fine rooms, plenty of heat and light, a beautiful chapel, Sunday services of a high order, etc.” A Methodist home on the Pacific coast, operated on the cottage plan, has five “ units,” each with from 4 to 12 rooms. (See fig. 17.) It describes the rooms and their furnishings as follows: The bungalow building plan decided on has proven very satisfactory. Five units, containing 4 to 12 rooms each, have been constructed, a stucco finish of CHAPTER V II.— BY RELIGIOUS ORGANIZATIONS Fig u r e 1 7 - b u n g a l o w at Pa c if ic O l d P e o p l e ’s home (M e t h o d is t ) , L o s A n g e l e s , C a l if . CARE OF AGED PERSONS IN UNITED STATES F i g u r e 18.—K it c h e n e t t e A p a r t m e n t for Ma r r ie d C o u p l e at B e t h a n y (S w e d is h M e t h o d is t ) H o m e for the A g e d , C h i c a g o , 111. CHAPTER V II.— B Y RELIGIOUS ORGANIZATIONS 147 the soft, yellow color so frequently found in California homes being used, and another 10-room structure is in process of erection. Each unit is well equipped with modern features for the convenience and comfort of old people— hot and cold water, electrical lighting, and gas radiators for heating rooms and halls. Rooms are large, with recess lavatories, clothes closets, and at least two windows in each room for light and ventilation. Furnishings are suitable and attractive. Beds, dressers and chiffoniers, tables and book shelves are chiefly of ivory finish, and chairs are selected with ease of the occupant in mind. Good rugs on floors help to establish a feeling of adequate comfort and gratification, particularly after the personal touch of the occupant is given. A central corridor or lobby with excellent lighting and furnished with a large table gives a cheerful and inviting entrance and an at tractive assembling place for tenants, when so desired. Another home of the same denomination in the Middle West has for its married couples “ kitchenette apartments,” consisting of living room (with kitchenette), bedroom, and bathroom. (See fig. 18.) Medical care.— Of the 427 homes reporting on this subject, 399 fur nish medical care. Generally a physician is retained who comes on call or makes periodic visits, but 61 homes have a resident physician and 273 have one or more resident nurses (31 have two nurses, 16 have three, 3 have four, 4 have five, and 2 have six nurses each). Some of the Catholic homes are conducted by nursing orders, and in such cases the nursing care is given by the sisters. Some of the larger church homes have a hospital or infirmary in connection with the home. No specific request was made for infor mation o-n this point, but 20 homes report having a hospital or in firmary, and it is likely that others which did not think to report this feature also have one. One home has a 12-bed infirmary, an other accommodations for 35 patients, with male and female nurses in attendance, another a 5-bed hospital with dispensary. In a number of cases medical service is given free by one or more of the local doctors, and in some instances there is a regular panel of physicians and specialists upon whom the home may call. Other homes retain their physician on a yearly basis. Where medical and nursing care is given and the home pays for this, such care constitutes an important item of expense for the home, especially where a considerable proportion of the members are ill or infirm. Thus a Methodist home for negroes in Louisiana reports that of its 50 residents 12 are blind, 8 are paralyzed, 4 are feeble minded, and 18 are over 95 years of age. Another home reports: “ Twelve of our inmates are totally blind and 27 partially blind. We have many inmates of very advanced years, who are exceedingly infirm and either partially or almost totally helpless. We have now 18 chair cases, a greater number than we ever had before.” Most of the homes require that the applicant be in fairly good health at the time of his entrance into the home. The Brooldyn Hebrew Home and Hospital, however, not only admits disabled per sons but gives preference to them, on the ground that their need is greater than that of the able-bodied applicants. Recreation.— The provision made for recreation for the old people who are living at these homes varies greatly. In 313 homes some attempt is made to furnish recreation. In some instances the old people amuse themselves with the radios, pianos, victrolas, etc., at the home, or by walks through the grounds; in other cases the church or supporting organization has a committee whose business it is to CARE OF AGED PERSONS IN UNITED STATES FIGURE 1 9 —ONE OF THE SIX SUN ROOMS AT KIRKLEIGH VILLA (ROMAN CATHOLIC), BALTIMORE, MD. 150 CARE OF AGED PERSONS IN UNITED STATES arrange for the entertainment of the residents. As would be expected, most of these recreations are of the passive sort, requiring little or no exertion on the part of the aged inmates. Entertainments given at the home are very frequently reported, followed by the radio as a close second. Motion pictures are reported by a number of homes. Other recreations reported include automobile and bus rides, “ out ings,” picnics, birthday and other parties, musical programs or con certs, games of various sorts (such as cards, billiards, quoits, etc.), teas, etc. One home gives theater parties for its old people, and another, located in a city which has a municipal opera company, takes its residents to the opera. A great number of homes, especially the larger ones, have libraries, smoking and game rooms, sun parlors, etc., where the residents may enjoy themselves. One Methodist home visited had, at the time it was built, only the reception room in which to hold social events. The Epworth League, feeling that a greater provision should be made along this line, built a $4,700 building for recreation purposes. This building is connected with the home building by a curving passage with sun rooms on either side. The building itself contains an auditorium (with stage), a library, sun room, two most attractive sitting rooms, and a kitchen for serving refreshments. Several homes report that birthdays of members are fittingly ob served, with parties, programs, etc. In one home “ once a week moving pictures are thrown on the screen by our own projector which is the gift of a kind donor. Films are supplied each week through the generosity of other friends of the home.” One home which has a large hospital in connection with it has a traveling library which visits all the wards and rooms every day, supplying reading matter to the residents. Last year 4,837 books were issued in this way. (See fig. 20 .) In many places there appears to be a good deal of local interest in the home and its old people and considerable effort is expended for their pleasure. The following extract from the report of one of these homes shows how varied organizations have become interested and what they did for the benefit of home members in one year: The good times for the family have been as numerous as heretofore. The Church Extension and Kiwanis joy cars gave untold pleasure on many trips. The Automobile Club’s annual outing provided joy not only for the children but for many of the adults who were taken for a ride, and the church school picnics of both St. Paul's Church and Christ Church proved happy occasions. The Locust Club field day, the Rochester exposition, and the frequent supper parties in our summer house all provided pleasant diversion for the summer. The winter months brought the Shrine circus, the performance of Thurston as guests of the Times-Union, and St. Paul's annual Thanksgiving dinner and frolic. Mr. Julius Fredericks provided a delightful musical entertainment at the home, and St. Paul’s Boulevard Association gave a fine concert. Mr. Harper Sibley came to the home and showed a moving picture to the family, and St. Marks and St. Johns Girls’ Friendly Society gave a most enjoyable entertainment. The wonder ful New Year’s D ay party given by t h e ----------- Commandery, Knights Templar, was as usual a most memorable affair. It is impossible to more than make men tion of these numerous kindnesses, but the board is very grateful to the many thoughtful persons who planned them. In addition to these pleasures there have been various other forms of enter tainment especially planned for our older family through the thoughtful courtesy of many friends of the home. The Church Home Auxiliary has given special suppers and entertainments for the household and members of the auxiliary have visited the family at regular intervals. CH APTER V II.---- BY RELIGIOUS ORGANIZATIONS 151 Money benefits.— As already noted, 73 homes pay to the resident who has property to turn over to the home either the income from it or a fixed rate of interest upon it. One home pays interest at the rate of 2 per cent, 8 homes at the rate of 3 per cent, 13 homes at the rate of 4 per cent (1 only on property in excess of $1,000), 3 homes at the rate of 5 per cent, 1 home at the rate of 5.9 per cent, and 1 at the rate of 7 per cent. One home makes each inmate an allowance of 75 cents a month, one home of $1 a month and $5 at Christmas, one of $1.50 a month, one of $2 a month, one of $10 per year, and one of $20 to $30 per month.4 One gives each resident $1 on his birthday and $5 at Christmas. Twenty-one others, which do not state amounts, allow car fare and occasional small amounts, “ pin money,” spending money, etc. Five homes pay the residents for any work done around the institution. One Methodist home which pays a small allowance to its residents explains its attitude thus: The home is not a poorhouse, but is the home where the church entertains, as its guests, its worthy men and women of ripe age whose own family circle is broken up. To contribute to the feeling of independence and self-respect, the home pays quarterly a certain amount of pocket money to such members as have no other income; it is sufficient to get the few articles of personal need and of gratification. Religious services.— Religious services, as would be expected, are an almost universal feature of the homes in this group, and a great many of the homes have their own chapel where the residents assemble. (See fig. 21.) One home reports on this point: The management does not stop with looking after the mere physical welfare of the members of the home. In all possible ways their religious life is cultivated and their spirits sustained by a living faith. Perhaps there is no service that so unites the family as the Sunday service. In the beautiful chapel they gather every Sunday afternoon for the preaching service. Attendance is not compulsory, but most of those who are able attend regularly and greatly enjoy the meetings. Support and Cost of Homes T h e main support of these church homes is, naturally, the churches of the denomination which sponsors the home. One home reports that it receives its support from the following sources, which are prob ably typical of a majority of the church homes: Monthly dues of members of the home association; voluntary contributions, gifts, legacies, compensation from local churches for care of their members; annual collections in all the participating churches; interest on endow ments; admission fees; and gifts in kind. Some of the homes have good-sized permanent or endowment funds, the income from which helps considerably to defray the operat ing expenses of the home. One endowed home, which does not report the amount of its endowment fund, states that the income from the fund pays for about one-half the cost of operation of the home, the institution being dependent for the remainder “ upon gifts from friends, contributions from our churches, associate memberships, and funds raised in various ways by the board of managers, one of their greatest efforts being to see that each year we close our books without a deficit.” 4 T h is is a h om e for retired m inisters, the allow ance being for m aintenance. (See p. 134.) CARE OF AGED PERSONS IN UNITED STATES F ig u re 21 . - C h a p e l at t h e c h u r c h h o m e a n d I n f i r m a r y (E p is c o p a l ) , B a l t i m o r e , md . C H APTER V II.---- BY RELIGIOUS ORGANIZATIONS 153 One home reports that it receives financial support from the churches of the denomination in the States of Iowa, Minnesota, and South Dakota. Another states that its funds are raised by direct levies on the membership of the supporting synods and by personal gifts of many friends throughout the church; “ quite a few annuity bonds have been issued and legacies not a few have come to the home.” One home reports that in addition to the support received through “ pledges” from the various parishes in the diocese it has an endow ment fund of about $165,000. Another has an endowment of more than $218,000, another one of more than $400,000, and a fourth one of more than $181,000. One Chicago home reports permanent funds of $537,000. Cost of Operation Of the homes which furnished data from which per capita cost of operation could be computed, the Friends’ homes are the group having the largest average per capita expenditure (considering only those denominations more than one of which reported). These homes, however, are all boarding homes. The next highest average is that of the Episcopal homes, with the Congregational homes following. The average for the whole group of religious homes is $389.78 per person per year. Details for the various denominations and organi zations are shown in the table following. T able 4 1 .— P E R C A P IT A C O ST O F O P E R A T IO N O F H O M E S O F R E L IG IO U S G R O U P S A n n u a l per capita cost Sponsoring organization H igh R eligious denom inations: A d ven tists, S even th -D a y 1............... ........... ............... ........... ....... A p ostolic C hristian 1_________________________________________ B a p tis t_______________________________________ _____ . . . _______ Ch ristian______________________________________________________ Christian Science 1____ _________________ ______________________ C h u rch o f th e B re th re n ______________________________________ Congregational _ ____________________________________________ D iscip les of C h rist_____________________________________ ____ _ E v an gelical___________________________________________________ E v a n gelica l C o n g re g a tio n a l*________ ________________________ E vangelical S y n o d ____ _____ __________________________________ ____ F rien d s___ ________ _________ _____________________________% L a tter D a y Saints 1. _____ _______ _____ __________________ '____ L u th era n ____ ___________________ __________ __________ ________ M en n on ite 1_______________________ ______ _____________________ M e th o d is t___________________________ _________________________ M ora via n _______________________________________ _____ _____ P resbyterian _____________________ ____________________________ Protestant E p is co p a l_______ _________________________________ R e form ed a n d C h ristia n R e fo rm e d C h u rch es o f A m e rica .. R eform ed C h u rch in the U n ite d States_____________________ R iv e r B rethren_____________ __________ _______________________ R o m a n C a th o lic________________ _______ ______________________ Scandinavian E v a n gelica l____________________________________ U n ited B r e th r e n .______ ________ ___________ __________ _____ U niversalist_________ _____ _____ ______ ________________________ U nclassified___________________________________________________ Joint ch u rch .................. ........................... ........... ............................. .. A verage $251.89 183. 72 151. 35 245. 00 1,271.46 152. 51 264. 71 275. 00 198.63 350.75 300.05 474.85 204. 75 187.91 285. 71 214.28 393.75 111. 60 83.33 191. 78 342.10 250.00 100.00 234. 52 200.00 271. 25 230. 76 161. 74 $251.89 183. 72 697. 64 500.00 1,271.46 600.00 634. 96 500. 00 928. 57 350. 75 325. 00 1, 000. 00 204. 75 846. 90 285. 71 1,279. 85 393. 75 775. 55 1,154.96 398. 71 444. 83 304. 78 953. 75 368.89 700. 00 775.08 571. 43 714. 30 A ll d en om inational h om es............ 83.33 1, 279. 85 366.94 R eligious p h ilan th rop ic organizations: J ew ish . _______ ________ _____ _______ K in g ’ s D au gh ters____ _____________ Salvation A r m y i__________________ V olunteers o f A m erica 1..................... 181.82 136.14 413. 50 474.03 1,631.83 583. 29 413. 50 474. 03 490.13 313. 65 413. 50 474. 03 A ll ph ilan th ropic hom es. A ll religious h om es........... 1 1 h om e on ly. 136.14 $251.89 183. 72 403. 58 280. 58 1, 271.46 295. 71 531.23 341.14 318. 77 350. 75 303. 35 736.91 204. 75 365. 07 285. 71 486. 21 393. 75 487.18 649.30 265.48 404.98 276. 20 283. 72 337. 09 360.22 492.16 310.34 381. 08 1, 631. 83 506. 85 1,631. 83 389. 87 154 CARE OF AGED PERSONS IN UNITED STATES Some 25 homes of various denominations have furnished the bureau detailed figures as to cost of operation of the home for their latest fiscal year. This information is shown in the table below. In compiling these data certain combinations of items have been necessary in order to make the information comparable. Also, expenditures for permanent additions to the building and interest on mortgages have been omitted, since these are not properly charge able to the current upkeep of the home. T able 4 2 —D E T A IL E D O P E R A T IN G CO ST S, F O R O N E Y E A R , OF S P E C IF IE D B aptist Item H o m e A ,° N e w Y o rk HOM ES E p iscopal H o m e B ,° P e n n sy l vania C hurch H o m e for Aged Persons, C hicago, 111. Salaries and w a g e s ................................ ......................... $14,096.36 $14,841. 52 $12, 522.75 11,704.86 3, 519.87 8,923.33 G roceries and m eats ________ ______________________ C loth in g___________________________________________ 206. 24 287. 53 L a u n d ry ___________________________________ _______ 178. 79 85. 20 T elep h on e and teleg ra ph _________________________ 4, 248.48 928.37 3, 512. 26 H eat, light, and p o w e r. ______________ _________ 89. 72 78.20 235.14 W ater and ic e _____________________________________ 612.03 404. 99 D rugs and m edical supplies __ 410. 89 88.62 M ed ica l and hospital care . . . ____ _____ ____ P rintin g and office su pplies. _ . . . ___________ 16. 79 868. 71 333. 30 R epairs to eq u ip m en t and structu res____________ 180. 92 1, 590. 28 R ep lacem en ts..... ............. ....... ............... ... ____ 1,881.38 1, 591. 38 T r a n s p o r t a t io n ___ _____ R ecreation ______ _ ___ 446. 80 383.82 Insurance...... ......... . - - -__ _________ Taxes _________ ___ - ________________ 903. 67 1, 551. 58 M iscella n eou s______ ___________ ___________ ____ 1,184. 87 G allaudet St. J o h n ’s C h urch H om e M ission for O ld t o D eaf Ladies, M u tes, M ilw a u W a p p in g kee, W is. ers Falls, N. Y. $7, 807. 04 6,132.18 2, 716.78 211.44 201. 24 1, 794. 80 $6, 957. 31 2, 748. 58 153. 71 2, 476. 81 589. 78 191. 27 434.00 9.00 1,456.44 574.45 316. 61 1, 048.43 i 175.00 __ _______ 34, 511. 38 24, 443. 88 28, 953. 39 19, 911. 91 16, 082.96 A llow an ces or interest to inm ates________________ C ost per inm ate (excluding allow ances)__________ 884. 21 431.39 181.07 413. 62 538.16 502. 59 T o t a l_______________ _____ - C h u rch of th e Brethren Item E v a n gel ical: H o m e A,® N e w Y o rk W estern G erm an B aptist O ld P e o p le ’s H om e, C hicago, 111. O ld F o lk s’ G erm an H om e of B a ptist Brethren, H om e M arshall for A ged, tow n , P h iladel Io w a phia, Pa. Salaries and w ages. _ .................... ............... .................. $18,152.12 G roceries an d m eats___________ ___________ _______ 19,876. 23 C loth in g . ............................................ - ......... - .............. L a u n d r y __________________ __________________ ______ T eleph on e and telegraph ................................ ............ 329. 23 H eat, light, ................................................... and p o w e r 7,361.40 W ater and ice __________ _____ _________ ______ _____ D rugs and m edical supplies______________________ 623.26 M ed ica l and hospital c a r e ________________________ 1 1, 521. 70 P rintin g and office supplies____________ _________ 1, 931. 51 R epairs to equ ip m en t and structu res____________ 509. 25 _____ ________________________ _______ 4,079. 72 R e p la ce m e n ts T r a n s p o r t a t i o n _________________________ ______ 586.27 R ecreation ______ __________________________________ 2 392. 78 Insurance....................................... - ........... ....................... 2, 526. 70 T a x e s .______ ______________________________ ________ 76.82 M iscella n eou s........................................... ......................... 727. 53 $6,376.00 6,784.97 T o t a l . . .................................................. .................... 58, 694. 52 19,147. 65 3, 565.19 2,196.99 227. 95 297.10 A llow an ces or interest to in m a tes_____ _____ _____ C ost per inm ate (exclud ing allow an ces)________ _ 217.39 222.01 2,442.96 i 628.98 140.10 1, 766. 26 88.79 88.00 180.00 180.35 249. 23 « D esign a tion adop ted, at request o f h om e, to a v o id ide n tifica tio n . 1 Inclu des cost o f burial. 2 Christm as gifts. Jew ish: H o m e for A g ed and Infirm H ebrew s, N ew Y ork C ity $1. 772.12 708.14 25. 52 $3,419.75 $52, 509.95 4,062.34 44, 549.99 2, 668.12 1,562.15 323. 56 236.97 2,337.93 11,951.87 28.50 163.96 110.36 90. 73 4,371.18 71.68 812.75 241.41 ” I*776.’ 49 73.34 312.81 11,971.35 65.00 234. 56 8,130. 74 184.84 345.16 9.00 82.97 22.72 22.’ 70" 1,263.79 211.30 349. 92 i 1, 331. 37 i 3,102. 28 13, 224.17 144, 719. 96 198. 25 330. 60 1, 200.00 425.65 155 CHAPTER VII.---- BY RELIGIOUS ORGANIZATIONS T able 4 2 .— D E T A IL E D O P E R A T IN G C O ST S, F O R O N E Y E A R , O F S P E C IF IE D H O M E S — C o n tin u e d Luth eran Item M e th o d ist H o m e for N orw egian M e th o d ist A g ed, W artbu rg E p iscopal C entral Lutheran L u th eran H o m e A ,a H o m e for P e n n s y l B ethesda H om e, N ew Y ork A ged of H om e, vania B ro o k ly n , P h iladel Annual C h icago, N. Y. phia, P a. C on fer 111. ence, T y ro n e , Pa. Salaries and w ages...... ................................. ................... $6,294.45 7,125.05 G roceries and m eats________ _________ ____________ 451.40 C loth in g _____ ___________________________ 538. 24 L a u n d r y ___ ___ __ __________________________ 96.13 T eleph on e and telegra ph _________________________ 2,550.83 H eat, light, and p o w e r . ................................ ............... W ater and ice ___ __________ _________________ 47.99 D ru gs and m edical su p p lies......................................... M ed ica l and hospital c a r e ___ ________________ 170. 00 P rintin g and office supplies____ _________ ________ 1,829. 62 R epairs to equ ip m en t and stru ctu res...................... 394.16 R ep la cem en ts_________ ______ __________ __________ 120. 36 T ra n sp orta tion ___ _____ ___________________ _______ Recreation ________ _____ __________ _____ _________ Insurance _ .................................................. . _ T a x es _____________________________________ ________ M iscella n eou s _____________________________________ i 1,421.87 T o t a l............ ............................. ............................. .. 21,040.10 A llow an ces or interest to inm ates________________ C ost per inm ate (exclud ing allow ances)__________ M e th o d ist 5,083.18 300.57 $6,622.32 $12,777.80 $19,273.99 15,157.65 22,585. 45 8,791.45 338. 96 644.42 104. 58 103.53 2,460.69 6.643.49 6,796.92 273.10 357. 50 149.11 358.01 ( 3) 583.49 « 313.44 301.15 100.16 591. 20 1,592. 22 1,313.10 457. 66 694. 51 1.330.50 1,220. 53 190.63 $9,249.45 8,103.03 1,229.90 159.34 2,985.42 4,247.29 671.40 1,080. 22 810.44 603.18 47. 50' 594.89 2, 237.70' 1 1,596.46 1 2,919. 25 426.44 6.05 1 2,852.89 22, 721.06 39,779.65 57,022. 65 32,425.05 336.90 302.95 1,049. 39 442.00 2, 291. 30 292.42 341.32 M e th o d ist— C on tin u ed Item Salaries and w ages.......... ............................................. .. G roceries and m eats.................................................. .. C lo th in g ........................... ........... ......... ............................. L a u n d r y ......................... ................... ................... ............. T elep h on e an d teleg ra ph ....... ........... ................... ....... H eat, light, and p o w e r ................................. ................. W ater and ic e _______ ______ ____________________ ___ D ru gs and m edical su p p lies___________ ______ M ed ica l and hospital care _____________________ P rin tin g and office supplies. .......... ....... ..................... R ep airs to equ ip m en t and stru ctu res....................... R ep la cem en ts __________ _____ ___________ _________ T ra n sp orta tion __ __ ........................................ R e c r e a t i o n __________ ________________________ ____ Insurance _________ ______ ________ ___________ ____ T a x es _____________ _______________ __________ _____ M iscella n eou s.................................................................... M eth od ist C row ell Ch urch M em orial H om e B , 8 H om e, H om e, Illinois W est B lair, H aven, N ebr. C on n. $2, 788. 85 $13,131.95 1,684. 89 16, 343.16 17. 50 332. 79 550.40 49.15 164. 43 1,078.96 5,005.03 122. 77 225.14 2, 303.86 322. 25 550. 75 295.85 813. 54 480.01 2,601. 74 34.21 35.00 1,134. 94 226. 50 182. 50 1 2,908.14 20.05 91.60 2,921.50 322. 09 146.81 75.00 181.07 681.44 891.84 952. 54 $2,833.00 1,881. 58 16.19 1,142.96 H o m e C ,° N ew Y ork $5,398.96 1, 719.40 78.31 839. 74 46. 50 211. 89 151.50 4,262. 49 593. 59 84.24 149. 27 " ‘ ""465.’ 12 50.00 68.51 1 2, 923. 99 ""i,"416.’ 45" U ,’ 474."34 45, 768. 65 18,859. 21 12,044. 52 10, 720.96 179.50 3,880. 00 A llow an ces or interest to inm ates____________ ____ C ost per inm ate (exclud .......... ....... ing allow 380. an ces) 78 339.03 187.00 304.18 334. 57 428.84 T o t a l. ___________ _____ _____ _________ _____ 7, 615. 66 $5,752.51 3, 780. 26 G erry H om es, G erry, N. Y. ° D esign a tion a d op ted , at request of h om e, to a v o id id en tification . 1 Inclu des cost o f burial. 3 In clu d ed in m edical a n d hospital care. 4 In clu d es m edicines. 35777°—29------11 156 T CARE OF AGED PERSONS IN UNITED STATES able 4 3 .—D E T A I L E D O P E R A T IN G C O S T S , F O R O N E Y E A R , O F S P E C IF IE D H O M E S — C o n tin u e d U niversalist R eform ed: P h oebe H om e, A llen tow n , Pa. Item C h apin H om e, Jam aica, L . I., N. Y. Salaries and w ages____ ____________ ________________________ - $5,669.64 $16, 799. 31 2,348. 76 18,310.43 G roceries and- m eats ________ C lo th in g _______________________ ____________________________ _ L a u n d ry ________ _______________________________ _______ _____ T elep h on e an d telegraph..................... . ________________ 201.42 79. 25 1,402.97 6, 547. 33 H eat, ligh t, and p o w e r _______ __________________ _____________ W a ter and ice _______________________ __________ ___________ 421.20 168. 34 D ru gs and m edical su p p lies_________________ _____________ 212. 50 M ed ica l and hospital c a r e .______ ___________ _____________ 622. 58 P rin tin g and office supplies_____________ _______ __________ 1, 323.14 1,122.15 2, 415.08 R ep airs to e q u ip m e n t and structu res____________ _________ R ep lacem en ts_______________________ _______ _______________ 169.00 1, 206.38 T ra n sp orta tion _______________ _____ ________ ________________ 145.94 R ecreation _________________________________ __________________ Insurance............................. ................... ....................... ............... ........ 432. 38 355.00 T a x es _________ ________ ____________________________________ M iscella n eou s..................... ........................... ................... ............... 230. 36 i 1, 460.00 T o t a l . . - ...................... ......................... ............... ........................ 5 Inclu des ice. $1,842.29 4, 393.99 $4,075. 72 6, 727. 30 70.96 548. 39 70.13 « 1,465.22 (fl) 102.03 646. 00 116.16 245.35 51.96 1," 142." 28 3,458.65 313.80 62. 55 118.78 i 610.00 13, 344. 79 48, 298. 37 7,867. 65 17,083.91 444.83 1, 662.12 473. 51 393.38 262.83 A llow an ces or interest to inm ates__________________________ C ost per inm ate (excluding _____ _______ allow _____ an ces) 1 Inclu des cost o f burial. Joint ch u rch : M essiah N orw egian U n iv er Christian H om e, salist B ro o k lyn , H om e, N. Y. P h iladel phia, Pa. 6 In clu d e d in heat, ligh t, an d p ow er. Land Holdings I n m a n y cases the homes have extensive grounds, some of which are used for gardening purposes, and a few homes have good-sized farms whose crops help considerably in supplying the home with fresh foodstuffs and in keeping down the food expense. One such home has a farm of 704 acres and several tracts of timber, one tract of which covers 84 acres. Another home, whose holdings in farm land are the most extensive of all the homes studied, last year had 1,100 acres planted to corn alone, in addition to 25,500 strawberry plants, about 2 acres planted to raspberries, gooseberries, and currants, and a large orchard. Altogether 1,725 acres are in cultivation. A large part of the expenses of this home is met by the proceeds from the farming operations. The farm superintendent’s report contained the following statement: W e gathered something over 5,000 quarts of strawberries, about 1,000 quarts of raspberries, and several gallons of blackberries and gooseberries. M r. S. harvested a fine crop of 2,125 pounds of excellent honey, which affords us a very wholesome and tasty food for old and young. W e have served fruits and honey generously throughout the year, but still the sales from these sources amounted to nearly $500. W e have butchered all our own meat, buying the cattle and hogs from the farm. W e feed a small bunch of hogs on the garbage, thus pro ducing pork at a very low cost. Our milk is purchased from the farm. W e use 60 gallons a day, almost twice the amount used a year ago. This increase was made so that the whole milk might be served twice daily as per instructions of the executive committee and the home’s physician. Other instances in which ownership of considerable land (usually used for farming) was reported included two Methodist homes owning 125 and 358 acres, respectively; two Episcopal homes owning 500 and 100 acres; a Jewish home with a truck farm whose acreage was not CHAPTER VII.---- BY RELIGIOUS ORGANIZATIONS 157 reported; a Presbyterian home with 294 acres of land; a United Brethren home with holdings of about 490 acres; and three Lutheran homes with 10^2, 50, and 40 acres, respectively. Value of Home Property C o n s id e r a b l e sums are represented in the property of some of these church homes for ^the aged for which the bureau has data. One Lutheran home in Chicago has buildings, grounds, and furnishings valued at over $500,000; and two United Brethren homes have land and buildings worth $929,680 and $91,586, re spectively, while those of an Evangelical home are valued at $140,000 and those of a home of the Reformed Church at $115,000. A large Jewish home which has 400 residents values its holdings at $1,104,962, and another Jewish home has a million-dollar building facing Central Park in New York City. Six Methodist homes for which the bureau has data on this point own property valued, respectively, at $47,780, $102,500, $219,000, $220,000, $347,599, and more than $2,000,000. The quadrennial report of the board of hospitals and homes of the Methodist Church (North),rendered at the 1928 general conference of that church, stated that the value of property owned by 44 M ethodist homes at that time aggregated $6,639,132 and their endowment funds amounted to $3,863,761. Data furnished by the Disciples of Christ show that the six homes of that church own land and buildings valued at nearly $750,000. New buildings are being planned or built in several instances. One such home has just completed a new wing costing $50,000, and another a new 18-room wing, and a third during the fall of 1928 in creased its capacity from 27 to 42. Another has accumulated $5,000 toward an extension to the building. Chapter VIII.—Provision for the Aged by Fraternal Organizations 1 I NQUIRY was made of 71 national fraternal organizations (which could not be classified as organizations of either religious or national groups) as to what, if any, provision was made by the organization for the aged members, through pensions, homes, or relief. Replies were received from 61 of these. Seventeen issue beneficial certificates which can be surrendered for cash benefit, 4 have a pension plan, and 17 operate one or more homes for the aged. Fraternal Insurance ROBABLY the majority of the fraternal organizations provide benefits or insurance of various sorts— sick, death, disability, etc.— and some of these have policies which provide that upon reach ing a specified age (usually 70 years) the policyholder may elect to receive the full cash value of the policy at that time as an oldage benefit. Among the organizations whose policies carry the cash surrender clause are: P Ancient Order of United Workmen. Artisans Order of Mutual Protection. Fraternal Aid Union. Fraternal Brotherhood. Fraternal Reserve Association. Modern Brotherhood of America. Modern Samaritans. Modern Woodmen of America (disability only). Mystic Workers. New England Order of Protection. Protected Home Circle. Royal Knights of King David. Royal League. Royal Neighbors of America (disability only). United Order of the Golden Cross. W om an’s Benefit Association (of Maccabees). The North Star Benefit Association provides that upon reaching the age of 70, the beneficiary may elect to receive the amount of his policy in 10 annual installments. Pension Plans OUR fraternal organizations reported having a pension plan. These were the Arkansas lodge of the Order of the Eastern Star, the Degree of Honor Protective Association, the Virginia Lodge of the Independent Order of Odd Fellows, and the Supreme Tribe of BenHur. The bureau has some data for the first three of these. Order of Eastern Star.— A pension committee of the Arkansas Grand Lodge of the Order of the Eastern Star was created in 1918. The edict under which the committee works limits the amount of pension to $20 per month. In order to receive the pension the applicant must be a member or widow of a member in needy circumstances. F 1 E x cep t organizations of religious and national groups, w h ich are in clu d ed under those headings. 158 CHAPTER V III.— B Y FRATERNAL ORGANIZATIONS 159 During the last fiscal year the committee aided 91 persons, of whom 84 were still on the books at the end of the year. The sum of $14,335 was spent for this purpose during the year. Degree of Honor.— The pension plan of the Degree of Honor Pro tective Association is in the form of advances upon the insurance certificate of the member. A policyholder 65 years of age or over who is without a home or anyone sufficiently interested either as relative or friend to provide for her old age, and who is without income from any source, may deposit her insurance certificates with the home, relief, and fraternal service fund of the association, which will thereupon make “ loans or advances” upon the certificate. The amount so advanced ranges from $25 to $40 per month. These advances must be repaid at the maturity of the policy, any balance remaining at that time being paid to the beneficiary, with “ such additional aid as the board of directors may determine.” On December 31, 1927, there were 13 members receiving such advances, and the total amount so advanced during the year was $2,015. Odd Fellows.— The Virginia Grand Lodge of the Independent Order of Odd Fellows has since 1916 had a pension plan for the benefit of aged members. To be eligible for the receipt of the pension the appli cant must have been a member in good standing (or widow of a mem ber) of the Odd Fellows or a member of the Rebekahs for at least one year prior to application. The applicant must also be aged, infirm, and indigent. The pensions granted by the order range from $10 to $15 per month. The pension is now being paid to 48 persons and the amount so dis bursed during the year ending March 31, 1928, totaled $5,540. Old-age Relief REGULAR system of old-age relief is apparently not common among fraternal organizations. The Fraternal Home Insurance Society reports that it pays old-age benefits to members 70 years of age who show that they are physically disabled. The aged members of the Ancient and Honorable Order of the Blue Goose will in future be provided for under a sy stem of group insurance. The plan was adopted July 1, 1928. A special policy will cover mem bers 65 years of age and over. It was hoped that 75 to 90 per cent of the aged members would be covered by January 1, 1929. The Fraternal Reserve Association reports that it is considering plans for some system of old-age or disability relief work, and the Workmen’s Circle that it has a fund of $5,000 from which assistance is given to indigent members 60 years of age or over. The Pennsylvania grand lodge of the Maccabees gives aid to old people not qualified to enter the home for aged. About 400 are being so aided. Other organizations which have a regular system of general relief or which give aid in certain cases of need (all ages) include: A Ancient and Accepted Scottish Rite of Freemasonry. Ancient Order of United Workmen (Massachusetts grand lodge). Order of Eastern Star (grand lodges of Colorado, Kentucky, Maine, Michigan, Mississippi, North Dakota, Ohio, and Wyom ing). 160 CARE OF AGED PERSONS IN UNITED STATES Equitable Fraternal Union. Improved Order of Red Men. Knights of Pythias. Loyal Order of Moose. Maccabees. Patriotic Order of Americans. Homes for the Aged F TH E 112 homes for aged known to be operated by fraternal organizations which are neither of a religious character nor com posed of national groups, the bureau has secured data for 102. Three organizations stand out in respect to their provision for aged mem bers. These are the Knights of Pythias (including Pythian Sisters), the Masons (including the Eastern Star), and the Odd Fellows (in cluding the Rebekahs).2 These three organizations together account for 98 of the 112 homes and for 88 of the 102 for which data Were secured. The Odd Fellows lead with 47 homes (42 reporting), the Masons follow with 39 (35 reporting), and the Knights of Pythias are third with 12 (11 reporting). The other 14 organizations operate one home each. Some of the fraternal organizations also operate orphanages, sanatoriums, etc., but these, of course, do not fall within the scope of the present study. Where aged and orphans are cared for in the same institution the home was included here. Table 43 shows the distribution, by States, of the homes of the three leading organizations. O T able 4 3 .— D IS T R IB U T IO N OF P Y T H IA N , FOR AGED, M A S O N IC , A N D BY STATES K n ig h ts o f P yth ias ODD FELLOW S’ HOM ES M asons O d d F ellow s State T o ta l num ber A la b a m a ___ __________________________ ______ A riz on a _____ _______________ ________ _______ C aliforn ia__________ _________ ___________________ C olora d o ________ ____________ ___________ _____ C on n ecticu t, ___ ______________________________ D istrict of C o lu m b ia _____________________________ F lo rid a ___ _________ _______ _____ Id a h o _______ _________________________________ Illin ois___________ ________________________________ In d ia n a ___ __________ _____________________________ Iowa__ _ ____________________________ K ansas K e n tu c k y ________________ ________ L ou isian a. ........... _______________________ M a r y la n d . M assachusetts ___________ _______ ___ M ic h ig a n ____ _______ __ ______________________ M in n esota .......................... ............................. .............. 1 1 1 d « In clu d in g 1 Eastern Star hom e. b In clu d in g 1 M a so n ic and Eastern Star com b in ed . 1 N um ber N u m b er N um ber T o ta l T o ta l report report re p o rt n u m ber nu m b e r ing ing ing 1 1 1 « 2 a2 1 »1 1 1 *1 *3 1 1 1 2 b « 1 1 1 ° 1 1 1 3 1 b 1 1 2 1 1 1 1 1 1 1 1 1 1 1 e ]_ c 2 1 1 1 1 1 e c i 1 c 1 O d d F ellow s and R eb ekah s co m b in e d . d P y th ia n Sisters’ hom e. 2 T h e hom es o f the w o m e n 's auxiliaries had to be in clu d ed w ith those o f the m en because som e o f the hom es are operated jo in tly . 161 CHAPTER V III.— B Y FRATERNAL ORGANIZATIONS T a b le 43.— D I S T R I B U T I O N O F P Y T H IA N , M A S O N IC , A N D O D D F O R A G E D , B Y S T A T E S — C o n tin u e d K n igh ts of P yth ias FELLOW S’ HOM ES O dd F ellow s M ason s State T o ta l nu m ber M is sou ri__________ __ _ _______________ ______ ___ M o n ta n a _______ _ _ _ _ _ _ _ __ ___________ __ N ebrask a_____________ ____ _______________________ N e w H am p sh ire__________________________________ N e w J e r s e y ._______ _________ _____________________ N ew Y o r k ________ _____________________ __________ N orth Carolina ________ _____ _________ ________ N orth D a k o ta _____________._ ____________________ O h io________________ ________ __________ _________ O kla h om a_________________________________________ O regon_______________________________ ________ _ P en n sylva n ia_______ _________ __ _____________ R h o d e Isla n d ___ _________ ____ ______ ___________ South D a k o t a ................................ ........... ... .......... Tennessee___________ _________ ___________________ T exa s_________ ______________________________ ______ V erm on t____________________ _________________ __ V irginia_________________ ______ ___________________ W ash in gton _______________ ______ _________________ _____________ _____ _ W est V irginia______________ W iscon sin _____ ___________________ _______ _____ _ T o t a l. ___________ __ ______ 1I n clu d in g 2I n clu d in g 3 In clu d in g 4 In clu d in g 4 In clu d in g 6 In clu d in g ____________ 1 N um ber N um ber N um ber T o ta l T o ta l report report n u m b e r re p o rt n u m ber ing ing ing 1 1 1 1 1 1 13 21 1 1 1 1 13 1 1 1 1 1 1 1 1 1 1 2 2 2 1 1 1 2 2 x3 13 1 2 i2 i1 i 1 1 1 12 i 1 i 1 1 1 i 1 1 1 * 39 « 35 a 47 1 12 11 1 1 1 1 1 35 1 1 1 1 1 a4 6 42 1 E astern Star hom e. 1 M a son ic an d E a stern Star c o m b in e d . 1 O d d F ellow s’ an d R eb ek ah s’ h om e, and 1 R eb ek ah s’ hom e. 7 E astern Star h om es and 4 Eastern Star and M a so n ic hom es. 7 Eastern Star hom es, and 3 E astern Star and M a son ic hom es. 1 R eb ek ah s’ h om e, and 3 O d d F ellow s’ and R eb ek ah s’ hom es. The location of the single homes of the other fraternal organizations is shown below. State Supreme Tribe of Ben-Hur___________________________ _Indiana. Benevolent and Protective Order of Elks____________Virginia. Foresters of America__________________________________ _New York. Knights of D am on ____________________________________ Virginia. Knights of the Golden Eagle_________________________ _Pennsylvania. Knights of M a lta ______________________________________ Do. Maccabees_____________________________________________ Do. Loyal Order of M oose________________________________ _Florida. Neighbors of Woodcraft______________________________ _California. Orangemen_____________________________________________ _Pennsylvania. Patriotic Order of Sons of America__________________ Do. Improved Order of Red M en_________________________ Do. Security Benefit Association__________________________ Kansas. Sons of Hermann______________________________________ Texas. The 100 homes from which data as to number of residents were secured together provide for nearly 8,000 old people. More than $3,000,000 was spent for this purpose last year by the fraternal organizations reporting. The table following shows for the various orders the number of old people provided for and the cost of such provision during the last fiscal year. 162 T CARE OF AGED PERSONS IN UNITED STATES able 4 4 .—N U M B E R O F A G E D IN H O M E S O F F R A T E R N A L O R G A N IZ A T IO N S A N D C O S T O F O P E R A T IO N F O R O N E Y E A R Inm ates T o ta l N um num ber ber of rep ort hom es ing O rganization B e n -H u r _ _ .......................................... ................. ................. E lk s ...................... ............. ............... ..................... ................. K n igh ts o f D a m o n ____________________ _____ _____ K n ig h ts o f M a lta ........................ ......................................... K n ig h ts o f P y th ia s ___________ _________ ____________ M a ccabees ____________________ __________ ___________ M a son s_______________ _________ ___ _______ ____ ______ oose ________________ ______ _____M___________ ____ N eigh bors of W o o d c r a ft__________ __________ _______ O d d F ellow s____ ______ ________________ _______ ______ O rangem en__________________________ ___________ ____ P a triotic O rder o f Sons o f A m e rica . __.......................... R e d M e n .......... ................................................................. .. S ecurity B en efit A ssociation .................................... ....... Foresters o f A m erica .......... ............... ................................. K n igh ts o f the G old en E a gle........ ........... ........... ........... Sons of H erm an n ___________ _____ ______ ___________ _ T o ta l—........................................................ ............. .. 1 N o data. a 10 hom es. * 9 hom es. * 34 hom es; d ata in clu d e children also * 29 hom es; data in clu d e children also 6 D a ta in clu d e children also in 1 case. * 40 hom es; data in clu d e children also 8 Inclu des also cost o f hospital. »99 hom es; data in clu d e children also 100 hom es; aged on ly , n 88 hom es; data in clu d e children also C a p a city of h om e Average num ber in residence C ost of operation last fiscal year 1 1 1 1 12 1 39 1 1 47 1 1 1 1 1 1 1 1 1 1 1 11 1 35 1 1 42 1 1 1 1 1 1 1 21 300 35 35 623 300 4 5,079 200 325 ®4,316 60 85 20 80 16 C1) 0) 9 244 25 35 2 362 20 3, 619 167 67 2,927 30 73 10 65 16 9 0) 0) $112, 000 5, 054 37,317 a 184,442 5,000 * 1,265,745 84,966 0) 7 1,330,440 55,194 16,256 7,162 8 150,000 0) 7,332 0) 112 102 f 10, S95 i° 7, 678 ii 3,260, 908 in 3 cases. in 2 cases. in 2 cases. in 4 cases. in 4 cases and hospital in 1 case. Nearly half of these homes care for an average of fewer than 50 old people each, about one-fifth care for from 100 to 200 persons, and 9 care for 200 or more. The distribution of homes, according to number of aged who are sheltered there, is as follows: N u m ber of hom es Homes caring for— Fewer than 25 persons_______________________________________ 25 and under 50 persons____________________________________ 50 and under 100 persons___________________________________ 100 and under 200 persons__________________________________ 200 persons and over_______________________________________ „ N ot reported______________________________________________________ Total_______________________________________________________ 30 19 24 18 9 2 102 The German Masonic Home of New York was the first fraternal home to be opened, it having started in 1867, but 33 of the 96 homes for which data on this point were obtained were opened before 1900. The distribution of the 98 homes reporting, according to number of years of operation, is shown below: N u m b er of hom es Homes in operation— 1 year or less_______________________________ __________________ 2 and under 5 years__________________________________________ 5 and under 10 years________________________________________ 10 and under 25 years_______________________________________ 25 and under 50 years_______________________________________ 50 years and over____________________________________________ TotaU,_________ _ — _____ _______________98 4 7 11 32 41 3 CHAPTER V III.— BY FRATERNAL ORGANIZATIONS 163 Terms of Admission M e m b e r s h i p in the order is the first requisite in all fraternal homes. In those cases in which there is a required period of mem bership this varies from 1 to 25 years, the most common period being 5 years. In the majority of cases wives and widows of members3 are also admitted, subject to the same requirements, and in a number of cases the mother of a resident or of a deceased member who would have been eligible for admission may also be admitted. The Masonic Home of California also admits adult daughters of deceased members eligible for admission at the time of death, and a number of the other Masonic homes also admit the adult daughter or sister. In order that the benefits of the home may be as equitably distrib uted as possible many of the fraternal organizations establish a quota of admission to the institution. In such cases the lodges have the privilege of sending to the home one resident for every specified number of members in the lodge. In the majority of cases admission to the homes of the fraternal organizations is limited to those who are indigent and “ unable to support themselves by reason of age and indigence, sickness, or infirmity.” In a few cases, however, it is provided that persons with private means may be admitted upon terms mutually agreeable to home and applicant. The Illinois Pythian Home specifies that it will not admit any member “ whose affliction, disability, pr indigency has been caused by his own misconduct, dissipation, or improper mode of living” ; and, further, that should any resident, after^ being; admitted, become able to support himself or cease to be indigent, he shall be discharged from the home. Almost without exception it is required that the applicant be of good moral character, of temperate habits, and free from mental, infectious, or contagious diseases. Persons unable to dress and care for themselves are usually specifically excluded, but the Masonic Home of California, the Odd Fellows’ Home of Kentucky, and the Pythian Home of California provide that provision may be made for the maintenance of such persons in sanatoriums or other appropriate institutions. The following is a common provision in this connection: The home is a home for aged and indigent, who can care for their daily necessary wants, and not a hospital or sanitarium for the care of the sick or disabled, or those who are suffering with incurable, infectious, or contagious diseases, or from any other causes which have already rendered them unable to care for their daily wants. Hospital facilities are provided for those who are taken sick or become disabled after they have become residents of the home, but no provision is made in the law to accept applicants who are already too sick or too disabled to take care of their physical wants. One of the two Masonic homes in Pennsylvania maintains a large hospital in connection with the home, accepting persons who are disabled at the time of admission. Age.— Of the 102 homes reporting 64 have no age limit on admit tance. Of the remaining 38 which do have an age requirement, 5 3 O rphans or h alf orphans, as w ell, in m a n y cases. ( care of aged persons in UNITED fst a t e s F i g u r e 2 2 - I o w a O d d F e l l o w s * Ho m e , at Ma s o n c it y , W h ic h cost $177,000 CHAPTER V III.— BY FRATERNAL ORGANIZATIONS F i g u r e 2 3 - B e n -Hu r H o m e , at c r a w f o r d s v il l e , in d . 05 Or 166 CARE OF AGED PERSONS IN UNITED STATES place the age at 50, 2 at 55, 18 at 60, 9 at 65, 1 at 67, and 1 at 70, while 2 require merely that the applicant be “ old.” Admission je e .— The charging of an admission fee to the home is very uncommon among fraternal organizations. The Maccabees’ Home admits without fee beneficial members in the order; social members who carry no insurance in the order must, however, pay $200 per year if admitted to residence. Lodges of other States than Pennsylvania must also pay $200 per year for each of their members who is at the home. An admission fee of $500 is required at the Orangemen’s Home. Property.— Fifty-six homes have no property requirement, 41 require that any property or income possessed must be turned over to the home, 1 requisitions two-thirds of such property, 1 requires the forfeiture of all income over $20 per month and 1 of all over $60 per year, and 2 admit indigents only. Other requirements.— Only 27 homes have any nationality or racial requirements. Of these, 13 require that the applicant be white, 10 that he be “ American,” 1 that he be an Anglo-Saxon, 1 that he be colored, 1 that he be German, and 1 that he be a native of the State in which the home is located. Six homes require that the applicant be a Protestant. Clothing.— Almost without exception the local lodges are required to provide all aged members seeking admittance to the home from their lodge with suitable clothing— usually for one or two years. (In some cases a detailed list of the articles required is given.) Generally the home furnishes any clothing needed thereafter, but in some cases the local lodge must continue to bear the clothing expense and see to it that its residents are “ decently and properly clothed” as long as they continue in residence at the home. Benefits Provided M e d i c a l care is provided in all of the 98 fraternal homes reporting on this point. Of these, 27 have a resident physician, 70 have one or more resident nurses, and 11 have either a hospital or infirmary in the institution. Of those who have resident nurses, 6 have 2 nurses, 5 have 3, 1 has 4, 1 has 6, 1 has 11, and 1 has 24 nurses. In a number of cases physician members of the order donate their services to the home. The Iowa Odd Fellows’ and Orphans’ Home has a hospital building which cost $47,000, and the Masonic Home of California a hospital building with accommodations for 20 patients, which was presented to the organization by one of the officers. The Masonic Home of Ohio (fig. 24) has on its extensive grounds a hospital building con taining 140 bedrooms, an isolation ward with 14 beds, diet kitchen on each of the three floors, a dental laboratory, consulting rooms, 11 solariums, an auditorium, and a large dining room and kitchen. One of the Masonic homes in Pennsylvania has a 110-bed hospital on the home grounds. Recreation and amusements are provided for the old people in 76 homes. The recreations so provided range from those characterized as “ limited,” “ ordinary,” “ usual” to those which represent the result of a good deal of time and thought. Among the recreations specified are radio, motion pictures, entertainments of various sorts, concerts, rides, games, etc. CHAPTER V III.---- B Y FRATERNAL ORGANIZATIONS 167 In addition to providing for all the wants of the residents, six homes (three Masonic, three Odd Fellows’) pay interest on property made over to the home at the time of admission. Twenty-one homes make allowances to the residents to cover their small needs and for spending money. Of these one allows each resident $1 per month, one $2 per month, one $3 to $10 per month, according to the circumstances, and in one each resident receives $1 per month from his local lodge. Burial.— A number of organizations provide that when a resident of the home dies he shall be buried in the home cemetery at the ex pense of the home (in some cases this is subject to a fixed maximum); in case relatives or the local lodge desire that other disposition be made of the body it is often specified that the expense of removal and burial must be met by the relatives or lodge. Other organizations require the resident’s local lodge to defray all funeral expenses. Duties of Inmates R e s i d e n t s are expected to cooperate with the management in every way possible, to be friendly and courteous, prompt, and neat, and to do everything possible to make the home atmosphere pleasant. In many homes the residents are also required to do such light chores and perform such services as their age and physical condition will permit; 62 of 91 homes reporting on this point make this requirement. These duties include making beds, washing and wiping dishes, setting the tables, etc. In 30 homes there is no requirement in this respect, but 12 of these permit the old people to assist around the place if they care to. Among the services performed by the inmates of one home, as reported by the matron, are: “ The care of the poultry, tending the cows in pasture, firing the boilers and keeping the basements clean, a quantity of carpenter w^ork and painting work, preparing fruits for canning and vegetables for the tables, helping in the garden and picking fruits, mending and darning and making of all new material into sheets, pillow cases, table linen, etc., assisting in office errands for hospital, washing of dishes and dining-room work, cleaning of parlors every day, washing windows, etc. All hives have some drones, but we find that these are not our happy and contented residents. I am telling you these facts, as I am often asked whether the residents, who are able, do any work in the home.” Support and Administration of Home F r a t e r n a l homes for the aged receive support in a number of ways. The most common is through a per capita tax levied upon the general membership. Many homes have established an endowment fund or are endeavoring to do so,4 this being built up from voluntary assessments, gifts, bequests, etc. Also, in many cases the home is run by a separate association which the local lodges are expected to join and which individual members may join for varying fees, as annual, honorary, life, etc., members. The Masonic Home of California requires each new member to pay a fee of $25, which goes to * T h e en d ow m en t fu n d o f the M a so n ic C h a rity F o u n d a tio n o f C o n n e cticu t arpounts t o $316,489. CARE OF AGED PERSONS IN UNITED STATES 168 the support of the home, and although a small per capita tax is levied upon the membership, so great has been the number of acces sions to the order that the fees have been sufficient not only to pay the cost of operation but also to pay for the construction of new buildings. F ig u r e 2 4 —L o b b y and L ib r a r y in m a i n B u il d in g of O h io M a s o n ic H o m e , S p r i n g f i e l d , O h io Donations of furnishings, household supplies, as well as canned and other foods form a considerable item in the operation of many of these homes. Usually a separate board of trustees manages the home, these trustees being so appointed or elected as to be representative of various districts of the fraternal jurisdiction. 169 CHAPTER V III.— B Y FRATERNAL ORGANIZATIONS Cost of Operation of Homes T h e per capita cost of operation varies according to the size of the home, the service given, etc. Naturally those homes which furnish such items as burial, clothing, medical and nursing service, etc., cost more per resident than those which furnish only board and lodging. The per capita cost in the various homes studied ranged from $33.33 to $911.24, the average for this group of homes being $457.03. In some instances where the home is run in connection with a hospital or orphanage, it was impossible to segregate the cost chargeable to the old people’s home. The range and average per capita cost for those homes for which such information was available in usable form are shown in Table 45 : F ig u r e 2 5 —A s s e m b l y R o o m T able 4 5 .— P E R at M in n e s o t a Ma s o n ic H o m e , B l o o m i n g t o n , M in n . C A P IT A C O ST O F O P E R A T IO N O F H O M E S O F F R A T E R N A L O R G A N IZ A T IO N S C ost of operation per inm ate per year Spon soring organization L ow H ig h E l k s 1......................- ........... ..................... K n igh ts o f D a m o n *............... ............... K n igh ts o f P y t h i a s . ______________ M accabees i _________ _______ ________ M a s o n s _____ _______________ _____ ____ M o o se i - _____ _______________________ O d d F e llo w s ..................... ............. ......... R e d M e n 1........... ................... ............. .. P a triotic O rder o f Sons o f A m erica 1 $459.02 . $459.02 202.16 911. 24 250.00 796. 57 508. 78 908. 25 716. 20 A ll h om es....................................... 33. 33 911. 24 i 1 home only. 202.16 288.88 250. 00 200 00 508.78 33. 33 716. 20 222. 68 . 222 68 A verage $459. 02 202.16 517.22 250.00 474. 68 508.78 438.03 716.20 222.68 457.03 CARR OF AGED PERSONS IN UNITED STATES F ig u r e 2 6 .- o n e of the S un r o o m s at the O dd Fe l l o w s ’ Ho m e of P e n n s y l v a n ia CHAPTER V III.— B Y FRATERNAL ORGANIZATIONS 17 1 The bureau has data showing detailed figures of operating expenses of four fraternal homes, two of which are Masonic homes and two those of the Odd Fellows. The itemized expenditures of each of these four homes are given in Table 47. In the last line of the table is shown the annual cost of operation per inmate. It is seen F ig u r e 27.—B e d r o o m at I n d ia n a P y t h ia n H o m e , I n d ia n a p o l is , in d . in this connection that this average cost is much higher for the Masonic Home of Illinois than for the others, but this is due to the unusually large expnediture for repairs in that home. In each case expenditures (where made) for permanent additions to the home plant were omitted, as it was felt that such costs are not properly chargeable to the current operating expenses of any one year. 35777°— 29------- 12 CARE OE AGED PERSONS IN UNITED STATES bO F ig u r e 2 8 .- O n e o f the Bun galow s for o l d pe o p le at m o o s e h a v e n . o r a n g e Pa r k , Fl a . CHAPTER V III.---- BY FRATERNAL ORGANIZATIONS T able 4 6 .— O P E R A T IN G EX PE N SES OF F R A T E R N A L H O M ES FO R ONE Y E A R M a son ic H om e of California, D e co to , Calif. Item M ason ic H om e of Illinois, Sullivan, 111. O dd O dd F e llo w s’ F ellow s' H om e, H om e, Stuyvesant, G rov e C ity , N. Y. Pa. Salarifis and wngpis _ ....... $11,926.30 $22, 794. 50 $1,805.00 27,912. 66 30,075. 87 G roceries an d m eats- _ __________________________________ 3,204.69 C lo th in g ........................ ..................................... ........... ......... .. __ 1,978.13 1,688. 67 L a u n d ry an d supplies____ _________ ____ ______________ 3,183. 83 4,101. 86 T elep h on e an d teleg ra p h -_ __ _ _______________________ 394. 93 40.16 H eat, light, and p o w e r___________________________________ i 7,360. 68 8,971.21 1,116. 65 W ater and ice —_________________________________________ _ D ru gs and m edical su p p lies_________ ___________________ 425.02 M ed ica l and h ospital c a r e _________ __ _________ ____ 2 8, 719. 38 12,236.85 79.23 P rintin g and office supplies _____________________________ 234.04 121.47 R epairs to eq u ip m en t a n d structu res. _ _ ___________ 1,499.88 ~l6~935.’ 89~ 165.89 9,742. 22 R ep lacem en ts__________________________ _____ _____________ 1,385.11 291.70 T ran sp ortation ________________________ ______ _____________ 1,100. 69 6.10 R ecreation _________________________ _____________________ 5,042.14 762.05 .........345.~45~ In su ran ce.__ _________________________________________ T axes__________________________________________ _____ _____ 55.92 M iscellaneous____________________________________________ 3 23,194.66 4 7,060. 22 957.56 T o t a l - . ____ ________ ________ _______ _______________ Cost per inm ate_____________________ 1 Inclu des a Inclu des 3 Inclu des 4 Inclu des 6 Inclu des 173 _ ..................... 89,132. 65 119,594.14 353. 27 778.12 «8,189.79 282.44 | $12,310.34 5,403.97 607.38 940.92 33.15 2, 298.49 646.55 344.55 449.50 880. 32 1, 653.40 186.88 2.25 25.00 4 3,086.76 28,869.46 246. 75 w ater. dental expense. $6,133.11 for farm expenditures, freight, and certain expenses o f k itch e n and din in g room . burial expense. farm expenses. A number of fraternal homes have extensive land holdings in connection with the home, some of which in a number of cases is used for farming purposes. The farm does not always prove an asset in dollars and cents—in some cases the cost of operation is greater than the value of the crops produced— but the residents are in this way supplied with fresh fruits and vegetables that they might not otherwise have. The 42 Odd Fellows’ Homes for which the bureau has data relating to the land holdings have a combined acreage of 5,007 acres. In 2 cases the grounds are less than 5 acres, 9 homes have from 5 to 25 acres, 11 have from 25 to 100 acres, 11 from 100 to 200 acres, and 9 have 200 acres or more. Of the last group, one home has 316 acres, one 350 acres, and one 476 acres of land. Seven Masonic homes report farms, but there are undoubtedly many more which also have farms but did not think to mention this feature. Of these seven, one has holdings of 150 acres, one of slightly over 267 acres, one of 271 acres, one of 400 acres, and one of more than 1,000 acres. This last-mentioned home, in addition to raising enough produce to supply the home table, sells some $30,000 worth every year. The Pythian Home of Indiana has land amounting to 135 acres, and the Kinkora Pythian Home of Pennsylvania (fig. 29), 2,700 acres. The Security Benefit Association Home in Topeka, Kans., has 404 acres of ground. Homes Proposed or in Process of Building T h e Woodmen’s Circle reports that that society has acquired a tract of 214 acres in Sherman, Tex., upon which a home for aged members will be built “ at an early date.” Two needy members are now being 174 CARE OF AGED PERSONS IN UNITED STATES assisted by the payment of a small monthly allowance until such time as the home is ready. The Daughters of America is building a home for aged at Tiffin, Ohio. It is expected that the cost will reach $250,000, and that it will be two years before the building is ready foi* occupancy. Only members in good standing who have belonged 1o the order for 20 years and have reached the age of 65 years will be eligible for admission. The Workmen’s Circle reports that it has for the past seven years been accumulating funds which will ultimately be used for the F i g u r e 2 9 —G a r d e n at K i n k o r a P y t h ia n H o m e , D u n g a n n o n , P a . erection of a home for aged members. The secretary states that as few of the members have as yet reached their sixtieth year, the problem has not become urgent. The few who need aid now re ceive it from a relief fund. By the time there is a sufficient number of old people to make a home necessary it is thought that sufficient funds will be available to start one. Other organizations which are accumulating funds for this purpose are the Ancient Order of Gleaners, and the Eastern Star grand lodges of Delaware, Mississippi, Nevada, North Dakota, and South Carolina. The Virginia Grand Lodge of the Knights of Pythias expects to have a home for the aged “ at some future time."7 Chapter IX.—Care of the Agecl by Various Nationality Groups 1 Old People’s Homes HERE are known to be 37 homes for the aged supported by national groups. In several instances the home is sponsored by a fraternal organization. On the 33 homes for which some data were obtained, 2 are run by groups of British birth or ancestry, 2 by Bohemians (Czechoslovaks), 1 by French, 12 by Germans, 1 by Mexicans, 12 by Scandinavians (Norwegians, Danes, Swedes), 1 by Scotch, 1 by Swiss, and 1 by Welsh. The location of one Scandinavian home is unknown. The other 32 homes are located as follows: T N um ber British: 1 Illinois____________ New Y o rk ________ 1 Czechoslovak: Illinois. ___ 2 French: New Y o rk ___ 1 German: California_________ _______ __ 1 Illinois____________ __________ 1 Indiana___________ _______ __ 1 Kentucky_________ _______ __ 1 Maryland_________ _______ __ 1 Massachusetts____ _______ __ 1 Missouri___________ _______ __ 1 New Jersey___________________ ___ 2 N um ber German— Continued New Y o rk _______ Ohio_____________ Mexican: Arizona___ Scandinavian: Illinois___________ Massachusetts__ Minnesota_______ New Y o rk _______ Wisconsin_______ Scottish: Illinois_____ Swiss: New Y o rk ____ Welsh: Pennsylvania. 2 1 1 The 32 homes from which data as to capacity were obtained can accommodate 1,750 old people; the average number in residence, however, aggregates only 1,601. The groups sponsoring 29 of these homes spent for their maintenance last year nearly $600,000, the data for 3 homes being not reported. The details for the various nationality groups are shown in the table below: T able 4 7 .—N U M B E R O F A G E D P E O P L E IN H O M E S O F S P E C IF IE D N A T IO N A L IT Y G R O U P S , A N D C O ST OF O P E R A T IO N F O R O N E Y E A R Inm ates N a tion a lity group N um ber o f hom es reporting B ritish ............ ....................... .......................... ........... ................... C z e c h o slo v a k ............ ........................................................... ......... F ren ch .............. ___............................... ............. ......... ................... G erm an .................. ........................................... ........... ................. .. M e x ica n ........... ....................................................................... ......... S candinavian....... ................................................................... ....... S c o t t is h ............................................................................................ Sw iss................... ............... ............................................................... W elsh ___________________________________________________ T ota l C a p a city o f h om e A v erage n u m ber in residence A n n u al cost of operation 2 2 1 12 1 Ml 1 1 1 90 100 15 930 12 507 50 40 6 90 74 15 875 12 453 37 39 6 $39,515 24,690 3, 214 a 267,744 11, 750 138,079 25, 685 15,000 2,500 fa 32 1,750 1,601 c 528,177 » 9 hom es. N o t including 1 h om e w h ich d id not report on these points. 0 29 hom es. 1 A ll Jewish hom es were classified in this stu d y as “ religious philanthropic. ” ter V I I , p. 128. F o r data on these, see C h ap 175 176 CAKE OF AGED PERSONS IN UNITED STATES Most of these homes are institutions of moderate size, housing fewer than 50 persons each. The table below shows for the various nationality groups the homes having classified numbers of residents: T a b l e 4 8 . —H O M E S O F S P E C I F I E D N A T I O N A L I T Y G R O U P S , C L A S S I F I E D B Y A V E R A G E N U M B E R OF R E S ID E N T S N u m ber of hom es, w ith classified n u m ber of resideni s N a tio n a lity group 25 and under 50 Less than 25 B ritish __ .......................... ............ C zech oslovak ___________________________________ F ren ch ______ ___________________________________ G erm a n ____________ ____________________________ M e x i c a n . ___ ______ ___________________________ Scandinavian _ ______________________________ S c o t t is h ._ ___________ _________ ________________ Swiss . ________________________________ ___ W elsh .......................... ............... ......................... 1 2 1 4 50 and upder 75 1 2 1 75 i 100 and £ind under under 100 200 5 2 1 1 4 1 1 1 1 1 14 4 2 2 T o ta l 200 and over 1 1 9 T o t a l .___________ ________________________ 1 2 2 1 12 1 i 11 1 1 1 i 32 1 N o t includ ing 1 h om e w h ich did not report on this p oin t. The Swiss Home for the Aged, at Mount Kisco, N. Y., was the first of these homes to be established; it has been in existence since 1873. More than 70 per cent of these homes have been in opera tion a decade or more. The following table shows the age distribu tion of the homes: table 4 9 .—A G E D IS T R IB U T IO N O F H O M E S F O R A G E D OF S P E C IF IE D N A T IO N A L IT IE S N u m ber in existence N a tio n a lity of sponsoring group B ritish 2 and 10 and 25 and 50 years 5 and under under under u nder and 5 years 10 years 25 years 50 years over ._ ._ __________ ____ __ 1 ._ . . 1 1 OAnhnslova.k F r e n c h __ __________________ ________________________ Oflrman M ex ica n _________ __________________________________ ____ S can d in a via n ________________________________________ . . Scottish . __ ___ _____________________________ Swiss _____ ______________________ _______ W elsh ________________________________________________ 1 2 T o ta l. ____________________________________________ 5 2 2 1 12 1 1 _i. ______ 1 3 8 i 2 5 1 2 T o ta l 1 1 i 11 1 1 1 i 32 1 1 4 11 11 1 i N ot in clu d in g 1 not reported. Terms of Admission I n m o s t instances the first requirement for admission to these homes is that the applicant be of the same nationality as the group sponsoring the home, or of that descent. Of the 31 homes reporting on this point, 22 make this requirement and one adds that the applicant must also “ understand the Swedish language.” The presi dent of the British Old People’s Home in Hollywood, 111., writes that the home association is very lenient in this respect, and more than 20 per cent of the residents are Americans. In another home, ! CHAPTER I X .— BY NATIONALITY GROUPS F i g u r e 3 0 - V ic t o r ia H o m e for A g e d B r it is h M e n and W o m e n , O s s i n i n g , N. Y . F ig u r e 31.—S c o t t is h O l d P e o p l e ’s H o m e , R i v e r s id e , I I I . CHAPTER I X .— BY N ATIONALITY GROUPS 179 a Norwegian institution, while there is no hard and fast requirement in this respect, applicants of Norwegian birth or descent are given preference. In a number of instances the home is sponsored or supported by an organization, fraternal or otherwise,2 and in these cases the ap plicant m u s t usually be a member of that organization. Thus, the Fritz Reuter Altenheim, at North Bergen, N. J., requires that applicants must be recommended by a society which is a member of the Plattsdeutsche Volksfest-Verein. In general the applicant must be of good moral character and in as good physical condition as could be expected, having regard to his age; and in some instances the application must be accompanied by a physician’s certificate to that effect. Some homes specify that the person desiring admittance must not be “ afflicted with any chronic disease, physical or mental.” Two Scandinavian homes in Wisconsin make the following pro vision in this connection: Persons suffering from insanity, contagious, repulsive, and incurable diseases will not be admitted as members of the home. In case any one of the residents of the home, in the opinion of the board of directors, should become in such degree diseased in mind or body, that the condition of health within the home or comfort of the other members would suffer thereby, such patient shall be transferred to a more fitting place, in case the physicians shall counsel such step. The afssociation shall not be held responsible for such person’s support after their removal; there shall be no obstacle, however, preventing the board of directors from rendering such support as they deem right and proper. Two homes (one German and one French) admit persons of both sexes but not as married couples, the Welch home admits women only, while all the rest take in not only both sexes but married couples as well. The Scottish Old People’s Home, at Riverside, 111., says in this connection: The separation of aged married couples is one of the tragedies of life. In the Scottish Old People’s Home provision is made that such couples may enjoy each other's companionship. * * * It is unusual, perhaps, for a man and his wife to be in a home for the aged at the same time. Usually it is the loss of a husband or a wife which makes it necessary for the survivor to seek refuge in a home of this kind. But there are cases of aged married couples applying for admission to such institutions. The usual custom is to separate them on their admission, thus adding to their cares and burdens. It was the thought that an aged couple who had shared together the joys and sorrows of life, who had together borne the heat and burden of the day, might be together in the twilight of their lives to enjoy each other’s companionship that caused the builders of the Scottish Old People’s Home to make provision for such cases. Age.— All the 32 homes reporting on this point set an age limit on admission, below which admission is refused. In 1 home this age is set at 50 years, in 4 at 60 (1 of these takes women at 55), in 1 at 62, in 23 at 65 (2 of these take women at 60), and in 3 at 70 years. Admission fe e .— Only six of the homes require no admission fee. In the other 27 varying amounts are required: In 1 home $300 to $500; in 12 homes $500; in 2 homes $800; and in 4 homes $1,000. In 5 homes the fee varies with the financial means of the applicant, and in another case it is required that if the resident has sons they must pay the home $30 per month as long as the parent remains in the 2 Som e of these organizations are: St. A n d re w Society, D aughters o f the B ritish E m pire, In depen den t O rder of V ikings, Indepen den t Order o f S vithiod, Swiss B en evolen t Society, F ren ch B en evolen t S ociety, Sociedad del Socorro, A ften ro Society, P lattsdeutsche V olksfest-V erein, etc, 180 CAKE OF AGED PERSONS IN UNITED STATES home. One German home in California has a scale of admission fees based upon the age at the time of admission. The rate varies from $2,500 for persons 80 years of age at time of entrance to $4,500 for persons 65 years at time of entrance; for persons over 80, special terms are made by agreement. One home has no fixed admission fee; persons having property must turn this over to the home, this entitling them to life care. In other cases a weekly rate of $7 (less, if the applicant is unable to pay) is charged. Some of the homes which require a fixed admission fee also take free, in certain cases, persons who are unable to pay the required fee, or reduce the entrance fee in such cases. Property.— In general these homes are maintained for persons who have little or no property or an amount which is insufficient for sup port. (One home takes only persons who are “ homeless and for saken.” ) Since the homes are operated on a semiphilanthropic basis, 19 require that what property or income the applicant has must be made over to the home at time of admission. Six of these, however, pay the resident the income from, or a certain rate of interest upon, all turned over in excess of the admission fee. Other requirements.— Four homes (three German, and one Czecho slovak) make religious requirements. The Czechoslovak home re quires that the applicant be a Roman Catholic, while two of the German homes require that the applicant be a Protestant, and the third that he be a Christian. Benefits Provided G e n e r a l l y , an a ttem p t is m ade in these hom es to m ake the insti tution seem as hom elike as possible. Of the 33 homes, 31 provide medical care for residents, 1 does not do so, and 1 did not report on this point. In most instances the home has a regular physician who is on call for any services needed, besides making periodic visits; while in 8 homes there is a resident physician. Seventeen homes have a resident nurse (in one case two nurses), and in another home the matron is a nurse. Two institu tions have a hospital or infirmary in connection with the home. In 19 cases, an effort is made to provide recreation for the old people who are spending the remainder of their lives at the home. In two other cases the residents find recreation in the garden and grounds. One home makes a practice of celebrating the birthdays of the residents, another gives concerts for them, a third provides en tertainments and excursions of various sorts, and a fourth gives pic nics for their benefit. One home has theatricals every Saturday afternoon besides occasional concerts. In one home motion pictures, reading, and music form the recreation of the old people who are living there. Allowances for “ pin m oney” are made by three homes, one does so “ in special cases,” and another “ if necessary.” As already men tioned, six homes pay the residents interest on any property that they may have turned over to the home in excess of the required admission fee. Two of these homes pay interest at the rate of 3 per cent, one at 4 per cent, and two at 5 per cent. 181 CHAPTER I X .— B Y NATIO NALITY GROUPS Duties of Residents T h e h o m e s are about evenly divided on the question of requiring that the inmates give their services in prescribed duties. Beyond asking, as all homes do, that the residents be peaceable and courte ous, 17 homes require no assistance from the old people though in 4 of these cases volunteer work is welcomed. Fourteen homes require that the inmates perform such light duties around the institution as they are able to or as may be asked of them. Support of Home F i n a n c e s are generally a constant problem with homes run by private philanthropy and most of these homes are no exception to this rule. One home reports that— The maintenance of the home has been a constant struggle ever since the opening of its hospitable doors. In spite of the most rigid economy and the utmost efficiency in management, the end of each fiscal year has shown a deficit. The aged men and women in the home have never felt the financial stringency, however. They have always been cared for as tenderly as if there were unlimited funds at the disposal of the management. Various means are resorted to, in the attempt to provide funds. The entrance fees of the residents are generally by no means suffi cient to cover the expense of operation. Therefore, tag days, bazaars, concerts, card parties, etc., are often given by the sponsoring asso ciation; contributions from the charitably minded are, of course, always welcome. Where the home is sponsored by an organization the membership fees from the organization help to swell the income of the home. In a number of instances, also, the home is endeavoring to raise an endowment fund the income from which will help to cover the home expenses. The Scottish Old People’s Home at Riverside, 111., the British Old People’s Home at Hollywood, 111., and the Norwegian Old People’s Home of Chicago, are among the homes which are endeavoring to improve the financial stability of the home by building up a large endowment fund. Cost of Operation P e r c a p it a cost of operation varies considerably in these homes, ranging from $201.47 to $979.17, and averaging $345.94 for the group. The low and high figures and the average cost, by nationality, are shown in Table 50. T able 5 0 .- -P E R C A P I T A C O S T O F O P E R A T IO N O F H O M E S F O R A G E D N A T IO N A L IT Y P er capita cost P er capita cost N a tion a lity group N ation a lity group L ow B ritish ______________ C zech oslova k _______ French 1..... ............... .. G erm an . .................... .. M exica n ^ O F V A R IO U S GROUPS $320.00 237.43 214. 27 204. 08 979.17 11 home. H igh $484.85 420.00 214.27 650. 76 979.17 A verage $439.06 333. 65 214. 27 342. 38 979.17 L ow H igh A v erage S cand ina via n ______ Scottish i __________ Swiss 1_____________ W elsh i ____________ $201.47 694.19 384. 62 416. 67 $536.12 694.19 384. 62 416. 67 $304.81 694.19 384.62 416. 67 A ll h om es___ 201. 47 979.17 345. 94 182 CARE OF AGED PERSONS IN UNITED STATES As is seen, the highest average per capita cost of operation in this group is that of the Mexican home. Since detailed data as to items of expenditure are not available for this home, the reason for this high figure can not be ascertained. The lowest average cost was that in the French home. The bureau has data as to operating expenses of four of these homes operated by national groups. These are shown in detail in the table below. These figures do not tell the whole story, however, since contributions of food— vegetables, fruit, canned stuff— and even of household supplies and furnishings often form a considerable item in the upkeep of the home. The expenses given do not include in any case permanent additions to the home (such as the erection of a new wing), as it was felt that an outlay for such a purpose was not properly chargeable under current expenses for any one year. T able 5 1 .— O P E R A T IN G E X P E N S E S OF H O M E S F O R N A T IO N A L IT Y G RO U PS AGED B ritish B ritish O ld P eop le’s H om e, H o lly w o o d , 111.1 Ite m ...................... ................... ........... ....... Salaries and w ages Groceries and m eals____ ______ ______ ____________________ C loth in g _________________ ________________________________ L a u n d ry an d supplies. _________ ______________________ T eleph on e and telegraph__________ ______________________ H ea t, ligh t, and p ow er. ______________________ __________ W ater and ice __ ___ ___ _ _. _. __ _________ _ D ru gs an d m edical su pplies. __________ __ ____________ M ed ica l and hospital care___________________ ___________ ___ _________ _. _________ P rin tin g and office supplies R epairs to eq u ip m en t and structu res___________________ R ep lacem en ts____________ ________ ____________ ________ T r a n s p o r t a t io n ___ __________ ________________ _______ R e c r e a t i o n . _________________ ______ _. _______ _______ Insu ran ce____________________ _____________________ ______ T a x e s ___ . . . ________ __ _________________ _ M iscellaneous ____ ________ ________ _________________ $7,801.35 6,878. 80 21.27 765.80 399.85 3,912. 35 428. 38 525. 23 970. 50 2,059. 96 376. 89 336. 45 16.29 660. 53 13.89 3 1,474. 85 OF S P E C IF IE D Scandinavian V ictoria H om e, O ssining, N. Y. D an ish O ld P e o p le ’s H om e, C h icag o, in . $2, 746. 57 2,127.74 $3, 736. 05 6,212. 29 300.14 66.05 743. 69 59. 75 60.00 110. 30 346.12 87. 57 357. 35 52.13 2,320. 94 498. 40 401. 62 273.19 920.57 947.00 D anebo H o m e for A ged, M in n e a p o lis, M in n . $1,902.15 2,432. 20 104.47 118. 58 1, 023. 93 25.84 233. 67 124.09 448.01 351.81 2 170. 69 95.76 216.00 3 546.98 3 241. 54 30.00 144. 58 318. 98 T o t a l . _______ ___________________ __________ _______ 26,642. 39 7, 461. 36 16,177.08 7, 258.41 A llow an ce for interest to inm ates _ ___ ____________ C ost per inm ate per year (excluding allow ances) ........... 99. 35 327. 91 172.24 298. 45 294.13 578.90 302.43 1 D ata are for 15 m onths. 2 Inclu des $128.36 for “ Christm as ch eer.” 3 Inclu des cost o f burial. Other Provision for the Aged ERTAIN of the fraternal beneficial organizations of the various nationality groups furnish relief to their aged members. Thus, the Western Bohemian Fraternal Association has an “ aid fund,” available for cases of need arising from various causes, includ ing old age. The “ aid” consists of loans (bearing interest at 5 per cent) against the beneficiary certificate of the member, the total amount of which is deducted at time of death from the amount of the certificate. The Danish Brotherhood in America has an “ old-age relief fund,” benefits from which may be paid after the member has reached 65 C CHAPTER I X .— B Y N ATIO NALITY GROUPS 183 years of age. Only persons who have become members of the fund are eligible to benefits from it. The National Slovak Society has an “ indigent fu n d /’ but this is a general relief fund not primarily for the aged. The Polish National Alliance of America has an old-age relief fund, benefits from which become payable only after attaining the age of 70 years. The Bohemian American Union and the Scandinavian-American Fraternity issue beneficiary certificates one-tenth of which becomes payable each year for 10 years, after reaching 70 years of age. The latter organization also has an emergency fund to be used for the relief of needy cases. The Royal Highlanders, the Croatian Fraternal Union of American, the Bavarian National Association of North America, and the Knights of St. George all have a system of relief through which aged members may receive assistance, in the first three organizations at 70 years and in the fourth at 60 years of age. The Steuben Society of America handles all needy cases on their merits, as occasion arises, having no regular relief system, while the Polish Union of the United States of North America provides that holders of a certain class of certificates may, after 20 years' uninter rupted membership and upon reaching 65 years of age elect to receive, from the death benefit, one-half of the amount for which they are insured. The remaining half is either paid to the beneficiary upon the death of the member, or may be in the form of an endowment. The Association Canado-Americaine has a fund for care of the aged, constituted by voluntary contributions of 25 cents a year per member. At present this fund is used to keep in force the insurance policies of aged members who are unable to do so themselves. The management is desirous of having the contribution made compulsory upon the members, as this would enable the fund to undertake such other services as giving hospital care, paying an old-age pension, or providing for the care of aged members in some good home. The report states that “ this can undoubtedly be done later. ” The German Beneficial Union has at present no provision for caring for its aged needy members, but reports that the matter may be considered at the 1929 convention of the order. Members of the Czechoslovak Protective Society, as w^ell as those of other Bohemian societies are cared for in the Bohemian Old People’s Home in Chicago. It is expected, however, that the whole subject of care of the aged will be taken up at the next convention in 1930. The Polish Association of America reports that it has an old-age pension system, but the bureau has been able to obtain no information regarding it. Chapter X .—Old People’s Homes of Other Organizations T HE bureau has data for 38 homes operated by organizations of various sorts. These homes are located in the following States: N u m b e r of hom es N u m b e r of hom es ___ __ ______ . . . _____ California _________ Connecticut _________ District of Columbia _________ Illinois _________ Indiana Kansas _ . _________ Michigan _________ Minnesota Missouri _________ _________ Nebraska 3 2 1 2 1 1 2 2 3 2 New Hampshire __ ____ New York _____ Ohio ____ _ Oklahoma Pennsylvania Tennessee Vermont Virginia .. _ Washington. _________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ 1 4 4 1 5 1 1 1 1 These homes have accommodations for 1,845 aged persons, but the average number in residence is more than 400 below that number, or 1,462; only 15 of the homes reporting are filled to capacity. Over half a million dollars a year is spent for the operation and maintenance of these homes. Some of the homes for soldiers or their widows receive a certain amount of assistance from the State and one a small yearly appropriation from the United States Government. The details are shown in the table below: T able 5 2 .— N U M B E R O F A G E D I N H O M E S O F V A R I O U S O R G A N I Z A T I O N S A N D C O S T OF O P E R A T IO N F O R O N E Y E A R Inm ates N um ber o f hom es reporting Sponsoring organization W o m a n ’ s C hristian A ssociation 1___________ _____________ W o m e n ’s C hristian T em peran ce U n io n _____________ __ Y o u n g W o m e n ’s Christian A ssociation _____________ Soldiers’ organizations or auxiliaries _ _______________ A ssociations for the deaf— _____________________________ Various organ ization s._______ _______________ _________ __ T ota l . ________________ . _____ C a p acity of hom e A v erage nu m ber in residence A n n u al cost o f operation 8 3 45 10 2 10 385 150 108 713 70 419 349 139 98 515 44 317 2 $96,494 3 4,800 s 35, 539 6 224,193 33,961 ' 159, 253 38 1,845 1,462 8 554,240 1 Som e of these are also affiliated w ith the Y . W . C. A. 2 6 hom es, s 1 hom e. 4 1 of these is run b y the colored (P h y llis W h eatley ) branch o f the organization, fi 4 hom es. 6 5 of these receive som e State aid an d 1 receives som e Federal aid. 7 9 hom es. s 32 hom es. Nearly half of these homes have fewer than 25 residents each. The number having each classified number of residents is as follows: N u m ber of hom es Less than 25 residents______________________ _____________________ 16 25 and under 50 residents________________________________________ 12 50 and under 75 residents________________________________________ 4 75 and under 100 residents___________________ _____ _____________ 3 100 residents and over_____________________________ ___________ 3 184 CHAPTER X . — BY OTHER ORGANIZATIONS 185 More than half have been in existence for more than 25 years and four homes for more than 50 years: Homes in operation: N um ber 2 and under 5 years_________________________________________ 1 5 and under 10 years________________________________________ 3 10 and under 25 years_______________________________________ 10 25 and under 50 years_______________________________________ 18 50 years and over____________________________________________ 4 Age not reported_____________________________________________ 2 Terms of Admission The m o s t general requisites for admission to these homes for the aged are those relating to health and character. The following is a common provision: “ All applicants must be free from incurable dis eases of an infectious or contagious character, and be so pronounced by an examining physician.” One home also adds: “ No persons shall be admitted to the home but such as bring satisfactory testimonials of the propriety of their conduct and the respectability of their character.” Sex.— Of these homes, 2 admit men only, 20 women only, 14 take individuals of both sexes and married couples, 1 takes only women and married couples, and 1 takes only men and married couples. Age.— Sixty years is the minimum age of admission set by 4 homes, 65 years by 17 homes, and 70 years by 3 homes; 14 have no definite age limit. Admission fee and other monetary requirements.—An admission fee is charged by 19 homes. Two homes require a fee of $300 at entrance, one of $350 (this home also offers boarding privileges at rates ranging from $15 to $45 per month), one of $400, one of $400 for single people and $700 for married couples, eight of $500, one of $750, one of $1,200, and one of $2,500 for those 70 or over and of $3,500 for those under 70 years of age, and two set this fee according to the financial means of the applicant for admission. One home for aged and infirm deaf charges a fee, in cases where the applicant is able to pay, of $250 per year if a deaf resident of the State or $300 if not a resident, and of $300 if both blind and deaf; a certain number of charity residents are also taken, the number being limited by the funds available for the maintenance of the home. Seven homes are boarding homes which charge a certain rate per week; one of these charges $15 per month, one $4 per week, one $4 or $7 per week according to the boarder’s means, one $4.50 to $7 per week, one $5 per week, one $6 or $7 per week, while in one the rate varies according to the boarder’s financial means. The remaining homes make no weekly or entrance charges, but one of these requires that the resi dent have an income of at least $50 a year to cover small personal wants and another is a widows’ home which supplies to each resident a suite of two furnished rooms but expects her to be self-supporting otherwise. All property or income of the resident at the time of admission or of which he becomes possessed at any time thereafter must be trans ferred to the home at entrance or at death in 17 cases, while another requires 85 per cent of the property, and two others (both soldiers’ widows’ homes) demand a certain proportion of the pension, in one case one-half and in the other two-thirds of the pension. F ig u r e 3 2 - O ld P e o p l e ’s H o m e o f the W o m a n ’s C h r is t ia n A s s o c ia t io n , O m a h a , N e b r . CHAPTER X . — BY OTHER ORGANIZATIONS 187 Other requirements.— Nationality requirements are made in 11 homes only, 7 of which require that the resident be American, while 2 homes are open only to colored persons, and 2 only to white people. Four homes have religious requirements and all of these are open only to Protestants. In six cases a residence requirement is made. One requires that the applicant for admission be a resident of the county, one of the State, and four of the city (for five years in one case). One home admits only volunteer firemen who have served as such for five years, ten homes admit only war veterans or their widows, and one only persons who have worked in the construction of wooden ships. Two others are operated for the benefit of unfortunate, aged, blind, and infirm deaf people. One home for soldiers’ widows writes: W e care for the wives, sisters, daughters, and nieces of veterans of the Civil War, whether or not members of our order. Many widows who married too late to come within the pension law, or whose husbands died in other States and were nonresidents, can not go to the State homes, so we take them in. That was really why this home was established. Duties of Residents R e s id e n t s are expected to abide by the rules of the home, make themselves agreeable to the other inmates, and cooperate in making the home a pleasant place in which to live. Restrictions upon the liberty of the residents vary from home to home, some allowing as much individual freedom as is possible consistent with order, while in others life is rather strictly regulated. Generally, there are fixed hours for meals, etc., but at other times the inmates are free to do as they please. Some provision is made in nearly all homes for visits outside the institutions, merely requiring that the destination and probable length of stay be reported to the matron. Another home report states: “ In planning a home for the aged, there has always been in this organization the ideal of a real home, such as loving children would build for much honored and revered parents.” No services are required of the residents at 13 of these homes, but in two of these the old people may help about the house if they care to. Four homes require that they care for their own room, 16 homes expect the inmates to perform light duties or such as they are able to, and 1 stipulates that members may be required to work for their room and board. In one home which welcomes volunteer assistance from the residents, such as preparing the vegetables for meals and caring for their own rooms, there are a number of aged women who are not life members but pay a monthly board. Several of these earn their way by doing dress making. One home is operated by the New York Association for Improving the Condition of the Poor. This association, whose work is very extensive and which approaches the problem of old-age care in a scientific manner, writes as follows: Within the limits of their physical ability all persons residing at Ward Manor are given an opportunity to take part in the work necessary to the maintenance of the place. This is the general policy, not with any desire to exact work from those invited to live at Ward Manor, but rather with the desire to preserve for every 35777°— 29------- 13 188 CARE OF AGED PERSONS IN UNITE]) STATES member that feeling of independence and contentment gained through some sort of work which makes them a part of the general service rendered for themselves and others. In its gardens, orchards, and general farming operations, Ward Manor gives opportunity for choice of congenial occupation to those who find pleasure and contentment in this kind of work. The real desire of those responsi ble for Ward Manor is that it be conducted in the same spirit of freedom, homelike ness and of general helpfulness one to another as should be characteristic of any family group. Benefits Provided Medical care.— In 35 cases the homes provide all the necessary medi cal care; 3 of these homes have their own infirmary and 1 has a 60-bed hospital. Only 2 institutions have a resident physician, but 28 have 1 or more resident nurses (2 nurses in two cases, 3 in three cases, 4 in two cases, and 5 in one case). Recreation.— Some attempt is made to provide recreation and amusement for the aged inmates in 22 homes. Of those mentioned, church services are the most common diversions. Others are lectures, motion pictures, parties, reading, entertainments of various sorts, concerts, and radio. Money benefits.— One home provides “ spending money” for its old people, and one gives each inmate $5 per month. Five others pay interest on the property transferred to the home at the time of entrance— one at 4 per cent, two at 5 per cent, and one at 6 per cent, the rate not being specified in one case. Some of the residents in the soldiers’ widows’ homes also receive pensions and in such cases the pensioner retains a certain proportion of the pension for her own use. Location, and Home Plant O n e of the most interesting homes in this group is the Firemen’s Home of the State of New York, open only to volunteer fire fighters. In 1891 the Volunteer Firemen’s Association of New York was enabled by special act of the legislature to purchase for $300 a tract of 30 acres owned by the State of New York at Hudson, N. Y. This tract was situated on the east bank of the Hudson River, looking toward the Catskills. During the next few years private contribu tions were received which were used toward the erection of the first home building, occupied in 1895. In March, 1904, the home asso ciation purchased 153 acres adjoining the home, and on this property there have since been erected a dormitory, an administration building, a kitchen, and a museum. Auxiliary buildings include barn, ice house, boiler house, and laundry. In 1925 an infirmary was estab lished, consisting of three wards and attended by a nurse, two order lies, and a visiting physician. The museum was established in the realization that the volunteer firemen would soon be only a memory. In it are housed fire-fighting trophies and relics of historical value. Part of the home land is cultivated as a farm along strictly scien tific lines. On it are grown general farm crops, vegetables, and fruit. Most of these are used at the home, but there is usually a surplus, which is sold on the market. Farm stock includes pigs, poultry, and a herd of pure-bred cows. Another home, Ward Manor, is a home for aged people made possible by a gift of 1,000 acres of land and a yearly sum of $100,000 for 10 years, made'in 1926 to the New York Association for Improv ing the Condition of the Poor, There were two residential buildings CHAPTER X . — B Y OTHER ORGANIZATIONS 189 already on the property and a third was added, making a capacity of 70. These are filled. Residents are free to come and go as they please, provided they notify the superintendent of their intentions. The association which directs this work also does work for the aged in other ways. It maintains a toy shop where aged men can find work to make them partially self-supporting and a workroom for aged women; the sum of $40,896 was expended for these shops in 1926-27, of which $23,490 came back from sales of the products. Funds raised by a New York newspaper through public subscription and turned over to the association, to the amount of $6,919, were used to maintain 12 aged couples in their own homes. In 1928 such relief amounted to $67,572. A gift to the association in the latter year of $250,000 has paved the way for a new project planned— that of an apartment house in the heart of New York City, where will live old people who are still self-supporting. It will be a 6-story building with capacity for some 65 persons. In regard to its work the association reports as follows: During the past year there has been steady progress in rounding out our pro gram for the care of the aged. W e are more than ever convinced that what the person growing old wants more than anything else is opportunity to continue living in the modest home to which he has been accustomed, and opportunity also to continue contributing something to the work of the world. Because of this, we have pursued energetically during the past year our program of pro viding work for as many aged women and men as possible. The Crawford Shops, in which aged women and men are given opportunities for work for a very modest daily wage, have been filled to capacity during the year. These facilities should be increased in order to give similar opportunity to a larger number of people. Because of the handicaps under which these people work, the shops are necessarily run at a substantial deficit, but this represents the best form of relief that we know how to give to many such people. It is now rapidly being discovered in many instances that to be cared for in their homes is not only the thing in life that they want most, but also that it is proving to be more economical than the care of such persons in institutions. W e have pressed forward as rapidly as our resources have permitted in making fur ther provision of this kind. Work for some, home allowances for others, and sympathy and kindly insti tutional care for those adapted to neither of these, present an unusually wellrounded program for the care of old age. W e are happy to report progress during the past year in this general plan, which has increased our ability to make the sunset years of life happier and more contented. Another home occupies the former home of Ezra Meeker, who blazed the trail across the country in an ox team. New homes or additions are being planned in several cases. One writes that funds have been raised by private subscriptions sufficient to build a wing housing 10 more residents, while another is erecting a new building on a 26-acre tract to which it will move some time in 1929. Support of Home T h e s e homes are maintained in various ways. Generally the greater part of the expense is borne by the sponsoring organization. In a number of cases there is an endowment; one home has an endow ment of $65,000; another of $79,000; another of $111,636; a fourth one of $134,000; and another an endowment whose amount is not stated, but which is reported as providing an income which is “ almost enough ” for the upkeep of the home. In some cases assistance is received from the community chest. The homes for soldiers’ widows also receive some income from the 190 CARE OF AGED PERSONS IN UNITED STATES pensions of the residents. One such home states, however, that only 22 of the 94 residents receive pensions. Another raises funds through a per capita tax of 30 cents on members of the supporting organiza tion, from a levy of 85 per cent of the pensions of residents, and from money raised through circles, sewing clubs, and individual donations. The Firemen’s Home, at Hudson, N. Y., is supported by the in come from its endowment fund and by the proceeds of a portion of the State tax on the premiums on policies issued by foreign fire-insurance companies. The home grounds, buildings, etc., are valued at $498,750, and all its property (not including the endowment fund of $133,585) at $1,749,673. Cost of Operation As i n the other groups of homes, there is quite a wide spread in per capita cost of operation, ranging from $156.25 to $1,000, with an average of $444.26. The details are shown in the table following: T able 5 3 .— P E R C A P IT A CO ST OF O P E R A T IO N OF H O M E S O R G A N IZ A T IO N S FOR A G E D O F V A R IO U S ^ P er capita cost Sponsoring organization Low W o m a n ’s Christian A ssociation ____ _______________________________________ W o m e n ’ s C hristian T em peran ce U n ion 1___________________________________ Y ou n g W o m e n ’ s Christian A ssocia tion ___________________________________ Soldiers’ a u x ilia rie s ... _____ _ ___________ ________________________ ______ Associations for d ea f____ _____ _______________________________________________ V arious__________________ _____ ______ _________________________________________ A ll h om es_____________________ _________________________________ _____ 1 1 hom e. H igh A v era ge $334.00 342. 86 156. 25 240. 74 300. 08 212.00 $471. 50 342. 86 512. 87 1, 000.00 937. 50 733. 33 $395.18 342. 86 423. 08 438.73 771. 84 566.29 156. 25 1, 000.00 444. 26 Chapter X I.—Private Benevolent Homes for the Aged HERE are many homes for the aged which are not sponsored by any definite organization but which are dependent upon private philanthropy. The bureau has reports from 360 such homes. The number of homes from which reports have been received are shown, by States, in the statement below: T Number of homes 1 Nebraska, _ _ _ _____________________ 2 14 New Hampshire___________________ 12 2 New Jersey_________________________ 10 63 11 New Y o rk __________________________ 1 1 North Carolina____________________ 3 Ohio________________________________ 19 1 2 Oregon_____________________________ 31 3 Pennsylvania______________________ 15 Rhode Island______________________ 6 8 South Carolina_____________________ 2 6 Tennessee__________________________ 3 3 Texas_______________________________ 7 2 Utah_____________________________ _ 1 3 6 Vermont____________________________ 11 Virginia____________________________ 2 3 5 Washington________________________ 3 65 West Virginia______________________ 13 Wisconsin__________________________ 10 4 Total____________________________ 360 N um ber of hom es Alabam a___________________________ California__________________________ Colorado___________________________ Connecticut________________________ Delaware___________________________ District of Columbia______________ Florida_____________________________ Georgia_____________________________ Illinois______________________________ Indiana_____________________________ Iow a________________________________ Kansas_____________________________ Kentucky__________________________ Louisiana__________________________ Maine______________________________ M aryland__________________________ Massachusetts_____________________ Michigan___________________________ Minnesota__________________________ Missouri____________________________ 6 T h e s e h o m e s h a v e a c c o m m o d a tio n s fo r 1 3 ,0 0 0 p erso n s. T he num b e r o f h o m e s, c a p a c ity , a vera ge n u m b e r liv in g th ere, a n d th e a n n u a l c o s t o f m a in te n a n c e are sh o w n , b y S ta te s , in th e ta b le b e lo w : T able 5 4 . -N U M B E R OF IN M A T E S O F P R IV A T E B E N E V O L E N T H O M E S F O R T H E A G E D , B Y STATES Inm ates State N u m ber o f hom es C apacity reporting of hom e Alabama______________ California.................... .. Colorado-------------------- Connecticut_________ Delaware............. ........... District of Columbia,. Florida______ ______ Georgia............................ Illinois-.......................... . Indiana...................... .. Iowa_...................... ......... K ansas.......................... . Kentucky........ ............. . Louisiana...................... M aine............. .......... .. M aryland_____________ M assachusetts......... Michigan....... ........... .. Minnesota...................... Missouri.............. .......... Nebraska_____________ New Hampshire______ 1 10 hom es. 2 Inclu des children in 1 c 3 7 hom es. 35 849 191 244 45 88 93 126 711 177 103 90 25 316 230 251 1,582 466 135 218 70 244 4 N o data. 5 2 hom es. 6 12 hom es. A v erage nu m ber in residence A n nual cost of operation 25 785 152 242 1 217,364 2 178,122 3 107, 221 ( 4) (4) «27,207 30,988 5 20,845 6 286, 512 70, 083 7 30, 657 28, 625 10,000 ° 53,114 130,313 7 77,482 8 754, 755 6 163, 708 s 30,000 <* 58,109 25,908 1 98,082 103 165 78 85 20 277 206 240 1,421 413 128 216 70 213 7 4 hom es, s 57 hom es. ° 5 hom es. 191 192 T CARE OF AGED PERSONS IN UNITED STATES able 5 4 .— N U M B E R OF IN M A T E S OF P R IV A T E B E N E V O L E N T H O M E S F O R T H E A G E D , B Y S T A T E S — C o n tin u e d Inm ates State A verage n um ber in residence 1 3 2 3 3 10 494 !*, 151 25 668 68 j , 408 249 118 119 114 22 53 43 141 103 401 io 371 3, 027 25 595 68 1,367 228 113 118 103 22 53 43 132 75 392 ii $163, 739 12 893, 636 3, 500 13 167, 417 29, 376 14 508, 850 9 75, 262 12, 215 34, 652 « 34,002 8,000 5 19,143 24, 918 s 36, 200 40,148 ii 141, 764 360 13, 466 is 12, 448 16 4, 595,809 _______________________ N e w Jersey - N ew Y o r k _ - _____________________ N orth C arolina __ - _____ _______ ___ __ _____________ ______ ____ - - - - O hio O regon . ____________________ - __ ___- ______ _______ __ _ - - _________ _ P en n sy lv a n ia , R h od e Island _ __ . __ __ . . . South C a rolin a_______ ________ ____ ________________ T e n n e s s e e ____ . __ - _________ _______ - - Texas -___ __ ____ ______________ U ta h . __ ______________________________________ ____________ V erm on t _ ____ ______ ____ __ - __ _____ __ _____ Virginia __ __ __ _____________________ W ashington __ ___ _________ ___ W est V irginia _ _______ _______ _______ - - - W isconsin __ ____ __ ______________ ______ T o t a l.. . __ __________ 5 2 hom es. e 3 hom es. 9 hom es. ________ 11 8 hom es. 12 47 hom es. 1314 hom es. __ __ A n n u al cost of operation N um ber of hom es C a p a city reporting o f h om e . 10 63 1 19 1 31 6 2 3 14 27 hom es; includes children in 2 cases. 15 358 hom es. 16 290 hom es, “ 5 hom es. Size of Homes E i g h t y per cent of the homes studied are of moderate size, shelter ing fewer than 50 persons each, and slightly more than half have fewer than 25 residents. Only 19 have 100 residents or more. The table below shows the size of the various homes, by States: T able 5 5 .— N U M B E R O F P R IV A T E H O M E S F O R A G E D H A V IN G C L A S S IF IE D N U M B E R OF IN M A T E S , B Y S T A T E S N u m b e r of hom es w ith inm ates n u m b e r in g - State A la b a m a _____________ C aliforn ia_____________ C o lo r a d o _______ _____ _ C o n n e c tic u t__________ D istrict of C o lu m b ia F lorid a____________ G eorgia........ ........... ........ Illin ois________________ In d ia n a _______________ Io w a __________________ K an sas_______________ K e n t u c k y ------------------L ou isian a_____________ M a i n e ..____ _________ M a r y la n d __________ M assachusetts________ M ich ig a n _____________ M in n esota ____________ M issou ri______________ N ebraska_____________ N ew H am psh ire_____ N ew Jersey___________ N ew Y o r k ____________ N orth C arolina_______ O h io __________________ O regon_______________ P en n sylva n ia ________ R h o d e Isla n d...... ......... South C a rolin a _______ T en nessee................... T exa s_______ _________ U ta h ________ _________ Less than 25 45 12 N o t in clu d in g 1 w h ich d id not report on this p oin t. 25 and under 50 50 and und er 75 75 and under 100 100 and under 200 200 and over Total 193 CHAPTER X I .— PRIVATE B EN EVO LEN T HOMES T able 5 5 —N U M B E R OF P R IV A T E H O M E S F O R A G E D H A V IN G C L A S S IF IE D N U M B E R O F I N M A T E S , B Y S T A T E S — C o n tin u e d N u m b e r of h om es w ith inm ates n u m berin g — Less than 25 State V erm on t _________ Virginia _________ _______ __________________ . . W a sh in gton _______ - _________________ __ . . W est V irgin ia _________ ________ ________________ W i s c o n s i n . . __ _________ _________ _____________ T ota l . . . .................. ................................ .. 25 and u nd er 50 50 and under *75 75 and und er 100 100 and under 200 o 1 1 2 6 1 1 1 1 1 191 102 34 12 17 300 and over 1 1 Total 3 2 3 3 10 2 2 2 358 2 N ot including 1 in D elaw are, and 1 ab o v e n oted, w h ich d id not report o n this p oin t. Age of Homes T h e a g e of some of these homes was somewhat surprising, and shows that concern for the welfare of old people who are unable to care for themselves and may have no one to care for them is no new development. Three of these homes are more than 100 years old, having been established in 1815, 1817, and 1822, respectively; 77 have been in existence 50 years or more, and nearly 70 per cent have been in operation for a quarter of a century or longer. The details by States, are shown below: T a ble 5 6 .— A G E OF P R IV A T E HOM ES FOR THE AGED, BY STATES N u m b e r of hom es in existence— State Alabam a California _____ __ C olorado - .. . C onnecticut D elaw are_____ ____ __ _______________ D istrict of C olu m bia Florida Georgia . . _______ Illinois . . ._ - _______ Indiana _ - __ __ _______ Iow a ______- ______ __________ Kansas _ _ _____ . __________ ______ K en tu ck y Louisiana ______ M aine - __ M arylan d - ____________ M a ssa ch u setts.. _ ____________ M ichigan _ . __ _______________ M in nesota __ _______________ M issouri __ __ _________ _____ N ebraska . _________ _____________ N e w H am psh ire___ . ___ N ew Jersev _ __ ________________ N ew Y ork _ ______ __________________ N orth Carolina . __________ __ O hio ____ ___________ ______ Oregon ______ ___________ Pen n sylva n ia__________ ____ __________ R h od e Island ______ ___ South Carolina ___________________ Tennessee___ __________________________ Texas ._ - . __ __ U tah _____ ___________________ V erm ont _________ __ .......................... Virginia _____ _____________ W ashington ............................................ W est V ir g in ia ____ _____ ______________ W isconsin _________ _______________ T o t a l------------------------------------------ 1 year or less 50 and 5 and 10 and 25 and 2 and u nder under under under u nd er 100 5 years 10 years 25 years 50 years years 2 4 1 1 1 1 1 1 7 1 1 1 1 2 2 4 3 1 8 6 2 1 2 3 2 11 1 6 1 6 1 1 1 1 1 1 3 1 4 3 1 2 1 1 3 1 1 1 6 3 5 1 1 3 6 4 34 3 1 3 5 5 25 1 10 1 13 3 1 3 4 1 2 2 3 1 15 1 1 1 2 4 20 1 2 9 2 1 1 1 5 3 2 1 2 3 25 71 163 1 1 1 2 11 1 N ot includ ing 1 w h ich d id not report on this pointy 2 N o t includ ing 2 w h ich did not report on this p oin t. 3 N o t includ ing 11 w h ich d id not report on this p oin t. 2 1 3 100 years or over 1 74 3 T o ta l 1 1 13 2 11 1 3 2 12 15 i7 6 21 2 6 11 5 2 63 13 4 6 2 i 11 10 2 61 1 19 1 1 30 6 2 3 7 1 3 2 3 3 10 3 349 194 CARE OF AGED PERSONS IN UNITED STATES Kind and Character of Persons Admitted Tw o h o m e s take only “ indigent widows,” one requires that the applicant be a person of good character and disposition and also that she be a person of refinement, one takes only “ worthy and needy” women, and one only “ homeless” and friendless persons of good char acter. One admits only sailors who have sailed for five years under the American flag, another only “ decrepit and worn-out sailors,” and a third “ aged women of the sea,” i. e., the destitute, sick or infirm mothers, wives, sisters, daughters, or widows of seamen. One home is maintained only for persons “ who have labored in art, music, edu cation, or any of the various professions,” a second for “ artists, liter ary, scientific or professional men reaching their old age without means of support,” and a third for retired music teachers who have taught in the United States for 25 years. Two are open to “ any re spectable member of the theatrical profession on the speaking stage.” One home, established under the terms of a will, for “ aged and respectable white bachelors and widowers,” specifies that— Applicants must be temperate, of good habits generally, and of a reasonable and amiable spirit and of good character and reputation. Preference will be given to those who have been sustaining members of society, contributing to the business or general prosperity of the community, and have occupied posi tions of some responsibility in business or professional life, and are possessed of social qualifications that would contribute to the happiness of the other members. A somewhat similar requirement is that of an Illinois home, also established by will: The applicant must be a man, who, in the time of his strength, was a selfsustaining member of society, contributing to the business or general prosperity of the community, who has occupied a position of some responsibility in business or professional life and who, in the time of his prosperity, contributed to the wants of those less favored. He must be temperate, of good habits generally, of a reasonable and amiable spirit, and of good character and reputation. He must submit references to establish such good name. Another home of similar foundation, which asks neither admission fee nor transfer of property, but requires that the residents have sufficient means to provide clothing and personal expenses, or that they have relatives who can do so, urges that “ members who have interests or occupations outside of the home should keep up these interests.” A Kansas home is maintained for “ aged women who have never been public paupers, and who ought not to be treated as such,” while a Pennsylvania home admits only “ disabled, aged or infirm and deserving American mechanics.” Terms of Admission In g e n e r a l , all homes require that the applicant for admission be in fairly good health, so that constant personal care will not be necessary, and of good moral character. One home makes the follow ing requirements for admission: S e c t i o n 1. There shall be an admission fee of 1500. Every male applicant must be 68 years old and upwards. Each female appli cant must be 65 years old and upwards. Each applicant must be a citizen of the United States; must have been a resident of the Borough of Brooklyn, of the city of New York, for five years next preceding the application, must furnish satisfactory testimonials as to respectability of character and previous history; CHAPTER X I .— PRIVATE BENEVOLENT HOMES F ig u r e 33.—W a r d hom e for Aged and R espectable bachelors and W id o w e r s , M a p l e w o o d , n . j . CD Ox 196 CARE OF AGED PERSONS IN UNITED STATES F ig u r e 3 5 - D i n in g Room of Is a b e l l a H o m e , D e t r o i t , M i c h . 197 CHAPTER X I .---- PRIVATE BENEVOLENT HOMES must be a Protestant and accept the Bible as the rule of faith. Each must bring from one of the medical advisors of the home a certificate of physical fitness, and on entering the home shall execute and deliver the agreement and assign ment prescribed by the board. Another home was founded under the terms of the will of a wealthy resident of the city which provided as follows: And while no one is to be excluded on account of religious opinions or the denominations of Christians with which she may have been connected, preference is to be given to those of American birth and to those who have not been the recipients of public charity but have respectably sustained a struggle with disease or misfortune, till such a refuge as the home will be appreciated and enjoyed by them. Sex.— In general, old ladies seem to be better provided for, in the way of homes for their declining years, than do old men. Of the 360 homes reporting, 202 take women only, whereas only 22 restrict admission to men only (one home warns that “ no one who has a wife need apply ” ). Twelve homes take individuals of both sexes (but not as married couples), while 124 homes admit not only both sexes but couples. There are a number of homes established for the primary purpose of caring for married couples, but these generally also receive single or widowed aged of either sex or both sexes. T able 5 7 .— D IS T R IB U T IO N O F H O M E S A D M I T T I N G M E N O N L Y , W O M E N O N L Y , B O T H SE XE S, A N D B O T H SE XE S A N D M A R R IE D C O U PLE S, B Y ST A T E S State A la b a m a ____. _______________ _______. ______ ______ _ ___________________________ ______ _____ California C olora d o ______________ __ _ ___ __ _ _____________ C on n ecticu t___________ ___ _____ - ____________ _ D elaw are _____ _________ . __ _ _ __ _ D istrict of C olu m b ia ______ ___________ __ F lo r id a .______ _______ ______ . __ _______ . _ __ G eorgia _______ _ _ Illinois _ _____ Indiana _____________________________________ __ . _ _ I o w a ____________________________ __ __________ ____ ____ Kansas ____ _ _____________ _________ ______ ______ K e n tu c k y . ___ _______ _________ _ _ ____ _____ _____ L ou isiana___________________________ ______ _ _________ M a in e. ________________________ __________ ___________ M a r y la n d .. ________________ . _____________________ M a s s a c h u s e t t s ..____________ _____ ____ ________________ __ ______ ________ M ichigan __ _ _________ _______ M in n e s o t a ________ ___________ . ._ _______________ M issou ri____ __ ________ _____ _______________________ N ebraska ___________________________ _______________ N ew H a m p sh ire._______ _______ _________ ____________ N ew Jersey________ _______________ __________ _____ _ N ew Y o r k ________ ___________ _______________________ N orth C arolina_____________________ _____ __________ O h io. _________ . .............. ................. ............. ............. . O regon ___ ________ ________ _____ _____________________ Pen nsylvania __ ______________________________________ R h od e Isla n d___________ _________ ___________________ South C a rolina. . . ___________________________________ T ennessee___________ _________________________________ Texas . . . _________ _ _ ______________ ____ _______ _ ______ ______________ U t a h .. V e rm o n t_____________ __ __________ _ ____________ V irgin ia_____________ _______________ _________________ W ash in gton ________________ _ _ _ _ . _ ___________ W est V irgin ia................. .................. . __________________ W iscon sin . _ .................................................. .......... .. T otal . . __________________________ ________ W om en o n ly M en on ly ! 1 1 1 10 1 2 2 7 124 360 1 10 1 5 7 40 1 9 2 1 19 3 1 2 5 1 4 6 1 1 1 1 1 2 2 2 3 1 1 25 4 3 3 2 i6 2 1 17 7 1 8 2 2 2 1 1 2 2 3 1 22 2 3 202 12 T o ta l 1 14 2 11 1 3 2 3 15 8 6 3 2 6 11 5 65 13 4 6 2 i 12 10 163 1 19 1 31 6 2 3 7 1 3 2 3 3 10 11 1 1 2 1 3 8 7 5 3 1 3 10 3 30 9 1 3 i In clu din g 1 w h ich takes m en and m arried couples b u t not single w om en . B oth sexes and couples B o th sexes 198 CARE OF AGED PERSONS IN UNITED STATES Age.— Practically all of these homes set a specified minimum age of admission. The most common age so set is 65 years, nearly half (169) of the homes having this minimum; while about one-fourth (95) set 60 years as the age below which admission is refused. In 2 homes the age of admission is 45 years; in 3 homes, 50 years; in 1 home, 54 years; in 2 homes, 55 years; in 1 home, 56 years; in 1 home, 62 years; in 1 home, 63 years; in 2 homes, 66 years; in 2 homes, 67 years; in 7 homes, 68 years; in 26 homes, 70 years; and in 1 home 73 years. There is no fixed age of admission in 43 homes. Table 58, which follows, shows, by States, the age fixed for ad mission. T able 5 8 .— M IN IM U M AGE OF A D M IS S IO N T O STATE S P R IV A T E HOM ES FOR N u m b e r of hom es setting age of adm ission atState 51 to 59 50 A labam a _____________________ California __ C o l o r a d o . ___ C on n ecticu t ______ ._ Delaw are D istrict of C olu m bia F lorid a . _____ G e o rg ia .. Illinois In d ia n a . _ I o w a . __________ _______ _ K ansas. K e n tu c k y . L ou isia n a ____ M a in e ...................... .. __ M a ry la n d . M assachusetts _ _____ M ich ig a n _______________ M in n esota _ M is s o u ri___ _________ _____ __ _ N eb ra sk a ___ _______ N e w H am p sh ire_________ N e w Jersey___ N e w Y o r k ___ _____ N o rth C a r o l i n a ______________ ___ O h i o ___ _______ O regon .. _________ ___________ P en n sy lv a n ia . _______________ R h o d e Isla n d . ____ Sou th C a r o l i n a .___________ _ T en nessee___ _________ ________ T e x a s ______ _____ U ta h ___________________________ V erm on t V irginia W ashington __ _ W est V i r g i n ia ________________ W iscon sin . ________ ________ _ T o t a l .................................. 1 2 i *1 51 41 66 to 69 65 2 3 3 1 1 2 1 5 2 16 4 1 1 3 i 1 1 21 8 4 3 2 1 3 3 36 5 3 3 3 O ver 70 70 3 4 1 1 1 1 61 to 65 60 No age re qu ire m en t 1 21 2 2 43 17 356 1 1 2 2 i 6 «1 ; 1 94 1 2 io 8 4 3 1 ii 1 12 1 6 2 12 1 4 1 7 1 71 6 6 8 36 12 18 1 15 3 ii 2 2 1 1 2 1 i 1 2 2 4 1 14 1 15 1 4 3 1 1 2 5 1 1 2 16 5 4 95 1 68 years. 2 66 years. 3 N o t in clu d in g 1 w h ich requires app lican ts to be ‘ o ld .” * 55 years. s 54 years. 6 73 years. 7 63 years. 8 1 takes w om en at 60. 9 1 at 67 years, 2 at 68 years, and 1 takes m en at 58 and w om en at 65 years. 2 169 1 1 1 11 26 1 T o ta l 1 14 2 11 1 3 2 32 15 8 6 3 2 35 11 5 65 13 4 6 31 12 10 3 62 1 19 1 31 6 2 3 7 1 3 2 3 3 10 8 1 3 1 i 1 i 1 AGED, BY 101 takes w o m e n at 65. 11 45 years. 12 56 years. 13 62 years. 14 T a k es w o m e n at 68. 15 67 years. 16 2 at 45 y«&rs. 17 N o t i r c ]u d in g 4 w hich require o n ly th at a p p li cants b e “ o ld .” Admission jee and other monetary requirements.— Of the 360 private homes reporting, all but 79 require an entrance fee varying from $70 to $5,076. (Twenty-three of the homes which require no admis sion fee are boarding homes to which the resident is required to pay a CHAPTER X I .— PRIVATE BENEVOLENT HOMES specified rate per week or month.) requirements as to entrance fees: T able 5 9 —A D M IS S IO N FEES OF P R IV A T E Fee $70__________________________________________ $100_______ ______ . . __ $150_________________________________________ $200_____________ .. ________________ $250____________________ ______ $2o0- $ l ,000 3_______ ____ $300............ __ __ ______________ $300-$400 6___________ _______ $300-$500__ _ .. __ $350_________ . _ _ ___ __ _______ $360_______ __ $400_________________________________________ $400-$600 3_________________________________ $450_.____ __________________________________ $500________________ ____________ ______ $500-$750 3___________________________________ $540-$5,076 3___________________________ $600_________________________________________ $600-$1,000 3 $650_________________________________________ The statement below shows the BEN EVOLENT HOM ES N um ber of hom es 11 29 3 23 12 1 4 49 1 2 7 1 6 20 1 1 7 74 1 1 8 15 3 1 199 FOR TH E N um ber of hom es Fee $700_.............................. .......... ........................... $750___ _____ ______ $800______________________________ .. $800-$1,400_________________________ $950____________________ ___ $975__.____ ________ . _ U p to $1,000-. _ $1,000_____ . . ___ $1,200______ $1,500_____ ._ . $2,000. . . ______ $3,150_____________________________ ___ Fee varies— A cco rd in g to age__ __ ________ A cco rd in g to age and room A cco rd in g to m ean s_____ __ _ _ O th er............................ - . _ __ _ _ N o fee......... ............................ .......... T o t a l____ ________ AGED _________ 2 4 96 1 1 1 1 io 21 1 3 2 1 1 1 8 1 ii 79 360 1 P lus $150 for burial. 2 P lus $100 per year an d burial fee in 1 case. 3 A ccord in g to age. 4 Plus $800 after com p letio n o f probation in 1 case; plus $150 for burial in 1 case; plus $200 for burial in 1 case. 5 Per year. 6 Plus w eek ly charge in 1 case. 7 Plus $145 for burial in 1 case and $100 in another. 8 $700 if nonresident o f c o u n ty in 1 case. 9 P lus $100 for burial in 1 case. 10 M a y be w a iv ed in 1 case; o p tio n o f p ayin g w eek ly b oard in 1 case. 11 Inclu des 23 boardin g hom es; $150 for burial in 1 case. As the above table shows, $300, $500, and $1,000 are the most com mon amounts required as entrance fees. More than half of the homes charge $500 or less. It must be remembered in this connection that, with the exception of the boarding homes and the few instances in which an additional amount is required to cover burial expenses, the entrance fee is the only monetary requirement unless the applicant has property. An elderly person who enters one of these homes at, say, 60 years, paying his fee of from $70 to $5,076, is entitled to receive therefor care for the rest of his life whether he lives 1 or 20 years longer. Nearly one-seventh of all these homes make no monetary requirement whatever. One endowed home which charges an admission fee of $500 puts this money into a special fund “ used for the benefit of worthy aged men in need of assistance. There is no charge for maintenance in the home.” Seven homes require the resident to furnish her own room and one of these requires also that she bring with her when she enters the home a supply of clothing sufficient to last two years.1 Clothing must also i Som e h om es even sp ecify the articles. A ty p ica l list is as follows: O utfit for entrance into A g ed W o m e n ’s H om e : 6 sheets, 8 pillow cases, 2 w hite spreads, 1 pair blankets, 1 g ood dress for sum m er, 1 g ood dress for w inter, 2 e veryd a y dresses, 1 w rapper, 1 hat, 2 pair gloves, 2 pair shoes, 1 w arm w inter w rap, 1 light sum m er w rap, 2 petticoats, 3 undervests, 6 chem ise (if used), 6 pairs draw ers, 6 handkerchiefs, 6 nightgow ns, 6 pairs stockings, and 8 towels. O utfit for entrance into A g ed M e n ’s H o m e : 6 sheets, 8 pillow cases, 1 pair blankets, 2 w h ite spreads, 8 tow els, 6 shirts, 12 collars, 4 nightshirts, 3 undershirts, sum m er, 3 undershirts, w inter, 3 pair drawers, w in ter, 3 pair drawers, sum m er, 6 pairs stockings, 6 handkerchiefs, 1 best cloth suit, 1 new e veryd a y suit, 1 overcoat, 1 bath robe, 2 pair shoes, 2 pair gloves, 2 hats, 1 pair slippers, and three neckties. ^(Bedding and underwear are required to be new.) 200 CARE OF AGED PERSONS IN UNITED STATES be supplied by the residents in two other homes. One home expects the residents to supply their own bed linen, towels, and look after their own laundry. Other homes specifically forbid the resident to bring any furniture of his or her own into the home, though sometimes concession is made in the case of a favorite chair or other article. There are four so-called “ widows’ homes” which are not homes for the aged in the same sense as the other homes. In most cases housekeeping quarters are supplied free or at a nominal rental, and heat, light, water, etc., may also be supplied; but the resident is required to provide her own food, clothing, and other necessaries. One of these homes is located in Pennsylvania, one in New Jersey, one in New York, and the fourth in South Carolina. As noted in the table above, some of the homes offer the incoming resident the option of becoming a life resident or of paying board by the week. Others accept no life members, but are boarding homes only. The rates charged in the 23 boarding homes reporting are as shown below. In cases where a range is reported, the rates vary according to the financial means of the boarder or the accommoda tions provided. N u m b e r of hom es Per week: _ $ 4 _____ _ $ 7 _____ Per month: $ 1 0____________________________________________________________ $ 12-$20___________________________________________ 21 2 1 1 $ 1 5 ____________________________________________________________ 31 $3 0 ____________________________________________________________ $ 3 0 -$ 4 5 _______________________________________________________ $ 3 5 ____________________________________________________________ $4 0 ____________________________________________________________ $ 4 0 -$ 6 0 _______________________________________________________ $40 and up___________________________________________________ $5 0____________________________________________________________ $ 60____________________________________________________________ $ 65____________________________________________________________ $7 5-$ 100_____________________________________________________ Rate not reported___________________________________________ 1 41 1 1 1 1 3 1 1 1 4 $20________________________________________________________ T otal_______________________________________________________ 1 23 These private homes are usually maintained for persons of no means or those whose income or property is insufficient for full support. Since the entrance fee is in most cases inadequate to cover the cost of operation per inmate, a common requirement is that upon entrance or at death the life resident must make over to the home any pen sion, property, insurance, or other possession which he has at that time or may thereafter acquire. The money thus received helps to cover the deficit incurred on those who are without property of any sort as well as those who are unable to pay the entrance fee. Of the 360 homes from which data were obtained, 203 require relinquishment of all property or income ^t the time of entering the institution, 3 require that part of the property or income shall be given up, and 4 that the possessions (in 1 case personal effects only) shall revert to the home upon the death of the resident. Of these, 2 If able; otherw ise nothing. 3 P a yable in advance. 4 A cco rd in g to room occu pied. 201 CHAPTER X I .— PRIVATE BEN EVO LEN T HOMES however, 78 pay the resident the income from or a specified rate of interest upon all property in excess of the entrance fee. Other requirements.— Five homes admit only citizens of the United States, 63 “ Americans” only, 22 white people only, 16 negroes only; 1 admits all nationalities and races except Mexicans and dark races, and 1 all but negroes, 1 white Americans only, 1 home each gives preference to French, Dutch, or English people, and 1 home each admits only Gentiles, English-speaking persons, and Jews. Only 75 homes have religious requirements. Of these, 67 require that the applicant be a Protestant, 2 that he be a Christian, and 1 each that he be a Baptist, Catholic, Jew, Presbyterian, or member of a specified local church. One home specifically excludes Christian Scientists and Catholics. Residence requirements are fairly common. Fifty-six homes re quire residence in the city for specified periods ranging from 1 to 20 F i g u r e 3 6 —D o u b l e B e d r o o m at C o l b u r n M e m o r ia l hom e for A g e d , N ew R o c h e l l e , n . y . years; 13, residence in the county from 1 to 10 years; and 5, residence in the State from 1 to 10 years. One home each requires that the applicant be a citizen of the city, State, or city or county, and 1 that he shall have resided in the city or county for 10 years. Duties of Residents S o m e service is required of the residents in 217 of these private homes. Light duties, or such tasks as the inmates are able to per form, are required in 107 homes; in 68 homes the residents must care for their own rooms, if possible (in one case mending also). One home requires that they iron their own clothes, one that they do any errands necessary, one that they set the tables for meals. “ Reason able” services are required in one home; another requires that the residents do whatever is necessary (but in practice they are seldom asked to do anything), and another that they do “ whatever they can d o ” to help. In one home a few residents have special duties assigned to them, in another duties in kitchen or garden, and in two 202 CAKE OF AGED PERSONS IN UNITED STATES homes about 4 hours’ assistance a day is required from those who are able, one of these paying therefor at the rate of 10 cents an hour. One home reports that its inmates are all too infirm to be of service around the building. There are no service requirements in 121 insti tutions, but in 25 of these the old people are allowed to help in such ways as they desire. Among the requirements of one home is that its residents refrain from religious discussions. “ They shall not obtrude their religious ideas upon nor in the presence of any other member who does not care to hear them or is annoyed thereby.” F ig u r e 3 7 — r e s id e n t ’s B e d r o o m at Pr e sser Ho m e p h ia , P a . for R e t ir e d M u s ic T e a c h e r s , P h il a d e l Benefits Provided B o a r d , room, clothing, laundry,5 etc., are almost universally pro vided. (Exceptions were noted above.) Medical care.— While most homes require that the applicant be of good health at the time of admission, medical care and nursing are usually provided in case the resident becomes ill after admission. Thus of the 360 homes, 339 provide the necessary medical care and another does so if the entrance fee is all paid. In some instances the home engages the services of a physician by the year and he visits the home regularly; in other cases he comes only when called. In some places the physicians donate their services, and there are in stances where the home has a panel of physicians all of whom donate their services. Thirty-two homes have 1 or more resident physi cians (one has 2 and one 5 resident physicians). In 233 homes there are one or more resident nurses (32 have two nurses, 15 have three, 4 have four, 1 has five, 1 has six, 1 seven, 1 eight, and 1 “ several” ). 8 T h ou g h som e hom es lim it the lau n d ry w ork to a specified nu m ber o f pieces per person per w eek. CHAPTER XX.— PRIVATE BENEVOLENT HOMES b u il d in g a t My r o n St r a t t o n hom e, C o l o r a d o S p r in g s , C o l o . 203 F ig u r e 3 8 - H o s p it a l 204 CARE OF AGED PERSONS IN UNITED STATES One home usually has a resident nurse and one expects to have one in the future. In three homes the matron is a nurse. In 12 homes a nurse is called in whenever her services are necessary. Nine homes have a regular hospital or infirmary department m connection with the home. One of these, a home which cares for more than 100 persons, reports that its hospital is “ fully equipped and regularly operated/’ that it has an operating room, clinic, four 6bed wards, and 14 private rooms. It is, as already stated, an almost universal requirement of homes for the aged that at the time of admission the applicant shall be in a fair state of health, having regard to his advanced years, so as not to require constant care. One Massachusetts home, however, admits persons “ of either sex who may be afflicted with incurable malady and who have no relatives responsible for their support,” provided the malady is not “ malignant, mental, or contagious.’’ Another home, in New York, restricted to professional and scientific men, also takes invalids. Several homes, one of which is a Chicago home with an emergency room and dormitory for ill residents but no hospital of its own, pro vide that “ any member of the home family who requires a major surgical operation, or treatment or detention in a general or special hospital, may be removed to such hospital, as the case may be, and may there be given required surgical or medical treatment without expense to the member.’ ’ One home points out that a large part of the cost of operation of the home is due to the cost of nursing service, “ ’which a fourth of our number receive, and which often covers a period of many years in each case.” The difficulties encountered along this line by one home and the way these are met a:ce described as follows: Illness among our beneficiaries has imposed a heavy burden on the workers and has added greatly to the expense. Sixteen of our men have been in hospitals, some of whom, discharged as incurable, were removed in ambulances. For others who could not be admitted, because they were incurable, even though emergently sick, care outside a hospital had to be planned. Twelve men died during the year, many of whom were long bedridden. It is probably more difficult to obtain proper care for the helpless aged in a home with right standards than for any other class of the sick. Prices are pro hibitive, and many nursing homes refuse to consider the patient who requires night and day care. Early in the year the problem became so acute that the home visitor, a trained nurse, prevailed upon a young woman with some hospital experience to use, for our old men, her home, established for well, paying guests. The first patient was brought to her from the hospital on a stretcher. Now we have seven patients in this house, where they are surrounded by brightness and warmth and where they receive kindly, intelligent care. This home, however, could not be maintained if the visitor did not stand back of it, ready to respond to any emergency and to help ease the burden should it become too great. Helpless age presents, on the whole, too great a problem for the nursing home or for family care. Homes have been disorganized and families exhausted in the effort to care for these bedridden ones. Yet not one hospital in Boston, even in the group caring for chronics, will admit a man helpless merely from old age or with palsy or an old hemiplegia. For all other age groups there is hospital accommodation, even though inadequate to meet the need, but for these there is no place. Although in the days of their youth and strength they may have done their part in the community, establishing homes and firesides of their own; yet brought to dependency by illness and loss of kindred, there awaits them only the almshouse, ever dreaded, isolated, and far from their friends and all their old associations. CHAPTER X I .— PRIVATE BENEVOLENT HOMES for Aged women, W o r c e s t e r , Ma s s . 205 Fig u r e 3 9 - H o m e 206 CARE OF AGED PERSONS IN UNITED STATES F ig u r e 4 0 - K n o x v il l e O l d L a d ie s ’ H o m e . K n o x v il l e . I I I . CHAPTER X I .---- PRIVATE BENEVOLENT HOMES 207 One of the most beautiful homes studied, which was established in 1917 under the terms of a will, makes the following statement: The home is absolutely free. No admission fee is required. Any member who has not sufficient income to provide for his clothing and personal expenses will be furnished with sufficient funds therefor. The home provides for each member a single bedroom and lavatory, together with board and laundry service. He also has the use of the public rooms, consisting of lounge, library, smoking room, billiard room, and recreation rooms. The services of a nurse and visiting physician are furnished to members without charge. Recreation.— An attempt to provide entertainment for the aged guests is made in 253 homes by either the home officials or by various outside groups, such as churches, clubs, etc., which have become interested in the home. The kinds of entertainment vary from the simplest sort of recreation afforded by the home grounds, porches, etc., to an elaborate program of entertainment. Radio programs form a very popular recreation; 33 homes specify these as one of the amusements of the residents. Music from other sources— by piano, victrola, graphophone, etc.— is a recreation feature mentioned in 18 reports; 2 homes give regular concerts and 1 musicales. In 46 homes special entertainments are given for the enjoyment of the old people. Automobile or carriage rides are furnished in 16 homes, outings in 2, and occasional trips in 1. Two homes maintain a car for the use of the inmates. The residents of one home are admitted free to the motion-picture theater of the town; those of another to the legitimate theaters of the city. Games of various sorts, such as card games, billiards, pool, croquet, quoits, etc., form part of the recreation in 11 homes, while one gives card parties for the old people. The recreations furnished by one include receptions, concerts, lectures, garden parties, and even an annual ball, and those of another pool, billiards, and other games, a good library, and motion pictures. In one home the recreations include plays given at the home for the old people. One large home, which also takes children, has a community building in which the social life of the residents centers. Here in the theater or the gymnasium are given motion pictures once a week, frequent concerts, plays by the children, entertainments by the children’s band and orchestra, and basket ball and other games. The superintendent states that the activities in this building have “ prac tically eliminated the desire or need of the residents, young or old, to visit the city for entertainment.” Another endowed institution has a library and smoking room, swimming pool, pool and billiard tables, bowling alleys, shufileboard, and other games, such as chess, checkers, cards, etc., and a dance hall. Motion pictures are shown at the home, and during the season mem bers have a yacht trip once a week on the bay on which the estate fronts. Other recreations enumerated in one or more reports include par ties of various sorts, reading and literature, motion pictures, church services, “ vacations,” picnics, “ social affairs,” “ spreads,” teas, etc. In some instances recreational affairs occur only occasionally, in others amusements are a regular feature. Some of the printed reports contain interesting information as to what is done for the entertainment of the aged people in these homes. Thus, according to the 1927 report of a home in Chicago, in May, 208 CARE OF AGED PERSONS IN UNITED STATES 1926, $10 was donated for ice cream and cake, two persons sent flowers, and an entertainment was given; in July $50 was donated for ice cream and the Fine Arts Players presented a play; in September 10 gallons of ice cream was donated; in October a dancer and a group of musicians from a local theater gave a performance at the home; in November the Fine Arts Players again gave a play; in December an orchestra appearing at a local theater gave a program at the home, and the Camp Fire Girls gave an entertainment; and in January, 1927, there was a motion-picture show, flowers, and two concerts. One home starts each month with a birthday party, celebrating all the birthdays that occur that month, “ and these are particularly popular because the old ladies themselves provide most of the enter tainment, recitations, and dancing, particularly the dancing.” Another home reports as follows: It is an established custom that two ladies in turn shall have interest for a month in the life here, calling upon the old ladies in their rooms to see that they are made comfortable and reasonably happy in their old age, lending a listening ear to their joys and sorrows. The outside world is thoughtful of this home too, as is evidenced by the various concerts, readings, and suppers for the week-day entertainments given by literary societies, school children, and church organizations, and by the services held in the home on Sunday afternoons conducted by ministers and laymen of the various denominations. One home has a “ pleasure fund” from which trips to various places are financed. Religious services are a very common feature and a number of homes have a chapel in the home where such services are held. One home which holds no religious services at the home, but which is open to the visits of ministers and church workers, gives every resident desirous of attending service street-car tickets for the purpose. Money benefits.— In 78 homes the inmate not only receives board, lodging, laundry, etc., but he also gets monetarj' benefits. Three homes pay the residents a weekly allowance— one of $1 per week, and two an amount not specified. Monthly allowances are paid by 25 homes; 1 home each makes its residents a monthly allowance of 25 cents, 75 cents, $1.50, $2, $4, and $5; 2 homes of 50 cents per month (in 1, also $1 at Christmas); 3 homes make an allowance of $3, 5 of $1 per month, and 9 others an allowance whose amount was not specified. One home gives the old people $5 per year and one $6 per year. Thirteen homes give such amounts as are “ necessary,” 1 does so “ upon request,” and 4 occasionally do so. Spending or pocket money or small amounts for personal needs are given in nine cases (one of these also gives an extra amount at Christmas time). One home makes an allowance from the resident’s pension or from the property which he turned over to the home. Five homes make occasional gifts of money to the residents (in one case only once a year), and one home has a special fund for needy residents. Ten other homes report that they pay monetary benefits to residents, but these reports give no details. In four homes residents are paid for any services performed. As already stated, 78 homes pay over to the resident all or part of the income received from any property which he may have turned over to the home or a certain rate of interest upon the property. Eleven homes pay the resident all of the income from his property CHAPTER X I .— PRIVATE BEN EVO LEN T HOMES 209 and two others one-half of such income. Two homes pay interest at the rate of 2 per cent, 1 at the rate of per cent, 3 at the rate of 3 per cent, 15 at the rate of 4 per cent (1 of these only on amounts over $750), 8 at the rate of 5 per cent, and 2 at the rate of 6 per cent. Thirty other homes also pay interest but fail to state at what rate; one home pays interest on all property over $100, another on bank accounts, another on cash, and another on $50 of the entrance fee. Special Activities A f e w h o m e s , all but one of which are in Massachusetts, in addition to operating the home, also give outside assistance to needy persons who are partially self-supporting. One home makes a monthly allow ance “ to indigent women in their own homes, when worthy of such help.” Another regards as “ an important element of its work” its assistance to women “ who though old and infirm, still retain enough energy and determination to want to stay in their own homes. Small sums ranging from $4 to $10 per month are now given to 44 women, and could be given to many more in pitiful need, if there were ampler funds.” ‘ A third maintains what it describes as a “ field service” for this purpose. It reports as follows: The field service of the Home for Aged Men is an intensely human service. More than 200 applications were received during the past year. They sought admission to the home, financial aid, help in solving difficult situations or help in securing care for the sick and helpless. The problems varied, but all showed the pathos and the difficulties of the aged man and the few community resources for helping him. So few are the resources that we have been constantly called upon for advice by those wiio did not know where else to turn. To a gratifying degree we were able to disclose a helpful solution, and many conferences resulted in the entire responsibility being assumed by family or relatives. Eighteen names wrere added to the list of outside beneficiaries and twelve vacancies in the home were filled. Over $11,000 was raised by the secretary to supplement the grants given by the home. This was obtained from relatives, friends, churches, and private funds; all the natural sources of aid being called upon. For certain of our cases aid was sought and received from the overseers of the public welfare, whose system of outdoor relief for the aged marks a step forward in public aid. Financial aid to the aged, without supervision, is not always wise. Many can not handle their funds, for which reason they get into all kinds of difficulties; and often relatives and friends will not aid the individual, feeling that the money will not be wisely spent; but they will contribute to a carefully thought out plan. Because of this the secretary has handled the funds for two-thirds of our bene ficiaries, planned their budgets and disbursed the grants held for their benefit. This service involved many extra hours of time and thought, but there came out of it the knowledge that the money was spent for their needs; that they had shelter and warmth and food, care, and medical attention in illness, and a margin for happiness. The amount expended in the care of the aged should be regulated by the need of the individual and not by a fixed sum. It often takes a long time to plan a budget; again, the needs of the beneficiaries may change because of illness, or because of improved health due to care given at a time of need. For these reasons grants have been increased or decreased from time to time, as changing conditions arose. By keeping a balance on hand for the beneficiary it has been possible to meet emergencies quickly. A larger number of outside beneficiaries has been cared for during the past year than for several years. The total reached 70. W ith changing indus trial conditions the problem of the aged will undoubtedly grow more acute. People no longer work for themselves as they used to do. Men of 45, without regular positions, are going into the industrial discard. Large plants will not take them on. This decreases the wage-earning years and the chance of saving for the future, and causes old age to be looked forward to with dread. 210 CARE OF AGED PERSONS IN UNITED STATES The Home for Aged Men, a pioneer in outside care, may well be proud of the fact that its committee has ever been ready to respond to the needs of these beneficiaries, and to carry each one till the end. Another New England association does not maintain a home but gives financial assistance to some 50 aged women in their own homes or arranges to board them in private homes. In a Philadelphia home there is a toy shop given to the home by a private citizen of the city. In this shop some 50 of the old men who live in the home find interest and employment for their spare time, being paid 10 cents an hour for work done here. During 1927, these aged men made 4,300 toys, which the home sold for $8,098. As mentioned elsewhere, a California home is planning the erec tion of a workshop where the able-bodied residents may occupy them selves. A home in Milwaukee has an occupational therapy department for the old people who wish to keep busy. Articles made in this department are sold and the proceeds are returned to the residents who made them. Another home which requires no services of its residents, but does believe that busy people are happiest, reports as follows: All our aged are given opportunity to earn if they so desire. Moderate work is encouraged, although not insisted upon, for we find that those who work enjoy better health and are happier. The work consists in care of lawns, roads, poultry, help in storeroom, cafeteria, laundry, sewing, etc. M any plant gar dens, the produce being bought by the home at market rates. Several have small strawberry patches and sell in town, making an appieciable income. One aged man builds toy sailing boats. So a large majority are busy— especially those in the housekeeping cottages. Location, and Home Plant T h e p h y s i c a l situation and location of the homes differ widely Some have extensive grounds, a well-furnished and well-equipped building, and a favorable location; others are struggling along in cramped quarters which no longer are well suited to their purpose and with inadequate means. Mainly the condition of the home plant reflects the financial condition of the home association. Some, located in what was at the time of establishment a very desirable place, find themselves in a part of town no longer attractive. One interesting home is that of the Mariners’ Family Asylum, on Staten Island, N. Y. This is a home maintained for aged dependent relatives of men who have served in the merchant marine. The home was established in 1843. In 1854, at the instance of a group of women, the State of New York set aside for the home 6 acres of land belonging to the State Hospital for Sailors and donated $10,000 from the money accumulated through the seamen’s head tax. Later, when the hospital was sold to the Federal Government for a marine hospital, the home and its site were exempted from the sale, and $68,000 of the net profits from the sale was given to the home. This sum has been increased from time to time through gifts and bequests, and the income from it now covers about 50 per cent of the mainte nance charges. The home is housed in a plain, square building of rather forbidding aspect, “ with its back door where its front door should be; because when the home was built, Tompkins Avenue was farmland and the entrance wa£ by a pleasant winding road up from the shore.” Despite its severe exterior, however, “ it is cozy and CHAPTER X I .— PRIVATE BEN EVO LEN T HOMES 211 homelike w ithin/’ and a constant effort is made to overcome the handicaps of the building. Another case in point is that of a home in New York City. The present building was erected in 1902 “ on a piece of property that was in every way desirable/’ being located in a residential quarter of the better sort. During the 27 years the home has been in existence the character of the neighborhood has completely changed. The home now is a bleak-looking building with elevated trains hemming it in on two sides, and these “ keep windows rattling and the air filled with dust.” The building and land are valued at $203,763, and the home has been the beneficiary of two legacies of $100,000 and $200,000. These will be applied to the cost of erection of a new home in a better and quieter location. It is hoped also that endow ments can be obtained for some of the rooms in the new building. Other homes show a steady development for the better. One such home in Boston opened the year before the New York home just described, “ starting with nothing,” passed through successive stages from a small rented house on an obscure street to the present attrac tive building, which with land and furnishings is valued at $231,891. As already stated, many of these homes are most attractive and homelike, and a conscious effort is made to keep them so. One such home occupies the former residence of the founder, who bequeathed her home and $55,000. The grounds occupy an entire city block and are beautified by flowers, trees, and shrubs. A large garden keeps the home supplied with fresh vegetables and small fruits, the surplus being canned for use during the winter. Another home writes as follows: The old gentlemen, while they have to abide by the rules of the matron, are given practically every leeway so that they may spend the remaining years in peace and contentment, it being the wish of the founders that the gentlemen have all of the comforts but none of the annoyances. They are permitted to take long walks, visit in the city, attend their own church home, supplied with a small amount of spending money each month, in every way made to feel that they are old gentlemen having all of the comforts for their declining years. One home, in California, is worthy of special mention for several rather unusual features. This institution is surrounded by a 15acre lemon and orange grove and commands a view of the mountains, ocean, and bay of San Diego. This home was started with the idea of forming a colony of old people of both sexes. There is a central building with sleeping rooms, reception rooms, library, chapel, smok ing rooms, and the general office. There are also 22 bungalows of from 2 to 4 rooms each, varying in design and price. The whole institution houses 110 persons. The minimum entrance fee is $1,500, entitling to a room in the main building. Those who are able to pay more receive better accommodations. A resident who pays a fee of $1,650 is assigned to a room in a cottage having two rooms with bathroom. A fee of $1,750 to $2,000 entitles to room and private bath, and one of $2,500 to $3,000 to a suite of sitting room, bedroom, and bath. These prices are, of course, out of the question for the average superannuated wage earner, but ideal for old people with some means. The home states its position thus: It should be understood that the association wants to make it possible for the aged to receive every possible care and comfort at the minimum cost, but 212 CARE OF AGED PERSONS IN UNITED STATES does not encourage those who have means to believe that they can enter on the same terms as those who have less. It is the policy of the association to build a community of intelligent aged people who will take an active interest in making the home all the promoters plan to make it, to make terms that are consistent with their means and to the interests of the home, without taking all they have and robbing them of independence; rather it is the desire of the management that each member will take pride in the growth of the enterprise and volunteer to do all he or she can to make the home in every respect all it should be. Another feature of the home is what is called the “ insurance plan” — i. e., any person who makes a contribution to the home has that amount placed to his credit on the books, to be applied toward the payment of the entrance fee, if he should desire to enter the home after reaching the age of eligibility. In addition to the present plant, the home plans the erection of a workshop for those who wish to keep up their practice in various industries, an assembly hall, and a home newspaper. Another home with the cottage system is a rather remarkable home in Colorado. This home makes no financial requirements of any kind. It was established under the will of a very wealthy resident of the city where it is located, who left an estate of several millions, the real estate of which alone now brings in an income to the home of from $100,000 to $125,000 per yeai\ This home has accommodations for 210 persons, including about 90 children. The buildings devoted to the care of the aged include a central “ service building” with kitchen, dining room, laundry, and servants’ quarters; 10 housekeeping cottages for married couples; 15 fiveroom cottages for single persons, and an infirmary. There are also 11 bedrooms in the “ community building,” which are occupied by the aged residents. The cottages for the single each have four bedrooms, a living room, and bathroom. Residents in these take their meals in the central service building, unless unable to go to the dining room, in which case meals are taken to them. As to the results of the cottage system, the superintendent reports as follows: If doing the most good is to be gauged by the most happiness conferred, and I were asked which department evinced the greatest appreciation, I would unhesitatingly answer “ The 10 cottages for married folks.” Here we have provided for the aged husband and wife who may have lived together 40 or 50 years a haven of refuge. These old couples have been taken from inadequate shelter, scanty clothing, and insufficient food— no longer able to earn, save possibly an occasional odd job, and placed in a most comfortable brick cottage, steam heated, with ample provision of food and clothing, and all anxiety for the future removed. One of the many happy experiences I have and that assures me our work is altogether 11worth while” is the way in which these old couples “ perk u p ” in a few weeks after their arrival at the home. The community building, used by all the residents young and old, was erected and equipped in 1925 at a cost of $157,000. It contains a theater with stage, motion-picture machine, dressing rooms, and seating capacity of 816 persons; a gymnasium; manual-training room; the superintendent’s office; a sewing room; a small library room; and the 11 bedrooms, with a large living room, already men tioned. Other buildings on the home grounds (which comprise 98 acres 6) include the children’s dormitories, steam plant, laundry, creamery, 0 T h e in stitu tion also o w n s a farm th e size o f w h ic h w as n o t re p o rte d . CHAPTER X I .— PRIVATE BENEVOLENT HOMES 213 and carpenter shop. Many hundreds of trees have been planted on the grounds, mainly from the home’s own nursery in Cheyenne Canyon. The total cost of buildings and equipment (including grading, plant ing, sidewalks, etc., but not initial cost of the land) is $1,000,000. This home owns and operates its own trolley line running from the home to the terminus of one of the city street-car lines. This line transports the children at the home to school, and serves also for the hauling of the home's coal supply from the lignite mines north of the city* Another interesting home is the Sailors’ Snug Harbor on Staten Island, N. Y. This institution was founded by a resident of New York City. His will, drawn up June 1, 1801, by Alexander Hamilton, left his entire estate for the establishment of a home for “ aged, decrepit, and worn-out sailors, ” to be known as the Sailors’ Snug Harbor. The estate consisted mainly of a farm of about 20 acres on what is now, roughly, the area bounded by Fourth and Fifth Avenues and Sixth and Tenth Streets, New York City. Litigation delayed the establishment of the home. In 1831, how ever, the present site on the banks of Kail Van Kull, a part of New York Harbor, was purchased. The first building was erected in 1831-32. During the year following 50 sailors were admitted, and since then more than 6,000 seamen have received care there. The home accommodates about 875 persons and there are usually about 850 in residence. The home and grounds are described as follows: The grounds comprise about 150 acres, some 60 of which are laid out in lawns, flower beds, and fine shade trees. On this part of the grounds stand all the buildings, costing several millions of dollars. The remainder of the grounds comprises the farm and a thickly wooded piece of ground, to which the inmates have free access. The buildings, of which there are more than 30, are the chief features of the institution; the 8 main buildings used for dormitories and mess halls being con nected with corridors of stone and brick as one building. The rooms are all bright and cheerful, well heated, and ventilated, lighted by electricity, furnished with every comfort, and kept scrupulously clean. The number of occupants to a room varies from one to five, most of the rooms having but two. The fullest liberty is allowed the inmates consistent with good order and a due regard for the peace and comfort of the community. It is the intention of the board of trustees that the institution shall be a home where our worn-out and disabled sailors may spend their declining years in peace, comfort, and selfrespect, and it is the aim of its officials to faithfully carry out this intention. The institution is the heritage of the present and future generations of American sailors, and it is faithfully managed as such by the board of trustees. Support of Home A g o o d many of these private homes have been established by the will of a deceased person, leaving, often, a residence or a sum of money (or both) to be used as an endowment. As many of these homes were established a great many years ago when prices were much lower than at present and the purchasing power of the dollar greater, what was at that time a sufficient endowment has become inadequate to meet the growing needs of the home and additions to the endowments have had to be sought or funds secured from con tributions, etc. True, there are a few instances (mainly, however, of homes in existence only a comparatively few years) in which the 214 CARE OF AGED PERSONS IN UNITED STATES home reports that all expenses are met by the endowment established by the will of the founder. A number of homes, whether or not originally endowed, have made a special effort to build up the endowment or permanent fund and now have considerable sums to their credit. One home which cares for 46 aged people reports a permanent fund of $59,736; another caring for 110 old people an endowment of $200,000; another caring for 33 aged women, a permanent fund of $300,000; another with 70 residents, a permanent fund of some $345,000; another caring for 45 old men, one of $437,090, and still another caring for 150 aged of both sexes, one of $585,294. Even in those homes which charge entrance fees, these are insuffi cient to make the home self-supporting and recourse has to be had to other means to raise the additional sums needed. Some homes are members of the community chest in their city. Others make a general appeal for funds periodically or when needed. In some cases local churches, women’s clubs, young people’s associations of various kinds, or other organizations have become interested in the home and contribute in various ways. Donations of foodstuffs, supplies, furnishings, etc., from individuals and organizations often form a considerable item of the home’s income. Tag days, bazaars, card parties, etc., are other means relied upon to increase the funds. One home for dependents of seamen in the merchant marine receives aid from the various steamship lines, from collections at Sunday services and concerts given during the voyage, from marine associa tions, etc. Several homes report having a farm in connection with the home on which are raised the vegetables and small fruits consumed in the home. One home has a farm of 45 acres, another of 49 acres, a third of 78 acres, and a fourth of 120 acres. Four others mention farms but do not state their acreage. In one case the home associa tion owns a 164-acre farm the proceeds of which meet the entire cost of the home. Cost of Operation T h e r e is a wide range of per capita costs among this group of homes. One home had an average expenditure of only $118.30 per person, while many homes spent $1,000 or more per resident, the highest expenditure being $2,290 per person. The average per capita cost of operation of the private benevolent homes was $454.77. The range of per capita cost and the average, by States, are shown in the table following: 215 CHAPTER X I .— PRIVATE BEN EVO LEN T HOMES T a b le 6 0 .— P E R C A P IT A C O S T O F O P E R A T IO N STATES OF P R IV A T E H O M E S F O R A G E D , B Y Per capita cost Per capita cost State State Low A laba m a 1_____________ C alifornia.................. .. C olorado 1..................... .. C on n ecticu t___________ D istrict of C o lu m b ia .. F lo r id a ................. ........... G eorg ia -.............. .......... Illinois________________ In d ia n a __________ _____ Io w a ___________________ K ansas________________ K e n tu c k y _____________ L ou isiana......................... M a in e ____ _____ _______ M a ry la n d M assachusetts________ M ic h ig a n _____________ M in n esota _____________ M issou ri_______________ N ebraska....... ............... .. ___________ A v e r- H igh $155. 68 $155. 68 929.10 183. 33 442. 09 442.09 480.00 733. 33 988. 80 375.00 374. 57 315. 38 260.87 173. 43 656.34 300.00 666. 67 291.00 241. 22 1,759. 29 425. 78 250.00 772.73 166. 67 350.00 170. 26 314. 29 1, 928. 20 428. 57 330. 86 200.00 1, 514. 57 250.00 1,078.00 350.00 400.00 250. 00 646. 60 450.00 263. 60 $155. 68 383. 36 442.09 561. 37 566.81 333. 20 214. 90 488.10 424. 75 444. 30 336. 76 500. 00 256. 59 632. 59 350.18 632.12 410. 30 375.00 398. 01 370.11 Low N e w H am pshire. N ew Jersey_____ N e w Y o r k ______ N orth Carolina 1 O h io____________ O regon 1________ P e n n s y lv a n ia .. . R h o d e I s la n d ... South Carolina Tennessee______ T exa s___________ U tah i_.................. V e rm o n t________ V irgin ia_________ W a sh in gton ____ W est V irginia . _. W iscon sin ______ A ll hom es . A v e r- H igh $320. 00 $872. 47 211. 54 625. 00 264. 71 2, 290. 00 140. 00 140. 00 187.00 700. 00 432.00 432.00 232. 56 1,126. 54 435. 48 681.82 195. 47 195.47 344. 26 233. 33 118. 30 811.78 363. 64 363. 64 517.88 555. 56 187. 50 811.78 457.14 1,050.00 349.89 722. 72 250. 00 756.00 $557. 28 394. 03 510. 65 140.00 402. 44 432. 00 431.85 541. 45 195.47 293. 66 414. 43 363. 64 546.94 579.49 489.19 535.31 463. 28 118. 30 2, 290. 00 454. 77 1 1 hom e. Detailed figures showing the expenditure during one year for each item were furnished by 35 homes. These data are shown in the table below: T a b le 6 1 .—IT E M IZ E D COST OF O P E R A T IO N OF 1 YEAR H o m e for Friendless, N ew H aven , C on n . Item P R IV A T E H O M E S F O R A G E D F O R O ld P e o p le ’s H om e, Ch icago, in . A g ed W o m e n 's an d A g ed M e n ’s H om es, B altim ore, M d. M ount Pleasant H om e, B oston, M ass. Salaries and w ages...... ........... ............... ................... .. $8,053. 32 $24,790. 69 $13,710. 47 $10, 307. 66 Groceries and m eat............................ ..................... ...... 5,300. 33 23, 400. 62 13,082. 48 7, 068. 36 C loth in g________________ _____ _____ _______________ 69. 05 L a u n d r y ...______ ____________________ _____ ______ 83. 70 .................... ............. .. 183. 43 T eleph on e and telegraph 98.43 H eat, light, and p ow er___________________ _______ i 2, 711. 91 11, 386. 62 "4,964.59" 2 ,668. 30 ______ __ ________________ _______ 60.90 388.88 W ater and ice 714.87 D ru gs an d m edical su pplies_____________________ 1,008.12 4,915.10 M ed ica l and hospital c a r e .________________ ______ 2,536. 65 ________________ P rintin g an _____ d office su pplies 938.00 206. 60 619.08 2,354. 34 5,325. 39 R epairs to equ ipm en t an d structu res......... ........... 6,042.17 48.77 5, 270.02 1,763. 25 2,199.64 R ep la cem en ts................. ......................... ....................... 256.10 T ra n sp orta tion ........................................ ....................... R ecreation ......................................................................... 574.87 Insurance........ ..................... ..................... ..................... 273.64 460.54 0 T a xes....................................... ................... ...................... 3 347.40 3 2,783.82 3 1,743.05 M iscella n eou s............... ............................. ............... . 1,875.53 21,538. 67 T o ta l.................................................... ................... i Inclu des insurance. 538. 47 $9,322.99 8,528. 53 104.03 3, 485.84 177.90 102.02 1,704. 21 112.06 69.60 3 i, 278.10 79,351. 03 43,368. 69 26,328. 30 24,885.28 529. 01 703. 98 305. 41 572. 35 460.84 _________ A llow an ces or interest t o inm ates______ ______ 1 Cost per inm ate (exclud ing allow an ces)_________ C a m b rid g e H om es for A g ed P eop le, Cam bridge, M ass. 2 In clu d ed w ith heat, light, and pow er. 3 In clu des cost o f burial. 216 CARE OP AGED PERSONS IN UNITED STATES T a b le 6 1 .—IT E M I Z E D C O ST OF O P E R A T IO N OF P R IV A T E H O M E S F O R A G E D F O E 1 Y E A R —Continued M ald en H o m e for Item Salaries and \ _ G roceries an d m eats _ C lo th in g .______ _______________________ L a u n d r y _______________________________ T elep h on e and telegraph______________ H eat, light, and p o w e r________________ W ater and ice _________________________ D ru gs and m edical su p p lies__________ M ed ica l and hospital care_____________ Printin g and office su pplies___________ R epairs to equ ipm en t and structu res. R ep lacem en ts__________ _______________ T ran sp ortation ________________________ R ecreation _____________________________ Insurance______________________________ T a xes__________________________________ M iscella n eou s_________________________ Persons, M alden , M ass. H o m e for A g ed M en , B oston, M ass. H o m e for H o m e for A g ed A g ed W om en , People, W orcester, W in ch es ter, M ass. M:1SS. $5, 727. 55 $13, 491. 36 $12,907.80 7, 580. 62 6,039. 53 3, 701. 92 499. 25 $5,321. 37 1,476.17 251. 61 3,903. 86 93.50 1,072.93 61. 39 1,332. 67 38.28 2 ,8:J5. 60 145. 62 H o m e for A g e d of G rafton C o u n ty , W o o d sville, N. H. $864.00 933. 29 3. 50 71. 68 34. 42 ., 356.13 58.02 188. 67 763. 33 3 2,407. 24 552. 69 1, 320.16 479. 68 441. 66 23.40 25.00 339. 38 3 637. 23 1, 671. 27 2, 307. 24 3 100. 00 170. 80 12,790. 42 32,157. 74 27, 4<>5. 63 8,879.19 3, 913. 31 714. 62 2, 281. 05 723. 57 328. 64 493. 29 559. 04 B eth a n y H om e, Ossining, N Y. Seabury M em orial H om e, M ount Vernon , N . Y. Vassar B rothers’ H o m e for A g ed M en , P ou gh keepsie, N. Y. Salaries and w ages.......... ......... ....... ............... .......... $9, 318. 84 G roceries an d m eats _ 4,196. 01 C loth in g ___ ______ ________ __ _________ . L a u n d r y _______________________________ _ T elep h on e an d t e le g r a p h ___ ______________ . ___ H eat, light, and p o w e r . __________________ . 4,161. 69 W ater and ice __________________ _____ ________ D ru gs and m edical s u p p lie s ______________ M ed ica l and hospital care____________________ _ 200. 00 P rintin g and office supplies _______ __________ 63.00 R epairs to equ ip m en t a n d s tr u c tu re s .. __ _ __ 2, 790. 23 R ep lacem en ts________ ________ ___________ _______ 301. C9 T ran sp ortation ________ _______ ___________________ R ecreation ________________ _______________________ Insurance____________________ ____ __________ _____ 178. 09 Taxes___ ________________________ _______________ M iscellaneous - _________ __________________________ 326. 71 $3, 596.05 1, 220. 24 $8, 006. 00 7, 778. 69 T o t a l.................................. ......... ............ ............. A llow ances or interest to inm ates_______________ C ost per inm ate (excluding allow ances)_________ T o ta l.. A llow an ces or interest to inm ates_______ Cost per inm ate (excluding allow ances). Item 3 Inclu des cost of burial. Old La dies’ H om e, A u bu rn , N. Y. 1,616. 55 1, 201. 63 133. 02 986. 57 55. 60 78.95 274.06 380.79 $4, 832. 23 4,124. 41 66.10 22.35 66.23 398.28 240. 43 253. 60 39. 96 41. 58 306.15 O ld L a d ies' H om e , Pou gh keepsie, N. Y. $8, 929. 37 7,909.93 3, 690. 65 187.84 688. 50 137. 93 377. 95 279. 68 281. 53 1, 317. 99 3, 24). 88 59. 25 388. 20 3 782. 20 3 368. 91 3 572. 22 21, 535. 57 7,922. 99 22,430.44 10,956. 51 23,460. 63 512.75 1,131.85 44K. 61 521. 74 510. 01 170.00 45.10 375. 75 246. 72 1, 710. 29 460. 33 760. 55 217 CHAPTER X I .---- PRIVATE BEN EVO LEN T HOMES T a b le 6 1 .—IT E M IZ E D COST OF O P E R A T IO N OF P R IV A T E H O M E S F O R A G E D F O R 1 Y E A R —Continued Sam ari tan H om e for A ged, N ew Y ork C ity Item Isabella H om e, N ew Y ork C ity Syracuse H o m e for A g ed, Syracuse, N. Y. Salaries and w ages___________ __________ _ ___ $8,515.31 $19,142. 85 $12, 230. 25 G roceries and m eats. __________ ____ __ _ 5,645.85 16, 440. 08 8,386. 43 C loth in g___ ____________ ________ _____________ _ L a u n d r y ______ _______________ _____ __ ___ 1, 272.04 T elep h on e and telegraph _ ___________ __ __ 162. 00 H eat, light, and pow er _ __________ 1, 269.03 7,096.17 4 3,812.15 W ater and ice ____________________________________ (2) D ru gs and m edical supplies _ ___ _________ ____ 1, 594. 22 220. 43 M ed ica l and hospital care ____________ _____ 390.44 331. 25 Printin g and office s u p p lie s ______ __ _ __ 284. 61 134. 62 1, 255. 65 Repairs to equ ipm en t and structu res. . ___ 1,025. 98 650.18 R ep lacem en ts____ ____ ___ ___ 656.08 477. 97 643. 85 T ran sp ortation . R ecreation 20. 80 Insurance_____________ . ._ _________________ . . . 757. 39 701. 69 1, 518. 42 T axes____ ____ . . . . . . ________ . . . _______ M iscella neous____________________________________ 3 1,067. 35 3 2,191. 39 3 496. 23 T o t a l____________ ________ _ ________ . . . Allow an ces or interest to inm ates Cost per inm ate (excluding allow ances) Salaries and w a g e s ______ _________ . . . _ G roceries and m eats_____________ _ _ ______ C loth in g____________ . . _ L a u n d ry ______________ _ _ _ T eleph on e and telegraph _ _ _ _ _ _ H eat, light, and p ow er _____ __ ______. . . W ater and i c e . _ D rugs and m edical supplies _ __ __ M ed ica l and hospital care ____ __ _______ P rin tin g and office supplies. ___ _____ _ R epairs to equiprftent and structures _ _____ R eplacem ents _ _ T ran sp ortation _ __ __ Recreation ___ _________ Insurance ___ . _ ______ ____ 414. 50 54.00 180. 46 3,890. 33 4, 437. 22 5 212. 00 253. 73 3 546. 72 3 3, 333. 11 7,805. 62 62, 505. 74 177. 75 583. 64 359. 64 515.16 269.16 520. 88 H o m e for A g ed M en , B rooklyn , N. Y. $6,156. 58 $19,938.02 5,150. 76 16,812. 55 191. 31 88. 72 3, 222.86 7,318. 71 1, 252. 50 4, 693. 50 2, 202. 56 . _________ ____ 572. 04 3, 367. 30 ___________________________ 17, 885. 58 57, 260. 54 A llow an ces or interest to inm ates _ _ ___ C ost per inm ate (excluding allow ances)_________ 496.82 525. 33 M arin ers’ GreenF a m ily point A sy lu m , H o m e for Stapleton, A g ed, Staten B rook ly n , N. Y. Island $4,389.59 4,110. 72 3, 208. 45 $2, 470.00 1, 270. 56 M o rro w M em orial H o m e for A g ed, Sparta, 1 W is. $3,096.10 1,899. 80 85. 25 557. 98 27. 35 26. 35 645. 56 184. 60 449. 08 363. 89 324. 23 229. 30 631. 84 13,102.19 5, 664. 36 6, 753. 37 485. 27 404. 60 321. 59 1, 393.43 155. 84 1, 675. 40 « D esignation adop ted, at request of hom e, to a vo id identification. 2 In clu ded w ith heat, light, and pow er. 3 Includes cost of burial.' 25. 60 120. 01 473. 95 45. 98 158. 42 2,328. 58 29, 364. 00 1, 355. 23 770.12 T ota l 965.15 $27,102.95 20, 261. 91 132. 26 50, 350.17 227. 46 150. 50 M iscellaneous $2, 788.10 2, 586. 38 18, 676. 54 O ld La dies’ H om e, Schenec ta d y , N. Y. Item A ssocia tion for R elief of R esp ecta ble A ged H om e A ,« and In d i N ew Y ork gent Fem ales, N ew Y ork C ity 1 Inclu des w ater. 6 Christm as expenses. 218 CARE OF AGED PERSONS IN UNITED STATES T a b le 6 1 .—IT E M IZ E D C O S T OF O P E R A T IO N OF P R IV A T E H O M E S F O R A G E D F O R 1 Y E A R —Continued Item Salaries and w ages_____________________ Groceries and m eats___________________ C loth in g _______________________________ L a u n d r y _______________________________ T eleph on e and teleg ra p h _____________ H eat, light, and p ow e r________________ W ater and ic e _________________________ D ru gs and m edical supplies___________ M ed ica l and hospital care ____________ P rin tin g and office supplies___________ R epairs to equ ip m en t and structures _ R ep la cem en ts_________________________ T ran sp ortation ________________________ R ecreation _____________________________ Insurance______________________________ H o m e for A g ed W om en , N ew ark, N . J. O ld H o m e for A g ed L adies’ W om en , H om e, Paterson, Jersey N . J. C ity, N . J. N azarene H o m e for A ged, P h iladel phia, Pa. $8,362. 34 8,565.11 $5, 627.14 8,027. 26 $4,911. 30 2,912.19 14.85 $3,627. 00 2,272. 34 14. 89 6,497. 57 109. 57 2, 361. 48 1, 280. 46 74. 60 218. 61 226. 83 204.22 193. 65 107. 51 230. 69 485. 36 2, 293. 03 19.00 2,176. 43 878. 68 177. 67 288.32 42.20 520.35 456. 77 42.25 102. 67 61. 52 O ld M a n ’s H om e, P h iladel phia, Pa. $3,424. 00 24, 298. 25 1,951.14 89.26 117. 53 6,503. 25 748. 39 467.16 503.00 471. 59 11, 798. 63 2,371. 81 469." 95 177.16 34.49 3 1,813. 54 M iscella n eou s. 596. 51 3 1, 084. 50 3 539.16 961. 80 T o ta l___ 28,375. 83 20, 026. 61 11,430. 24 7, 423.15 55, 239.15 500. 67 372. 57 228. 60 247. 44 1,707. 69 323. 04 Indigent W id o w s ’ and Single W o m e n ’s H om e, Ph iladel phia, Pa. H o m e for Aged M on and Cou ples, P r o v i dence, R . I. 300.00 363. 79 A llow an ces or interest to in m ates_______ Cost per inm ate (excluding a llow an ces). H ayes M e ch a n ics’ H om e, Ph iladel phia, Pa. Item 683. 36 $16,148. 07 $17,940. 50 676. 73 18,126. 42 13,845.36 129. 01 2, 39»i. 49 240.17 191. 25 139. 94 177.23 4, 794. 55 5,348. 34 5, 037. 67 31. 47 187. 96 208. 00 859.84 154. 40 221.18 1,118. 31 380. 64 4,639.10 1, 719.99 682. 65 1, 513. 71 Salaries and w ages______________________ G roceries and m eats___________________ C loth in g _______________________________ L a u n d r y _______________________________ T elep h on e and telegra ph_____________ H eat, ligh t, and p ow e r ________________ W ater an d ic e _________________________ D ru gs and m edical supplies___________ M ed ica l and hospital care____________ Printin g and office supplies___________ R epairs to equ ipm en t and structu res_ R ep lacem en ts _________________________ T ra n sp orta tion ________________________ R ecreation _____________________________ Insurance______________________________ T a xes__________________________________ M iscella n eou s_________________________ 774. 78 869. 26 T o ta l- Theresa and Elizabeth H om e, R acine, W is. $2, 753. 27 1,829.68 6 1,084. £ Protestant H o m e for A g ed, M ilw a u kee, W is. $18, 278. 58 14, 772. 47 37.20 173.87 6, 610. 46 342.13 699. 71 87.63 268. 62 169.37 291.10 2, 488. 43 2,482.62 120.00 3 2, 326. 81 60.24 535. 78 104.88 1, 365. 30 3 7,154. 40 133. 27 237. 70 1,755. 36 127. 25 1,439.82 32, 673. 04 9,141.15 48,969. 60 6, 684. 53 49,499. 00 16.76 1, 251.03 434. 88 404. 98 532. 28 383. 37 445. 64 358. 69 A llow an ces or interest to inm ates_______ C ost per inm ate (excluding allow ances). 3 Inclu des cost o f burial. 6 Inclu des w ater and telephone. The increase in per capita cost of operating even a large home is shown by the following figures supplied by a home which cares for 150 old people: April 30 — 191 8 191 9 192 0 192 1 192 2 Per capita cost $357. 406. 436. 469. 458. 30 02 84 46 96 April 30— Continued P er capita cost 192 3 $399. 17 192 4 534. 50 192 5 521. 90 192 6 555. 75 1927J_____________________ 5 6 5.62 Chapter XII.—Retirement Systems for Public Employees1 Federal Employees’ Retirement System HE Federal employees’ retirement system was established by an act passed in 1920. This was amended several times, and was reenacted with some important changes in 1926. (44 U. S. Stat. L., 904.) Its administration is intrusted to the Commissioner of Pensions under the direction of the Secretary of the Interior. The Civil Service Commission is required to keep a record of essential information concerning individual service, and to furnish the Com missioner of Pensions such information from this as he may require. A board of three actuaries is to make an annual report upon the working of the act, and is to prepare a valuation of the fund at least every five years. The Secretary of the Interior is to submit annually estimates of the appropriations necessary to finance the retirement fund and to continue the act in full force and efficiency, and the Comptroller General is to establish and maintain an account showing the annual liability of the Government under this act, and to keep such other accounts as may be deemed necessary. T Scope of the System T h e system covers all employees in the classified civil service, all employees of the Panama Canal on the Isthmus of Panama who are citizens of the United States, all regular annual employees of the municipal government of the District of Columbia appointed by the commissioners or other competent authority, certain specified em ployees in the District of Columbia and in cities and establishments in which appointments are made under specified conditions, post masters of the first, second, and third classes who have been pro moted, appointed, or transferred from the classified civil service, and any employees or groups of employees in the civil service to whom the provisions of the act have been or may be extended by executive order. Certain specified groups of employees, several of which have retirement systems already established, are excluded from the pro visions of the act. Source of Funds U n d e r the 1926 act, the employees contribute regularly 3.5 per cent of their compensation, the amount having been raised to this from the 2.5 per cent established in the original act. For the year ending June 30, 1927, these contributions amounted to $24,355,882. The wording of the act does not definitely commit the Government to any precise expenditure, but implies that it will make up the dif ference between the contributions of the employees and what is needed to maintain the system, and also that it will meet the accrued liability for service rendered before the system was adopted. Up to i F o r a detailed report on p u b lic retirem ent system s see B u rea u of L a b o r Statistics B u i. N o . 477. 35777°—29----- 15 219 220 CARE OF AGED PERSONS IN UNITED STATES 1928 the Government had made no contribution of any kind, beyond administering the system, but in the budget for 1928-29 it appro priated $19,950,000 for the fund to cover both its current and a part of its accrued liability. The Government actuaries stated that at the present level of the Federal pay roll ($798,000,000) the amount required to meet the current liability would equal 0.48 per cent of the pay roll, while a second contribution of 1.97 per cent of the pay roll would hold the accrued liability at its present figure ($393,000,000). The above appropriation, amounting to 2.5 per cent of the pay roll, met these two obligations and gave a surplus of approximately $400,000 to apply to the liquidation of the accrued liability. Conditions for Retirement A t l e a s t fifteen years of service and the attainment of a specified age are the qualifications for normal or superannuation retirement. For employees in general the required age is 70, for letter carriers, post office clerks, sea post clerks, laborers, and mechanics it is 65, while for railway postal clerks, employees whose occupations involve special hazard, great physical effort or exposure to extremes of tem perature, and for those who have been in service in the Tropics for 15 years or longer, it is 62. Retirement is compulsory upon reaching the specified age, but extensions for two-year periods may be granted on occasion. After August 20, 1930, however, no employee may be continued in the civil service more than four years beyond the age of retirement. Disability retirement is permitted after 15 years’ service if an em ployee becomes totally incapacitated for useful and efficient service from some cause not due to his own fault or misconduct. The fact of disability must be established by medical examination, and until the employee reaches the regular retirement age, he must submit to annual reexaminations so long as the disability continues. Employees aged 45 or over who, after at least 15 years of service, are involuntarily separated from the service from some cause other than their own fault or delinquency, are entitled to certain benefits, which may take the form of an allowance. Allowances . T h e superannuation and the disability allowances are calculated in the same way, by multiplying the average annual basic salary, not to exceed $1,500, for the last 10 years before retirement by the number of years of service, not to exceed 30, and dividing the product by 45. No minimum is fixed, but there is a maximum of $1,000 a year; since, however, the act provides that all allowances are to be paid in mul tiples of 12, the maximum in practice is $999.96. The separation benefits vary with the age at separation. If the retirant is 55 years of age or older, he is given his choice of three options: (a) The return of the total amount of his contributions with compound interest; (b) an immediate life annuity beginning at the date of separation from the service, having a value equal to the present worth of the annuity which he would have received had he remained in the service until the regular age for retirement;; or (c) a deferred annuity, beginning at the age at which he would have become eligible for retirement, of the amount to which he would have been entitled at that age. If the retirant is between 45 and 55 years of age, he is 221 CHAPTER X I I .---- PUBLIC EM PLO YEES’ RETIREM ENT entitled to a deferred annuity, but upon reaching age 55 he may elect to receive the immediate life annuity based on its present worth at the time. Refunds U p o n separation from the service before becoming eligible for an allowance, or upon being transferred within the service from an occupation covered by the retirement system to one not so covered, an employee is entitled to a refund of all his contributions, with interest at 4 per cent, compounded annually. If, thereafter, he re enters an occupation covered by the system, this refund must be returned, if he wishes to receive the benefits of the system. If an employee dies before reaching pensionable status, the refund will be made to his legal representatives. If, after having retired on allow ance, he dies before he has drawn an amount equal to his total con tributions with compound interest, the difference between this total and the amount he has drawn will be paid to his legal representatives. Provision for Dependents T h e system m akes no provision of any kind for dependents. Statistics of System B e l o w are given the latest available statistics of the system—i. e., for the fiscal year ending June 30, 1928— taken from the report of the Commissioner of Pensions: T h e receipts and disbursem ents during the year were as fo llo w s: Balance in fund July 1, 1927______________________________________ Amount deducted from salaries and credited to fund___________ Interest, profits, and miscellaneous items________________________ $68, 336, 760. 95 26, 454, 611. 68 3, 048, 244. 55 Total in fund_______________________________________________ 97, 839, 617. 18 Disbursements on account of annuities___________________________ Disbursements on account of refunds (including $348,445.44 interest)__________________________________________________________ 10, 990, 454. 10 Total disbursements________________________________________ 14, 761, 616. 75 Balance in the fund June 30, 1928________________________________ 83, 078, 000. 43 3, 771, 162. 65 Table 62 shows the occupations and contributions of annuitants: T able 6 2 .—N U M B E R , S E X , A N D C O N T R I B U T IO N S O F A N N U I T A N T S O N R O L L , J U N E 30, 1928, B Y O C C U P A T I O N S M ale O ccup ation T o ta l n um ber M e c h a n ic s ..- _ . ______ __ _ _ __ __ _ C ity letter carriers R ural letter carriers___ _________ _ Post-office clerks__________________________ R a ilw a y m ail clerks ______ D epartm en tal and other clerks Classified laborers_________________________ U nclassified laborers___________ __ 3, 362 2, 698 2, 452 1, 355 1,191 3,311 899 115 T o t a l_______ ______ __ ______________ A verage c o n t r ib u t io n s _____ 15, 383 Fem ale R etired for disa b ility R etired for age 2, 684 2, 008 ' 2,117 896 1, 060 1,905 609 82 11, 361 i R etired for age R etired for disa bility 169 43 466 690 328 283 131 663 118 31 1 116 6 60 421 104 1 322 68 1 2,710 812 Aggregate co n tribu tions $456,349 464, 644 392, 272 229, 899 190,140 513, 982 102, 835 36,995 500 1 2, 387,116 155.18 1 222 CARE OF AGED PERSONS IN UNITED STATES The number of annuitants in specified annuity classes on June 30, 1928, is shown below: Amount of annuity per year: a n S ta n ts * Less than $100__________________________________________________________ 9 Between $100 and $200_________________________________________________ 116 Between $200 and $300_________________________________________________ 428 Between $300 and $400_________________________________________________ 854 Between $400 and $500_________________________________________________ 1 723 Between $500 and $600_________________________________________________ 1 590 Between $600 and $700_________________________________________________ 1, 655 Between $700 and $800_________________________________________________ 1 761 Between $800 and $900_________________________________________________ 2, 277 Between $900 and $999.96______________________________________________ 1, 668 The maximum annuity of $999.96_____________________________________ 3, 302 Total___________________________________________________________________ 15, 383 At the close of the fiscal year 21.5 per cent of the annuitants were receiving $999.96 per year, the maximum allowable under the act. The others were receiving amounts grading downward to one annuity of only $34.44 per year. The average annuity in 1927-28 was $733.92 as compared with $721.39 for the preceding year. The following statement shows the number of civil-service an nuitants at the end of each year since 1920-21 and the amounts paid in annuities during the year: 1 9 2 0 -2 19 21 -2 19 22 -2 19 23 -2 1 9 24 -2 19 25 -2 19 26 -2 1 9 27 -2 1 2 3 4 5 6 7 8 A n nuitants at end of year A n n u ities paid during year 6 ,4 7 1 7, 576 9, 334 10, 548 11, 689 12, 524 14, 119 15, 383 $ 2 ,5 9 0 ,5 6 8 .5 2 4, 188, 258. 89 4, 964, 001. 92 5, 692, 443. 59 6, 235, 830. 16 6, 766, 601. 17 9, 598, 285. 73 10, 990, 454. 10 Retirem ent of State and M unicipal Employees I N THE summer of 1927 the Bureau of Labor Statistics undertook an inquiry into retirement systems for public-service employees in the United States, supplemented by a brief survey of retire ment systems for Government employees in Hawaii, in Canada, and in European countries. The data concerning foreign systems were secured through the courtesy of the State Department from the governments concerned. For the United States a field survey was carried on during the summer and early fall of 1927, information being obtained through personal interviews with the administrative officers, through consultation of official records, and from published reports. Considerations of time and expense forbade an exhaustive study of the systems of the United States. Taking the country as a whole, there are literally hundreds of these. Police and firemen’s pension plans are found in almost every city; retirement schemes for teachers, while not quite so general, are still ^ery common, and numerous other groups of public employees have their own pension plans. Naturally, there is much sameness in these systems; any attempt to make a complete survey would involve endless duplica tion of detail with no compensating advantage. A study of state CHAPTER X I I .— PUBLIC EM PLO YEES’ RETIREM ENT 223 wide systems and of municipal systems in cities having a population of 400,000 and over would, it was thought, include practically all types of pension plans, and would also give some idea of the relative advantage of the different kinds of systems. At the time the study was undertaken, six States had retirement plans applying to all employees not included in some recognized pension system. Twenty-one States and the District of Columbia had plans which included— or might include— all teachers in the public employ. Eighteen cities, according to the estimate of the Census Bureau, had in 1927 a population of 400,000 and over. The survey therefore included plans maintained by 46 agencies, covering employees ranging from laborers to high administrative, executive, and professional officers, and this, it was felt, was a sufficiently wide inquiry to cover all significant variations of the plans now in use. A study of these plans from an actuarial standpoint would be a formidable task in respect to both time and cost, so a more modest program was adopted. For each system data were obtained as to the kind of employees covered, the differences made between different classes, the source of funds and the division of cost between em ployers and employees, the conditions under which retirement on pension or allowance is permitted, what provision, if any, is made for dependents of deceased employees, the practice in regard to pen sions for disability, the average age and years of service of those retiring, the income and expenditures of the system for the latest year reported upon, and such other matters as might throw light upon the advantages or disadvantages of a given plan. In practice, it was not possible to secure all these data for all systems. In fact, in very few cases were records so kept that reliable information could be gained on all the points desired, so attention was concentrated upon the most important items. Basic classification of retirement plans.— There are two particulars in which retirement plans differ fundamentally— the source of the funds by which they are maintained, and the method by which provision is made for meeting the liabilities incurred. As to the first, plans may be contributory or noncontributory; as to the second, they may be managed upon either the cash disbursement or the actuarial reserve plan. Under the joint contributory system, each employee contributes regularly, usually by means of a deduction from his salary or wages, a fixed amount or a specified percentage of his compensation, while the employing agency either makes fixed regular contributions or undertakes to appropriate sufficient funds, as needed, to keep the system in operation; under the noncontributory system, the whole cost is borne by one side, usually the employer. Noncontributory plans are unusual, and do not seem to be gaining in favor. Among the approximately 70 systems described in the following pages there are only 7 in which the employees do not contribute to the funds of the system, and only 2 in which the employing agency makes no contribution. The Maine and Connecticut State em ployees’ systems, the Rhode Island State teachers’ system, the Detroit system for municipal employees, and the Detroit, New York, and San Francisco systems for firemen are noncontributory systems so far as employees are concerned, while the Michigan and Montana State retirement systems for teachers are the only ones in which the 224 CARE OF AGED PERSONS IN UNITED STATES employing agencies do not contribute toward the maintenance of the plans. Cash disbursement and actuarial reserve systems.— Under the cash disbursement system, benefits are paid from whatever funds are in hand, without much reference to the future. During the early years of a system’s operation, the employees’ contributions are often more than sufficient to meet all needs, but gradually the growing pension roll demands heavier and heavier annual payments, the contribu tions of the employees are progressively inadequate to the situation, and the employing agency is called upon for rapidly increasing annual contributions. Under the actuarial reserve system a fund is established, and the employer, like the employee, pays into this regular contributions. The rate of contribution is so calculated for both sides that the fund receives annually an amount which, put at compound interest, will be sufficient to pay each employee, when his time for retirement comes, the share of the retirement allowance due for one year’s services, and also to pay one year’s share of such other benefits as the system may provide. The employing agency usually assumes responsibility for benefits due for services given before the plan was adopted, and makes regular contributions to liquidate this accrued liability. Ordinarily such plans provide for an actuarial review of the situation at stated intervals, with a stipulation that if the review shows a need for it, the rate of contribution may be revised. The actuarial reserve plan is a comparatively recent development, and is still far from general. There is a good deal of opposition to it in many places for which it is rather difficult to find a definite reason. Probably part of the objection is due to the fact that such systems require careful and systematic operation, while the cash disbursement systems may be installed and operated for some time with little con sideration of any kind. Naturally, those so installed and operated are likely to come to grief. If, however, the employing agency has under-taken to make appropriations needed, it may be a long while before the increasing demands create active dissatisfaction and lead to a recasting of the system, and meanwhile the plan may be held up as an example of the success of a cash disbursement system, free from the red tape and tiresome formality of an actuarial reserve system. In some cases the objection is due to a belief that the actuarial reserve systems are less favorable to the employees than the other form. In one city the charge was definitely brought that under these systems the employee contributes too much and receives too little. The argument ran that contributions are based on the life expectation at the age fixed for retirement, and that this life expectation is cal culated from the mortality tables of insurance companies, which, in turn, are based upon the experience of the compai)ies. But insurance companies deal only with selected cases; applicants are subjected to a rigid physical examination, and rejected if they fall below a pre scribed standard. Naturally, among such a selected group the life expectancy at any given age would be greater than in a miscellaneous group, such as the retirants of a teachers’ or municipal employees’ system, so that contributions based upon insurance experience are unduly high; that is, the average retirant dies before he has received the actuarial equivalent of the contributions to his credit. As yet, CHAPTER X I I .---- PUBLIC EM PLOYEES’ RETIREM ENT 225 tne actuarial systems are rather too new for this objection to have been either disproved or verified; it seems, however, as if the provision for reviewing the system at stated intervals with the possibility of revising the rates of contribution, if desirable, should meet the difficulty, pro vided it exists. Inclusiveness of systems.— Another point of difference is in the inclu siveness of retirement systems. Originally such plans were formed only for a particular group, whose risks were the same, and for whom uniform provisions could easily be adapted. As the desirability of having retirement systems became apparent, the number of such groups increased, until there might be nine or ten systems among the employees of one municipality, or as many different teachers’ systems as there were cities in a State. Unfortunately, even this duplication of systems did not provide for all employees, and in the same city some groups might be enjoying a prosperous retirement plan, others might have no such protection at all, and still others be covered by an expen sive and ill-managed system. In an effort to meet this situation, the inclusive plans were formed, designed to cover all the employees of a State, or a city, thus avoiding duplication of effort and unnecessary expense, and insuring to all employees the protection of a strong, wellplanned and thoroughly solvent system. When such an inclusive system is introduced, usually groups already covered by a retirement system are given their choice of coming in, or remaining under their own plan, and there is a good deal of diversity in the attitude of the groups toward such an offer. Generally, the police and firemen cling to their own systems; in Baltimore the firemen, and in Boston both police and firemen have been brought into the general system, but elsewhere they have remained outside. The teachers vary from place to place, but on the whole seem to prefer their separate organizations. The Chicago teachers present an interesting argument in favor of this. The municipal employees, they point out, are largely men, and the municipal system has been planned with a view to their needs, but the teachers are largely women. M en’s dependents are usually younger than themselves, while women’s dependents are apt to belong to a generation older than themselves. The provision for dependents, therefore, which is attractive to men is wholly uninteresting to women; of what use is a “ child’s annuity” to an unmarried woman, supporting an aged aunt or an invalid parent? If the teachers should go into the general system, they would be helping to support a plan which is not adapted to their peculiar needs, as their own system is; therefore, they prefer to remain under their own. On the whole, however, where a well-planned State or municipal system has been inaugurated, there seems an increasing tendency for it to become all inclusive. Sometimes an outside group comes in as a whole, bringing with it the funds of its own system, as well as its liabilities; sometimes it is arranged that those in the service at a given time shall remain under their own system, the benefits it pro vides being guaranteed to them, but all newcomers shall enter the general system. Thus, in most cities in which a municipal system has been installed, there are a number of dying systems; they will remain more or less in force until those who were in the service when the municipal system came into being have passed out, while their successors are covered by the general plan. 226 CARE OF AGED PERSONS IN UNITED STATES Benefits.— A retirement allowance or pension, usually based on age and length of service, but sometimes on only one' of these factors, is of course common to all the systems. There is a good deal of diver sity as to these qualifications. Among the police and firemen, where full physical strength and agility may be required for good service, there are obvious reasons for setting an early age for optional retire ment, but the situation is different where clerical and administrative groups are concerned. Practically all the systems made retirement compulsory by 70, though some of them provided for extensions in the case of unusually well-qualified employees. An age for optional retirement was common, ranging in the different systems from 50 or under to 65. Among 41 systems, not including police and firemen’s plans, 14 had only a service requirement, with no reference to age; in 3 the age for optional retirement was set at from 50 to 58, in 16 at 60, in 5 at 62, and in 3 at 65; in several of these an earlier age was set for women. Few of these systems kept any record of age at retire ment, but in general the officials believed that employees tended to hold on to their jobs as long as possible, and that unless physical in capacity intervened they remained in the service considerably beyond the age for optional retirement. The service qualification also presents considerable variation. In some of the actuarial reserve systems there was neither age nor service requirement; the amount of the allowance to be drawn by the em ployee depended partly upon his length of service and partly upon his age at retirement, and he might use his own discretion about withdrawing, unless he should become incapacitated for service, when retirement would become compulsory. Where a service require ment was imposed, it varied from 10 to 40 years, 25 years being the commonest period and 30 the next in order. Other benefits are allowances for disability directly due to the per formance of duty, allowances for ordinary disability, refund of con tributions in case of separation from the service before reaching pen sionable status, provision for dependents in case of the death of an active member or pensioner, and, in a few cases, a separation allow ance for those who, after a certain length of service, are dismissed for some cause not involving their own fault or delinquency. Not many systems have all these benefits, the particular ones included depending largely upon the kind of employees covered. In police and fire departments, for instance, death or serious injury resulting from the performance of duty is a constant possibility, and disability allow ances and provision for dependents are of almost as much importance to a man as the normal allowance. These benefits, therefore, are found in nearly all the police and fire systems, and sometimes they are worked out very elaborately. In some cases the employee’s con tribution is calculated to cover his own risk of ordinary disability and part of the allowance to his widow, if he dies from natural causes, while the employing agency provides the whole of the special allow ance for duty disability and for the widows and children of those dying as a result of injuries received in the service. Among teachers and clerical employees, on the other hand, the service involves little or no risk of this character, and the systems are less likely to include such benefits. It is unusual for teachers’ sys tems, for instance, to make provisions for dependents, and when they do it is apt to be confined to a choice given the retirant upon with CHAPTER X I I .— PUBLIC EM PLOYEES’ RETIREM ENT 227 drawal between taking the full allowance to which he is entitled, with the understanding that at his death the whole matter is closed, or of taking a reduced allowance which, in case of his death, is to be con tinued to some beneficiary he has named. On the whole, the tendency among the newer systems is to include more benefits than are found in the early systems, and especially to make some provision for dependents. The return of contributions, commonly with interest and sometimes with compound interest, is frequent among the newer systems. The omission of this provision is sometimes defended on the ground that the worker in making his contributions is really paying for insurance. If he should be injured or die during his service, he would receive an allowance or his depend ents would receive some compensation. He has this protection so long as he remains in the service, and if he retires before the time when he would receive a retirement allowance, he has no claim for anything further. The separation allowance is not common, but seems to have grown in favor recently. It is intended to prevent hardship in cases where a faithful and competent employee finds, after he has served for years, that a reorganization of the service has abolished his posi tion, or that a reduction of the force has become necessary and that he is laid off in consequence, or that some other cause for which he has no responsibility has left him without a position. Systems for State Employees A part from teachers’ retirement systems and plans for pen sioning limited groups, such as judges or war veterans employed in the public service, six States (Maine, Massachusetts, Connecticut, New York, New Jersey, and Pennsylvania) have legislation providing for the retirement on allowance of State employees. Such legislation is of decidedly recent date. Massachusetts led the way in 1911, with an act covering all persons employed “ in the direct service of the Commonwealth or in the service of the metropolitan district com mission, whose sole or principal employment is in such service.” In 1919 Connecticut passed an act authorizing retirement pensions for persons in the State service who met certain requirements as to age and length of service, and Maine recast her laws so as to extend to all State employees legislation which up to that time had applied only to those in the prison service and to public employees who were veterans of the Civil War. New York in 1920, New Jersey in 1921, and Pennsylvania in 1923 enacted laws establishing state-wide retirement systems, since which time there has been a lull in such legislation. Administration A comparison of the six systems shows that in the matter of em ployee representation they are evenly divided. In Maine and Connecticut the management of the plan is intrusted to a<State body, and in New York to a State official, the employees having no representation whatever. The Massachusetts, New Jersey, and Pennsylvania systems are administered by boards on which the employees have either one or two representatives, chosen by them selves from their own number. 228 CARE OF AGED PERSONS IN UNITED STATES Conditions for Retirement Age.— In this respect there have been many changes in the various systems since they were established, but taking them as of the present date, two make no requirements as to age, and four set 60 as the proper age for optional retirement, sometimes coupling with it a service requirement. Maine has only a service requirement, and in general this is true of Connecticut, though here a modification is made in favor of those who reach 70 without the service qualifica tion. New York and New Jersey permit retirement at 60 without regard to service, and Massachusetts and Pennsylvania permit it at the same age with a service requirement. Maine, Connecticut, and Pennsylvania set no age at which retire ment is compulsory, but Massachusetts and New Jersey require it at 70. New York at first did the same, but there was so much complaint against this feature that the law was amended to set the compulsory age at 80, with progressive modifications which will bring it down to 70 by 1936. Service requirements.— Maine requires 25 consecutive years of service and Connecticut 30, or 20 if the employee has reached 70 with fewer than 30 years of service. Massachusetts requires 15 years of service for retirement at 60, but permits it at any age after 35 years of service. Pennsylvania requires a minimum of 25 years and New York and New Jersey make no service requirement. Disability retirements.— Maine and Connecticut make no special provision for disability. The other States permit retirement on allow ance for disability after a certain length of service. Massachusetts and New York fixing the term at 15 years, New Jersey at 10, and Penn sylvania at 5. Massachusetts, New York, and New Jersey make a further provision for accident disability, i. e., disability arising from injury received in the direct performance of duty. For such dis ability, retirement on allowance is permitted without any require ments as to either age or length of service. All four States require that the fact of disability shall be estab lished by medical examination and certification and provide that the retirant must submit to reexamination whenever ordered. Source of Funds In Maine and Connecticut the State provides the necessary funds, appropriations being made at the regular sessions of the legislatures, according to estimates furnished. In the other States the funds are secured through contributions from the employees, contributions by the public authorities, interest on investments and money in bank, occasional profits on investments and the like, the contributions from the employees and the State being the main sources. Contributions from employees.— In all four States the employee’s contribution is made in the form of a percentage of his salary or wage, which is deducted before his salary is paid him. In Massa chusetts, for all who entered the service after June 30, 1918, the contribution is 5 per cent of the salary up to $1,560 a year, all salary over that amount being exempt from contribution. In New York and New Jersey the percentage is determined by the employee’s sex, age at entrance, and kind of work, and in Pennsylvania the employee is given a choice between two rates, based on age at en CHAPTER X I I .---- PUBLIC EM PLOYEES’ RETIREM ENT 229 trance, the amount of the retirement allowance being determined by the rate chosen. Contributions from State.— In Maine and Connecticut appropria tions are made as needed for the payment of pensions. In the other systems the State’s contribution is usually divided into several parts, determined by different calculations. One part is needed to provide for the payment of pensions for service currently rendered, another to defray the cost of special benefits, such as the accident disability allowance, and another to pay the allowances for service rendered before the system went into effect. In addition the State, in all these systems, pays the full cost of administration of the plan. In theory the different amounts, except the expense of administration, are calculated either as a percentage of the active pay roll or as a flat sum which, if continued through a specified period, will extin guish the claim, and the total amount thus found is appropriated regularly. In practice, there is occasionally some irregularity about the appropriations; the State accepts its full responsibility, but some times prefers to postpone its payments or part of them. In addition to these two sources of income, interest upon the accumulated contributions of employees and the State is an important factor in building up the reserves. In 1926 the New Jersey fund received a gross amount of $61,680 from this source and the New York fund, $330,290. Retirement Allowances Under the Maine law the governor and council have entire discre tion as to the amount which may be granted as an allowance, except that it may not be more than one-half the average annual salary received for the last five years of service. In Connecticut the amount is ordinarily one-half of the average annual salary for the last five years of service, but if the retirant has served 40 years it is threefourths of this average salary. In the other States the allowance is composed of two parts, an annuity bought by the retirant’s accumulated contributions and a pension from the State, which, in the case of service retirement, is equal to the annuity. For those in the service before the system was established, the State provides both pension and annuity to cover the years of prior service, so that the total allowance is the same as if they had been paying contributions from the time they entered the public employ. In Massachusetts the minimum allowance is $300 a year, and the maximum is one-half of the average annual salary for the last five years of service. If the employee has served so long that his accumulated contributions would purchase an annuity amounting to more than one-fourth of this final compensation, the State returns the excess to him in a lump sum at the time of retirement. The other States do not set a maximum, but the employee’s contributions have been calculated to produce, for those who enter the service at a rea sonably early age and remain until they reach the retirement age, a sum which will purchase an annuity approximating one-fourth of the final compensation, so that the total allowance will be around onehalf of this compensation. The allowances for disability and duty disability retirement are usually fixed as a proportion of a normal retirement allowance, the employee’s contributions being used to purchase an annuity and the 230 CARE OF AGED PERSONS IN UNITED STATES State altering its pension as may be necessary to make the allowance reach the figure set. In the case of duty disability, the State will, if necessary, make up the whole allowance, and in any case its contribu tion is more liberal than in the case of ordinary disability or service retirement. Refund of Contributions As Maine and Connecticut do not require contributions from their employees, the question of refunds does not arise. The other States all return the contributions, with compound interest, upon the death, dismissal, or withdrawal of the employee. Pennsylvania permits a retiring employee, if he prefers, to receive the actuarial equivalent of his accumulated contributions in either an annuity or a deferred annuity. Provision for Dependents Maine and Connecticut make no provision for dependents. The other States permit options at the time of retirement by which the retirant may, if he chooses, receive a smaller allowance for himself with some provision for dependents after his death, the nature of the options differing considerably in the various States. If death occurs from ordinary causes while a member is still in the service, Massachusetts, New Jersey, and Pennsylvania make no provision for the dependents, except as the refund of the accumulated contributions may be looked upon as a provision; but New York, if the decedent has served for at least one year, makes an additional lump-sum payment to his dependents, based upon length of service, but not to exceed one-half of his last year’s salary. If death results from some accident or exposure incurred in the direct performance of duty, Massachusetts, New York, and New Jersey all provide a pension of one-half of the member’s final com pensation to his widow during widowhood, or to children under a certain age. Principal Provisions of State Systems Comparing these plans it is seen that while they differ in various details there is a considerable resemblance in their outlines. The Maine and Connecticut systems differ essentially from the others in that they are noncontributory, and a number of differences in detail follow from this fundamental divergence. The others are alike in their main features, varying only in the manner in which these are worked out. All six are intended to apply to all regular and permanent State employees not covered by some other recog nized pension plan, a provision which in all these States rules out teachers. In New York special provision is made for bringing in employees of cities, towns, and counties, and Massachusetts includes employees paid partly by the State and partly by counties. Table 63 brings together the main features of all six plans: T a b le 63.—COMPARISON OF STATE EMPLOYEE RETIREMENT SYSTEMS M assachusetts N ew Y ork N e w Jersey Pen nsylvania A u th o riz a tion . L a w s of 1919, ch. 38; 1923, ch. 199; 1925, ch. 118. A cts o f 1911, ch. 532; various am endm ents, n ow con soli dated w ith original act in ch. 32, G eneral Laws. L a w s of 1920, ch. 741; L a w s of 1922, ch. 591; am en dm en ts each year since 1920, in clu d ing 1927. P u b lic L aw s, 1921, ch. 109; am ended 1923, 1924. A cts of 1923, N o . 331 (P . L . 858); am ended, A cts of 1927, N o . 55. B y w hom a d m in is tered. G ov ern o r cou n cil. Public Acts 1919, ch . 210 1921, ch . 74 1923, ch. 119 1923, ch . 217. State b o a rd of finance and co n trol. B oa rd of 3: State treasurer, an em ployee m em ber elected b y his fellows, and a th ird elected b y these 2. State co m p tro lle r ................. ....... B oa rd of 5: State treasurer, ex officio; 2 ap p oin ted b y governor; 2 em ploy ee m em bers elected b y their fellows. C ost o f ad m in is t r a tion borne by. State.. State- S t a t e ........................ ............ ......... State.. State___________________________ B oa rd of 5: State secretary and treasurer, ex officio; 1 m em ber app oin ted b y governor; and 2 em ployees elected b y their fellows. State. A ll em p loyees o f State in stitu tion s or de partm en ts. A ll regular State em ployees. A ll State em ployees except teachers. E m p lo y e e s of cities, tow n s, and counties adm itted . A ll in classified civ il service, unless covered b y som e other recognized pension system . A ll State em ployees except judges and those covered b y school em ployees’ pension system . C o n d it i o n s for retire m ent. 25 con se cu tiv e years’ service w ith g o o d rec ord. ’ service, or 20 if em p lo y e e has reach ed age of 70; larger pen sion if 40 years’ service. Perm anent and regular em ployees n o t covered b y som e other recognized pension system . Judges and som e others excepted. A g e 60 years, w ith 15 years’ contin uous service, or after 35 years’ service, regardless o f age. C om p u lsory retire m ent at 70. O rdinary disa b ility retirem ent: 15 years’ service. D isa b ility incurred in perform ance o f d u ty : N o age or service requirem ents. Service retirem ent: O ptiona l at 60, com p u lsory at 70, ex cept b y special exem ption. O rd in a ry d isability: 10 co n secutive years’ service; m e d ical certification. D u ty dis a b ility incurred in service: N o requirem en ts b e y o n d m edica l certification. Service retirem ent: O ptional at 60, after 25 years’ service. N o age for com p u lsory retire m en t . D isabil ity retirem ent: 5 years’ service; m edical cer tification. C o n tr ib u tion s to fund. S ystem n o n co n tributory. State ap propriates S y ste m n o n con tribu tory. State ap propriates biennially Service retirem ent: O ptional at 60, co m p u lso ry , w ith ex ception s u p to 1936, at 70. O rd ina ry d isa b ility retire m ent: 15 years’ service; m e d ical certification. D u t y dis ab ility : I n ju r y received in service regardless o f length of service; m edical certifica tion. D isco n tin u e d service retirem ent. F ro m em ploy ees: P ercentage of salary d eterm ined b y sex, age at entrance, and k in d of w ork . F ro m State: (1) N o rm a l co n trib u tio n ; (2) d eficien cy co n trib u tio n ; (3) cost o f adm inistration. ( 1) and (2) are percentages o f activ e p a y roll, determ in ed ann ually. F rom em ployees: Percentage of salary determ ined b y sex, age at entrance, and k in d of w ork . F rom State: (1) N orm a l con trib u tion , equal to sum o f m em b ers’ con tri butions; (2) con trib u tion to cover prior service; (3) con trib u tion for death benefits and cost of adm inistration. F ro m em ployees: Percentage o f salary based on age at entrance, choice betw een tw o rates. F rom State: (1) A m ou n t equal to sum of m em bers’ con tribu tion ; (2) con tribu tion to cover prior service; (3) cost of adm inis tration. Persons covered. and amounts needed . amount needed . F ro m em ployees: 5 per cent o f salary, u p to $1,560. F or those em p loy ed prior to June, 1918, choice o f either 3 or 5 per c e n t. From S tate: M o n th ly con tribu tions to m eet cost o f pensions for prior and subsequent serv ice, and am ounts needed for lia b ility and accident death benefits. State m akes u p a n y deficiency. EM PLOYEES’ RETIREMENT C o n n e cticu t X I I .— PUBLIC M a in e CHAPTER Item to 00 T a b le 6 3 .— Item R e tir e m e n t a llo w ances. COMPARISON OF STATE EMPLOYEE RETIREMENT SYSTEMS-Continued Maine Connecticut Massachusetts New York N e w Jersey P en n sylva n ia A t discretion o f govern or and c o u n c i l , but n ot to exceed one-half aver age salary for last 5 years of service. O ne-h alf average ann ual salary for last 5 years; if e m p l o y e e has served 40 years, threefourths. Service allow ance: A n n u ity purchased b y m e m b e r’ s co n tribu tions, plus pension of sam e am ount from State; m in im u m , $300 a year; m ax im u m , one-half o f final com pensation. O rdinary disab ility : Sam e as for service retirem ent. A ccid e n t disa b ility : O ne-half o f salary at tim e o f inju ry. Service retirem ent: F or each year of service one seventi eth of final com pensation. O rd inary d isability: N inetenths of one-seventieth o f final com pensation, m u lti plied b y years o f service. D u ty disability : A n n u ity bou gh t b y e m p lo y e e ’s co n tribu tion s plus pension from State of three-fourths of final com pensation. D is co n tin ued service: A llow an ce as for service retirem ent, plus extra pension if em p lo y e e is 50 or over. On w ithdraw al, dism issal, or death, con tribu tion s are re turned w ith interest at 4 per cent, com p o u n d e d ann ually. Service retirem ent: F or each year o f service one-seventi eth o f final com pensation. O rd in a ry d isability: A n n u i t y b o u g h t b y m e m b e r’ s co n tribu tions, plus pension from State n o t over one-fifth of final com pen sation . D u t y d isa b ility due to service: A n n u ity b ou g h t b y m em b e r ’ s con tribu tion s, plus pension from State of tw othirds o f final com pensation. Service retirem ent: F or each year of service one-eightieth or one-fiftieth of final com pensation, a c c o r d i n g to rate of con tribu tion chosen. D is a b ility retirem ent: A n n u ity and pension to equal for each year of service oneninetieth of final salary; m in im u m , 30 per cent of final salary; m axim um , eightninths of allow ance receiv able had m em ber served till age of 60. O n w ith draw al, dism issal, or death, con tribu tion s are re turned w ith interest at 4 per cent, co m p o u n d e d annually. O n w ith draw al or dismissal m em ber m a y receive accu m ulated con tribu tions w ith c om p ou n d interest at 4 per cent or their actuarial eq u iv alent in a n n u ity or deferred a n n u ity. In case of death, refund is m ade to estate. O ptions at tim e of retirem ent; n o other provision . R efu n d s,. In case of w ithdraw al, dism is sal, or death, an e m p lo y e e ’s contribu tion s are returned w ith interest. P rovision for depend ents. F o r depen dents o f m em ber k illed in service, pension of one-half o f salary em ployee received at tim e o f accident. F o r others, option s at tim e o f retirem ent. O ptions at tim e of retirem ent. O rd inary death benefit; ac cident death benefit. O ptions at tim e of retirem ent. F or death incurred in line of d u ty , pension to w id o w or m in or children. CHAPTER X I I .— PUBLIC EM PLOYEES’ RETIREM ENT 233 Statistics of Systems The table below shows the coverage, pensioners and amounts dis bursed in pensions in 1926 by the funds in the five States for which the bureau has data on these points: T a ble 6 4 .— C O V E R A G E , N U M B E R AVERAGE P E N S IO N OF A N N U IT A N T S , A M O U N T S D IS B U R S E D , A N D O F S T A T E E M P L O Y E E S , B Y S T A T E S , 1926 N u m ber covered by system State C on n ecticu t................................. ....................................... ........... M aine ___ ___________ _________ _____________________ M assachusetts..................... ....................... ................. ................. N ew Jersey________ _________ . . . _______________ ______ N ew Y o r k _______ __________ _______________________ _____ T ota l _ _________ ______________________ ______ N um ber of pensioners on roll f 1 0) 8, 693 / \ 2, 883 19, 996 A verage annual pension (3) * 352 75 965 $52,411 12,420 8,000 167,478 143, 827 35,184 549, 664 $1,123 1,130 539 C1) 414 469 569 1,458 968,984 s 550 41 2 ii 14 0) 31, 572 A m oun t disbursed in pensions 1 N o t reported. 2 U nder special acts. 3 N u m ber of pensioners under n o n co n trib u to ry system not reported. 4 C on trib u tory system ; includes 3 w idow s. 5 C om p u ted b y d ivid in g am ount disbursed b y num ber of pensioners. Systems for Municipal Employees As a g e n e r a l i z a t i o n it is probably safe to say that there is not a city in the United States which does not have a retirement system for at least some of its employees. Retirement systems for firemen and the police are practically universal, retirement systems for teach ers are common, and in many cities it will be found that there are several other schemes, each covering a special group of employees. Within recent years, however, various cities have concluded that it is fairer and more effective to provide for the retirement of all city em ployees, and have established retirement systems of varying degrees of inclusiveness. Among the cities having a population of 400,000 or over there are nine with inclusive systems. These, with the date at which the comprehensive system went into effect, are as follows: Baltimore, 1926; Boston, 1923; Chicago, 1922; Detroit, 1923; Minne apolis, 1922; New York City, 1920; Philadelphia, 1915; Pittsburgh, 1915; San Francisco, 1922. Ordinarily these systems are organized under State laws applying to all cities of a given class, in addition to which there may or may not be a city ordinance authorizing the establishment of a system under the terms of the law. Scope of Systems A common method when introducing a municipal retirement sys tem is to make it apply to all employees not covered by some existing pension scheme. The police and firemen almost universally have schemes of their own, which they often prefer to maintain, so that it is rather unusual to find them included in a general scheme. Teachers also frequently have their own established plans. In some cities it is optional with such employees to come into the general system or to remain under their own, so that there is considerable variation in the inclusiveness of the municipal systems. The Boston plan includes 234 CARE OF AGED PERSONS IN UNITED STATES both police and firemen, and the Baltimore plan covers firemen, but elsewhere these two groups are outside of the general system. In Boston, Baltimore, and San Francisco the teachers have elected to come under the city plan, but in the other cities they either have their own retirement scheme or are included in a State system. The tend ency is to make the municipal system as inclusive as possible, with the idea of substituting one efficient and well-managed plan for a number of small schemes covering limited groups and offering widely varying benefits to the different classes of city employees. Ordinarily employees in the service at the time a system is adopted are given their choice of entering or remaining outside, but for those entering the service thereafter membership is compulsory. Employee Representation in Management Six of the plans are administered by boards on which the employees are represented, the other members usually being city officials who hold the position ex officio. In the Boston plan one of the three board members is chosen by the other two from among the employees cov ered by the system. In Baltimore, Minneapolis, and Pittsburgh, two, and in Chicago, three of the five board members are employees elected by their fellows. In San Francisco, where the board consists of seven members, three are elected by the employees from their own number. In the other three cities the employees have no direct representa tion, the system being administered in Detroit by the city comptroller and the civil-service commission, in New York City by the board of estimate and apportionment, and in Philadelphia by a board of five, of whom three are city officials and two are elected by the city councils from their membership. Character of Plans and Source of Funds Of the nine cities, Detroit, Philadelphia, and Pittsburgh have cash disbursement and the others actuarial reserve schemes. Detroit stands alone in having a noncontributory system. In the other eight cities, the employees are required to make specified contribu tions, which are deducted from their salaries or wages. In Pittsburgh the contribution is 2.5 per cent of the salary, with a maximum of $72 a year, in Philadelphia 4 per cent with a yearly maximum of $48, and in Boston 4 per cent without any maximum. Elsewhere the con tribution is calculated on a savings-bank basis to insure a certain annuity after specified conditions as to age and length of service have been fulfilled, and therefore varies with the age at entrance and, in some cases, with sex and kind of work done, the clerical group, for instance, having a lower rate of contribution than employees in more hazardous occupations. Minneapolis exempts from contribution all employees, mostly laborers, who do not earn as much as $750 a year, classing these as noncontributing members, and making special pro visions for their retirement allowances, period of service, and the like. Chicago has rather a complicated contribution plan. Any amount over $3,000 a year is exempt, but on salary up to that amount the employee contributes 3.25 per cent for his own annuity, 1 per cent for his widow’s annuity (female employees do not make this con CHAPTER X I I .— PUBLIC EM PLO YEES’ RETIREM ENT 235 tribution), and one-tenth of 1 per cent for expenses of administration.. In addition he contributes annually one-half of 1 per cent of two months’ salary to provide his share of the allowance for ordinary disability. The cities having cash disbursement systems appropriate such amounts as are required to maintain pension payments. As Detroit bears the whole cost of the allowances, appropriations have been made annually since the plan was started. Philadelphia did not con sider any appropriation until 1924, when it devoted $50,000 to the purpose, and Pittsburgh made its first appropriation in 1925, to cover a deficit in the 1924 operations. The cities having actuarial reserve systems make annual appropriations to cover their share of the liability for current service, and also to meet the accrued liability for service before the plan went into effect. In general, the city bears the cost of extra benefits, such as special allowances for disability incurred in the performance of duty, and special provision for the widows and children of employees killed in the service. In the actuarial reserve systems, interest on the accumulating contributions of the employees and the city forms an important part of the revenue. In the New York City system, for instance, the interest on the fund for the year 1926 was $1,136,080, while from the establishment of the fund up to the end of 1926 it was $3,354,600. In Minneapolis, which has comparatively a small system covering 1,739 members as against the 31,000 to 32,000 of New York, interest for 1926 amounted to $26,745, or very nearly one-fifth as much as the city’s contribution. Conditions for Retirement Most of the systems recognize at least three kinds of retirement on allowance: For service or superannuation, for ordinary disability, and for duty disability. For service retirement the two factors of age and length of service are frequently linked together. One pur pose of a retirement system is to relieve the employing agency of employees too old to give the best service, so there is a tendency in the newer systems to fix an age at which retirement is compulsory. Superannuation.— The following statement shows the conditions for service or superannuation retirement in the systems considered: Conditions for superannuation or service retirement Baltimore: Optional at 60 years of age, compulsory at 70; no service require ment. Boston: Optional at 60 years of age, compulsory at 70; no service requirement. Chicago: No age requirement; at least 10 years’ service required. The allow ance may not be drawn, however, until the retirant has reached age 55. Detroit: No age requirement; 25 years’ service required, unless employee reaches 70 first, when 15 suffice. Minneapolis: Optional for women at 60, and for men at 62; compulsory for women at 70, and for men at 72; no service requirement. New York C ity: Optional for clerks at 60; mechanics, 59; laborers, 58. Com pulsory for all at 70, with possible extensions for 2-year periods; no service requirement. Philadelphia: Optional at 60; no compulsory age; 20 years’ service required. Pittsburgh: Optional at 60; no compulsory age; 20 years’ service required. Retirement may be permitted with less, in which case contributions must be continued to close of 20-year period. San Francisco: Optional at 62 (at 60, after 30 years’ service) and compulsory at 70; 10 years’ service required. 35777°— 29------- 16 236 CARE OF AGED PERSONS IN UNITED STATES It will be noticed that of the three cash disbursement systems one ignores age altogether, and the other two, while sotting a fairly early optional age, do not make retirement compulsory at any time. All three, however, have a definite service requirement— 20 years in two cases and 25 in one. Of the actuarial reserve systems, on the other hand, four make no service requirement, and the other two call for only 10 years’ service. In an actuarial reserve system, of course, it is of no importance from a financial standpoint, how early an employee retires. Each year the contributions he makes and the contributions the city makes on his behalf are credited to his account, the interest they draw is also credited to the same account, and it is of no possible importance, financially, to anyone but himself whether he withdraws early and takes the small allowance his account would then purchase, or remains late and secures a larger allowance. But from the standpoint of the work to be done, it is important both that employees should not be leaving in the prime of life after they have served their full apprenticeship, and that they should not remain after they have become less efficient through age, so five of these six cities set an age below which employees may not retire on allowance and another beyond which they may not remain in the service at all. In general, 60 seems to be the accepted age for voluntary and 70 for compulsory retirement. Disability retirement.— Ordinarily two kinds of disability retirement on allowance are permitted— retirement for ordinary disability which arises in the normal course of life and is not due to the sufferer’s fault or wrong living, and retirement for duty or accident disability, arising from some condition or accident to which the employee was exposed in the actual performance of his duty. Medical examina tion and certification are required before retirement is permitted for either of these causes, and in many cases periodic reexaminations are required as long as the disability allowance is drawn. The Detroit system makes no provision for disability retirement of any kind, and the Philadelphia and San Francisco systems provide simply for disability retirement, making no distinction between the two kinds. The other six cities permit retirement on allowance for duty disability without regard to age or length of service, the only essential being that the disability results from the direct performance of duty. For ordinary disability retirement all the cities except Chicago have a service requirement, ranging from 5 years in Baltimore to 20 in Philadelphia. New York, Minneapolis, Pittsburgh, and San Francisco require^ 10 years of service. Chicago safeguards its lack of a service requirement by providing that for ordinary disability the allowance will be paid only for a period not longer than one-fourth the length of service, and not, in any case, exceeding five years. Retirement Allowances Superannuation.— In the cash disbursement systems the allowance for service or superannuation retirement is very simply calculated. In Detroit it is one-half the annual salary received at the time of CHAPTER X I I .— PUBLIC EM PLO YEES’ RETIREM ENT 237 retirement, with a maximum of $900 a year, and in Philadelphia and Pittsburgh, one-half the average annual salary received during the last five years of service, with a maximum of $1,200 a year. Under the actuarial reserve systems the allowance consists of two parts— an annuity purchased by the retirant’s accumulated contributions, and another, called a pension, purchased by the city’s accumulated con tributions to his credit. The contributions have been so calculated that for each year of service the allowance will be a specified fraction— the service fraction— of the average annual compensation received during either the last 5 or the last 10 years’ service. The service fraction may vary with the class to which the worker belongs. In the New York system, for instance, the service fraction for clerical workers is one-seventieth; for mechanics, one sixty-eighth; and for laborers, one sixty-sixth of the average final compensation. As a result the retirants from these groups receive an allowance of approxi mately one-half their average final compensation after terms of service of 35, 34, and 33 years, respectively. Under all the actuarial reserve systems the city pays the whole allowance for years of service rendered before the system was adopted. The custom varies as to setting minimum and maximum limits. Minneapolis sets a maximum of $500 a year for noncontributing members— i. e., those who have earned less than $750 a year and have consequently been freed from the obligation to contribute to the retirement fund— but has no limits on allowances for contributing members. Baltimore and New York City have no limits, but Boston and San Francisco both provide that allowances may not be less than $480 a year— in San Francisco this provision is confined to those already in the service when the system was adopted, who are forced to retire on account of reaching the age of 70— and Chicago has a minimum of $600 for those in service before the present system was adopted. Boston provides that no retirant with credit for prior service may draw an allowance of more than one-half his average annual salary for the last five years, and Chicago sets a maximum of $1,800, beyond which no allowance may go. With these exceptions the amount of the allowance is determined by the amount of the accumu lated contributions to the retirant’s credit, including the double con tribution made by the city for his years of prior service, and by his age at retirement, the latter factor determining the amount of the annuity which the contributions will purchase. Disability.— There is the same difference between the two kinds of systems concerning disability allowances as in regard to the allowances for service retirement, the cash disbursement systems paying a fixed amount, usually half of the last salary received, while under the actuarial reserve systems the allowance is made up of annuity and pension in varying proportions, the pension being enlarged to meet the needs of the situation. Table 65 shows the allowance for ordi nary and for duty ^disability retirement under each of the city plans: 238 CARE3 OF AGED PERSONS IN UNITED STATES T able 6 5 .— D IS A B IL IT Y R E T I R E M E N T A L L O W A N C E S IN N IN E M U N I C I P A L E M P L O Y E E S ’ R E T IR E M E N T SY STE M S C ity O rd inary disability 1 A n n u ity , plus pension sufficient to bring allow ance u p to nine-tenths of w hat superannuation allow ance w ou ld be; m in im u m , one-fourth of average final com pensation. B oston ______________ A n n u ity , plus pension of nine-tenths of w hat it w o u ld have been had retirant rem ained in service at sam e salary u p to age 60. C h ic a g o ._____ _____ O ne-half salary received at tim e o f retire m ent, to be paid for period not longer th an one-fourth retirant’s length of service, b u t in no case for over 5 years. N o a llow an ce____________ ______________ D e tr o it_____________ M in n ea p olis____. . . A n n u ity , plus pension to bring allow ance u p to w hat con tribu tions to retiran t’s credit w o u ld purchase if kept at c o m p o u n d interest until earliest date at w h ich service retirem ent w o u ld be perm issible. N e w Y o r k C it y _____ A n n u ity , plus pension to bring allow ance u p to nine-tenths of service allow ance at sam e date, w ith m in im u m , if re tirant entered service under 40, o f onefourth of average final com pensation. One-half of average final com pensation, P h il a d e l p h i a ..___ w ith m axim u m of $1,200 a year. Pittsburgh _ _ . d o _____ ____________________________ 1.25 per cent of average final com pensa San Francisco ___ tion m u ltiplied b y num ber of years of service. D u t y disability 1 A n n u ity , plus pension of tw o-th ird s of retirant’ s average final com pensation. A n n u ity , plus pension sufficient to bring allow ance u p to three-fourths of salary during List year o f service. Three-fourth s o f salary at tim e disa b ility w as incurred, w ith $10 per m o n th for each ch ild u nd er 18, total not to exceed 90 per cent o f full salary. N o allow ance. A n n u ity , plus pension to brin g allow ance u p to w hat it w o u ld be if e m p lo y e e ’s and c it y ’s con trib u tion s w ere c o n tin ued u p to earliest date at w h ich service retirem ent w o u ld b e perm issible. A n n u ity , plus pension o f three-fourths of average final com pensation. One-half o f average final com p en sation , w ith m axim u m o f $1,200 a year. D o. 1.25 per cent o f average final co m p e n sa tion m u ltiplied b y n u m ber o f years of service. 1 “ A verage final c o m p e n s a tio n ” m eans the average salary in B altim ore and San F ran cisco for the last 10, and in N e w Y o r k , Philadelphia, and P ittsburgh, the last 5 years of service. Refunds All of the systems considered make some provision for returning the employee’s contributions in case he dies or leaves the service before retiring on allowance. Philadelphia and Pittsburgh return the contributions, without interest, to the employee or to his estate. The other cities return them with interest, usually 4 per cent, com pounded annually. In the systems in which the employee is required to make specific contributions for expenses of administration or other nonannuity purposes, it is usually provided that only contributions intended to apply to the purchase of an annuity are to be returned. Provision for Dependents With the exception of Chicago, all the cities having actuarial reserve systems so arrange that on retirement an employee may either receive Ins straight allowance or may take one of several options under which he will receive a smaller allowance, but on his death it will be con tinued to a beneficiary he has named or some other benefit of similar actuarial value will be paid. If an employee on retirement does not choose to take one of these options, the city does not assume any responsibility for his dependents in case of his death. Chicago does CHAPTER X I I .— PUBLIC EM PLOYEES’ RETIREMENT 239 not offer options, since under its system allowances are provided for the widows and in some cases for the minor children of employees. The cash disbursement systems do not make any provision for the dependents of a retired employee. Upon the death of an employee before retirement, all the cities return to his heirs his contributions, usually with interest. If the death was due to normal causes New York City and San Francisco pay to the dependents a lump-sum benefit equal to the decedent’s salary for the last six months of his life, while Baltimore pays 50 per cent of his average final compensation. If death was due to accident or injury incurred in the performance of duty, Boston, Baltimore, and New York City pay to the widow, the children under 18, or to de pendent parents a pension of one-half the decedent’s annual salary or one-half of his average final compensation, according to the city, while San Francisco pays, in addition to the ordinary death benefit, whatever amount is due to the heirs under the State compensation law. Chicago, under the same circumstances, increases the pension paid by the city to the widow so as to bring her total allowance up to 60 per cent of the employee’s salary at the time of death. Minne apolis pays a death benefit of $150 to the heirs of a noncontributing member who dies before retirement, while Detroit, Philadelphia, and Pittsburgh make no provision for dependents. Principal Provisions of Plans The essential features of the various plans are shown in the table following: 240 t a b l e 6 6 .— C O M P A R IS O N OF M U N IC IP A L P U B L IC S E R V IC E R E T I R E M E N T S Y S T E M S N a m e of system and auth orization A nnual con tribu tion s to cover its share of benefits earned b y current service and to m eet accrued lia b ility ; cost o f ad m inistration and ex tra benefits. Superannuation: O ptional at age 60; an d com p u lsory at 70. No service requirem ent. O rdinary disability: 5 years’ service. D u t y disability: N o age or service require m ent. M e d ica l certifica tion for all d isability retire ments. S uperannuation: A n n u ity and pension to equal, for each year of service, oneseventieth o f average final com pen sa tion; full allow ance for prior service. O rd inary disa b ility : N ine-tenths o f re tirem ent allow ance; m in im u m , 25 per cent of average final com pensation. D u t y d isability: A n n u ity plus pension o f tw o-th ird s o f average final com pensa tion . O rdinary death benefit; accidental-death benefit; options. A n annual am ount sufficient to m eet its liab ility for cur rent service, and to defray part of ac crued liab ility; cost of adm inistration. Superannuation: O ptional at age 60 and co m p u lso ry at 70; no service requirem ent. Or dinary disability: A fter 15 years’ service. D u t y disa b ility: N o age or service re quirem ent. M e d ica l certifi cation in all cases o f disa bility. A c c id e n t a l-d e a t h benefit; options. Percentage of e m p lo y ee’s salary to cover c it y ’s share of ordi nary benefits, and also entire cost of d u ty disability al low ance, and other extra benefits Superannuation: N o age re quirem ent, b u t at least 10 years’ service. O rd inary and d u ty disa b ility: N o age or service requirem en t. M edica l certification. S uperannuation: A n n u ity plus pension; m in im u m , after 15 years’ service, $480; m axim um , one-half average annual sal ary of last 5 years. O rd inary disability: A n n u ity , plus pension equal to 90 per cent of pension p ay a ble if retirant had served till 60. D u t y d isability : A n n u ity , plus pension equal to three-fourths of com pensation du rin g year preceding injury. S uperannuation: A n n u ity plus pension, am ount d e pen din g on length o f service, salary, and age at retirem ent; m axim u m , $1,800. O rd inary d isability: 50 per cent o f final salary, p aid for n o t m ore than 5 years. D u t y d isability : 75 per cent of final salary, for life; also allow ance for F ro m 3 to 8 p e r cen t o f salaries, a ccord in g to age at entrance; e m ployees re ce iv ing less th a n P rovision for de pendents; special provision if em ployee killed in perform ance of du ty. ary. A m o u n t needed to carry the system . C o n trib u tio n to cov er its share o f benefits earned b y current service and to m eet accrued liab ility ; cost of adm inistra- Superannuation: T w e n ty -fiv e years’ service, or 15 if em ployee has reached age 70. N o d isa b ility retirem ent. Superannuation: O ption a l at age 60 for w o m e n an d 62 for m en, co m p u ls o ry at 70 for w om en, 72 for m en. N o n con tribu tin g m em bers m ust serve till 70 a n d m eet cer- Superannuation: O ne-half annual salary at tim e o f retirem ent; m axim um , $900. N one. Superannuation: A n n u ity b o u g h t b y retira n t’s con trib u tion s plus pension b ou gh t b y c i t y ’s con tribu tion s on his b e half. Su p plem en tal pension for those in service before plan was ad op ted . F or n o n co n trib u tin g m em ber, pen sion not F or con tribu tin g m em bers, op tions; for n on contributors, death benefit. STATES Percentage o f sal ary u p to $3,000 (all o ve r that am ou n t being exem pt) tow a rd ow n a n n u ity , w id o w ’s ann uitv . o rd in a rv d is a b ility a llo w ance an d cost o f adm in istration . N o c o n tr ib u tio n __ UNITED Percentage o f sal ary (based o n sex, age at e n trance, an d k in d o f w ork ) ca lcu lated t o p u r chase a n n u ity of one one-hundredan d -fortieth of average f i n a l co m p e n s a tio n for each year of service. 4 per cent of salary or wages. IN M u n ic ip a l p en sion and re tirem en t board a n n u ity a n d benefit fu n d o f M in n ea p olis (Sess. L a w s 1919, ch. 522). O ther benefits PERSONS R etired em p lo y e e s’ pension fu n d of D e tr o it (C it y Charter, T it . I X , C h . V ). R etirem en t allow ances AGED M u n ic ip a l em p lo y e e s’ an n u ity an d benefit fu n d of C h icago (111. L a w s o f 1921, p. 205). C o n dition s for retirem ent OF B o ston retirem ent system (M a ss. A cts of 1922, ch. 521; 1923, ch. 381; 1925, ch. 18; an d 1926, ch. 390). C it y ’ s con tribu tion CARE E m p lo y e e s ’ retirem ent system o f the C ity of B a ltim ore (A cts o f 1924, ch. 411; c ity ordinance N o. 553 o f 1925). E m p lo y e e s ’ co n trib u tio n $750 a year do n o t contribu te. 2.5 per cent of sal ary or wages up to $2,400 a year. A n nual am ount n eed ed to m aintain sys tem . C it y em p loy ees’ retirem ent system , San F ran cisco ( C it y C harter, A rt. X V I I ; charter a m en d m e n t N o . 37 (ad op ted , 1924); c it y ordinance 5561, new series). Percentage of sal ary based on sex and age at en trance; for those entering under 60, not to exceed 5 per cent. C ost of b e n e fit s for current service; a c c r u e d l ia b il i t y ; cost of adm inistra tion. Superannuation: O ptional at age 60, after 20 years’ service. N o co m p u lso ry age. T otal disability: 15 years’ service. M ed ica l certification. Superannuation: O ptional at age 60, after 20 years’ service. N o co m p u lso ry age. O rdi n ary d isability: 10 years’ service. D u t y d isability: N o age or service require m ent. M e d ica l certification and p eriodic exam inations in both cases. Superannuation: O ptional at age 62, after 10 years’ service (at 60 if retirant has 30 years’ service); com pu lsory at 70. D isa b ility : 10 years’ service. M ed ica l certification and p eriodic exam inations. Superannuation and disa b ility: One-half of average annual p a y for last 5 years; m axim u m , $1,200. N on e. Superannuation and ordin ary and d u ty d isability: O ne-half average final com pensation; m axim u m , $1,200. N on e. Superannuation: A n n u ity plus pension, to equal, for each year of service, for m en 1H per cent and for w om en 1.172 per cent of average final com pensation. F u ll al low an ce for prior service, w ith m in im u m of $480; no m axim um . D is a b ility : For each year of service 1.25 per cent of aver age final com pensation. D eath benefit; o p tions. 241 Appropriation of w hatever is deem ed necessary for m ain tenance o f system . O r d in a r y d e a t h b e n e f it ; duty d ea th b en efit; compassionate allow ance; op tions. EM PLOYEES’ RETIREMENT P en sion fund of th e c it y o f P itts bu rgh (P . L . 596; L a w s o f 1925, N o . 404). C ost of pensions for current service, ac crued liability, cost o f extra benefits, and expense o f adm inis tration. to exceed $500 a year. O rd in a ry disa b ility : A llo w a n ce purchasable if present a ccu m u lated con tribu tion s w ere kept at c o m p o u n d interest till retirant reached retiring age. D u t y disa b ility: A llo w ance purchasable if b o th parties con tin ued their con tribu tion s till em ployee reached retiring age. S uperannuation: A n n u ity plus pension, to equal for each year o f service a fraction of average final com pen sation — for clerks, one-seventieth; for m echanics, one sixtyeighth; and for laborers, one sixty-sixth. O rd in a ry d isability: N in e-tenths of superann uation allow ance; m in im u m , one-fourth o f average final com pensation. D u t y d isability: A n n u ity plus pension o f three-fourths of average final com p en sation. X I I .— PUBLIC M u n icip a l pension fu n d o f c ity and c o u n ty of P h ila d elp h ia (P . L . 566 of 1915; am en ded , P . L . 689 o f 1917). P ercentage of sal a ry (based on sex, age at en trance, and char acter of w ork) c a lc u la t e d to produ ce su m w h ich w ill pur chase at retire m ent an annui t y of one-fourth o f final average c o m p e n s a t io n ; ranges from 3.84 to 8.3 per cent o f salary. 4 per cent of salary or wages; m axi m u m , $48 a year. tain service requirem ents; n o service requirem en t for others. O rd in a ry disability: 10 y ears’ service. D u t y dis a b ility : N o age or service re quirem ent. M e d ica l certifi cation an d periodic exam i nation. Superannuation: O ptiona l at age 60 for clerical group, 59 for m echanics, and 58 for laborers; co m p u lso ry for all at 70, w ith possible exten sions. N o service require m ent. O rd inary d isability: 10 years’ service. D u ty disability: N o age or service requirem ent. M e d ica l cer tification in b o th cases. CHAPTER N e w Y o r k C it y em p lo y e e s ’ retire m en t system (L a w s o f 1920, ch . 427; G reater N e w Y o r k C harter, C h . X X V I). tion and entire cost of pensions for n o n contribu ting m e m bers. 242 CARE OF AGED PERSONS IN UNITED STATES Statistics of Municipal Systems Coverage, number of pensioners benefited, and the amounts dis bursed by each of the plans are shown in the table following: T a b le 6 7 .— C O V E R A G E , P E N S IO N E R S , A M O U N T D IS B U R S E D , A N D A V E R A G E P E N S IO N OF M U N IC IP A L E M P L O Y E E S , 1926 C ity Y ear ending— N u m ber covered b y sys tem N u r ib e r of pen sioners on roll B a ltim ore ______________ _________ ______________ B oston ____________________ _______________ ________ ____ C h ica g o. _ _ ______________ __________ ________ D e t r o i t ____________ M in n e a p o l is .______ ___________ __ __ _______ _____________ _____________ N ew Y o r k C ity Ph iladelphia __ _ ____________________________ P ittsburgh _ __ __ ________ ____________ ____ San Francisco ___ _ June 30,1926 D ec. 31,1926 ___ do June 30,1926 D ec. 31,1926 ___ d o _______ ___ d o ____ _ ___ d o __ June 30,1926 7,311 18,926 2 13,000 11,802 1,739 31,421 (3) 2 2, 400 6,775 165 709 1 46< 73 244 966 534 182 279 $95,370 537, 455 815, 253 55,030 98,196 1,148, 318 306,119 120, 758 197,145 $578 758 556 754 402 1,189 573 664 707 93, 374 4. 619 3, 373, 644 730 T ota l __________________________________ A m oun t Av erage disbursed annual in pensions pension 1 1 C om p u ted b y d iv id in g am ount disbursed b y n um ber of pensioners. 2 A p proxim ate num ber. 3 N o data. Retirement Systems for Police and Firemen ETIR EM EN T systems covering the police and firemen are usually the earliest established in a community, and often they may be found even where no other systems have been adopted. This investigation, as mentioned previously, covered cities having a population of 400,000 and upwards. Of these, there were 17 having retirement systems for the police, the firemen, or the police and firemen combined. (Boston is omitted, as there both police and fire men are included in the general plan for the retirement of municipal employees.) Thirteen cities have separate systems for the police, 13 (not quite identical) have separate systems for the firemen, and 3 have combined the systems covering the two departments. Of the cities studied, St. Louis is the only one which does not have some plan for permitting its police to retire on allowance, but in Los Angeles, Newark, and Washington, D. C., the systems for police and firemen have been combined. This section, therefore, deals with 13 systems for the police, 13 for firemen, and 3 for the police and firemen combined, which will be treated separately. R Police Retirement Systems T h e m a j o r i t y of the police retirement systems date well back into the last century. Probably the oldest is that of New York City, which was established in 1857. Practically all of the earlier schemes have been materially changed from their first forms, and it seems unnecessary to attempt to fix the precise date of origin. The member ship of the systems, by cities, is as follows: Baltimore Buffalo, Chicago Cincinnati _ Cleveland ___ __ Detroit. M ilw a u k e e __________ _________ _________ _________ _________ _________ _________ _________ 1, 864 1, 144 6, 080 525 1, 421 2, 762 938 Minneapolis New Orleans New York Citv Philadelphia _ Pittsburgh______________ San Francisco_______ _ _______ 499 _______ 877 _______ 1 5 ,950 _______ 5, 600 _______ 904 _______ 1, 186 CHAPTER X I I .— PUBLIC EM PLOYEES' RETIREM ENT 243 The numbers here given are not comparable, since there are differ ences as to the classes of employees included in the schemes, and occasionally local circumstances affect the number of the force. These figures are given merely as conveying in a general way some idea of the number covered. The custom differs as to the inclusiveness of the systems, some limiting membership to the uniformed force and detectives, while others take in all employees of the department. In general, if a city maintains an inclusive municipal employee system, the civilian members of the department, such as clerks, janitors, and the like, are covered by this, and only the so-called “ fighting” force comes under the terms of the police retirement system. Where policewomen are employed, they are counted as part of the uniformed force, and some of the systems specifically include police matrons and assistant matrons. Employee Representation in Management In the matter of giving employees a voice in the management, the systems are almost evenly divided, seven having employee representatives on the board of control, while six intrust the admin istration either to a single official or to a board composed of city offi cials. In the latter group, the Baltimore and the New York systems are managed by the commissioner of police, the New Orleans system by the commissioner of public finance and the secretary of the board of police commissioners, the San Francisco system by the board of police commissioners, the Buffalo system by a board composed of the mayor and four councilmen, and the Detroit system by a board of city officials in which the police commissioner is included. In the remaining systems the administrative boards contain, in addition to ex-officio members, a certain number of employee representatives elected by their fellows, and in several cases these form a majority of the board. In Milwaukee, for instance, there are three employee representatives in a board of five, in Minneapolis five in a board of eight, and in Cincinnati six in a board of seven. Source of Funds All of the systems included in this study are contributory, but they vary considerably in the proportionate amounts contributed by the force, and by the employing agencies. In many of the systems, in addition to the contributions from employer and employees there are receipts from unclassified sources which materially increase the annual income. Contributions from employees.— Under four of the systems the em ployees contribute a flat sum monthly, the amount being $1 in Cin cinnati, $2 in San Francisco, in Cleveland a payment ranging from 50 cents to $1.25 according to the rank of the contributor, and in Philadelphia an amount equal to one day’s pay, disregarding all salary in excess of $3,000 a year. In the other nine cities the em ployees pay a percentage of their salaries, ranging from 1 per cent in Detroit and Minneapolis to 4.625 per cent in Milwaukee and in Chi cago to 4.75 per cent of the salary up to $2,600 a year. In the last two cities the proportion of the percentage for each of several distinct purposes has been carefully allotted. In Chicago, for instance, a member pays 3.5 per cent of his salary toward the allowance he 244 CARE OF AGED PERSONS IN UNITED STATES expects to draw upon retirement, 1 per cent for the widow’s annuity, one-eighth of 1 per cent to provide for ordinary disability retirement, and the same amount toward the expenses of administration. In Milwaukee the division is the same, except that the employee pays 3 per cent toward his own retirement allowance, and one-half of 1 per cent for ordinary disability retirement. In the other cities the employee pays simply the prescribed percentage and its exact assign ment is not specified. In Minneapolis, in addition to the percentage contribution, the members who have completed their probationary period pay 50 cents quarterly toward expenses of administration. Contributions from employers.— With few exceptions, the cities make a practice of turning over to the police retirement fund various miscellaneous moneys, which in the aggregate make a considerable addition to its resources. The sources of the amounts thus turned over vary from city to city. A rather typical list includes all fines and costs imposed by station-house magistrates, fines imposed upon the police for disciplinary purposes, all or a part of any rewards and donations to officers for special services or extraordinary valor, fees for permits for public entertainments, special permits to dancing schools and physicians, fees for licenses issued to private detectives, unclaimed money, and the proceeds of sale of unclaimed property left beyond a certain length of time in the hands of the police, pro ceeds of the sale of unfit, condemned, and unserviceable property belonging to the department, and other unclassified receipts. Some cities include the fees for dog licenses, and others the fees for permits for boxing contests. In general, all cities, whether or not they make these miscellaneous contributions, make a direct appropriation for the support of the system. Baltimore, Buffalo, New York, and Philadelphia provide that the city shall make appropriations as needed to maintain the system, New Orleans devotes to this purpose 2 per cent of the amount appropriated for the support of the police department, and Chicago, Cincinnati, Cleveland, Detroit, Milwaukee, and Minneapolis provide for raising, by a special tax, the amounts needed to pay the city’s share of the system’s benefits. Pittsburgh provides that a certain percentage of the amount raised by general taxation may be used for this purpose, while San Francisco makes no direct appropriation but uses the money derived from certain fines and licenses for this purpose. In some cases the city simply undertakes to supply what is necessary to maintain the payment of allowances, while in others its share of responsibility for benefits promised under the system is carefully defined. In Chicago, for instance, the city contributes for each member of the force an amount equal to 10.5 per cent of his salary, of which 2 per cent is for the widow’s pension and 8.5 per cent for his own future pension. The city also bears the entire cost of the extra benefits provided by the system, and makes up any deficiency in the cost of administration, if the amounts contributed by the employees for this purpose are not sufficient. Other sources of income.— In some cities a custom still prevails under which the police raise funds for retirement and benefit purposes by staging an annual ball game, or a dance or other entertainment for which admission is charged. Sometimes they hold a carnival, or receive the proceeds of a benefit performance, or sell advertising space in a yearbook, or resort to other money-making devices. Often very CHAPTER X I I .---- PUBLIC EM PLOYEES’ RETIREMENT 245 considerable sums are raised by such means, but the practice is looked upon with less favor than in the earlier days, and there is a general tendency to give it up and support the retirement system by definite contributions from employer and employees. Interest on deposits and occasional profits on good investments are also sources of income, and most systems provide that gifts, donations, and legacies for the benefit of the fund may be accepted. Cost of Administration Three cities (Chicago, Milwaukee, and Minneapolis) require con tributions from the employees toward the expenses of management. In Chicago and Milwaukee each employee contributes one-eighth of 1 per cent of his salary monthly and in Minneapolis after a six months’ probationary period each employee is assessed 50 cents quarterly for this purpose. In other cities the costs are frequently merged with the general expenses of the department. Sometimes a particular item of expense, such as the salary paid for doing the secretarial work, or cost of printing or postage is paid from the fund, the department meeting the remaining expenses, and sometimes the city carries the whole matter as part of the routine cost of the department. Conditions for Retirement Service or superannuation retirement.—Age as a condition for retire ment plays rather an unimportant part in these systems. In seven cities (Baltimore, Buffalo, Cincinnati, Cleveland, Detroit, New Or leans, and Pittsburgh) there is no age requirement and no age fixed for compulsory retirement, though it is sometimes provided that after a given age a man may be compulsorily retired if his condition renders this advisable. New York expects retirement after 25 years’ service unless an extension is secured, but at 55 retirement is optional if 20 years’ service has been given, and at 60 regardless of length of service. Of the other cities, Minneapolis and Philadelphia permit retirement from 50 onward, but couple this with a service requirement of 20 years. Chicago and Milwaukee have rather complicated age requirements. Those in service when the system was adopted may retire from 50 onward, if they have completed 20 years of service, and will receive the full allowance. Those who entered after the adoption of the system may retire under the same conditions, but will not receive as large an allowance as if they remain until 57; at that age their allowance is fixed and is not increased by service given there after. San Francisco makes no provision for optional retirement but enforces it at 65. Baltimore alone among these cities has no service requirement, basing retirement upon disability rather than upon age or service. The disability may be due to the infirmities of age, but in that case it is the disabilities, not the number of years the retirant has lived or served, which condition the retirement. Of the other cities, seven (Buffalo, Chicago, Minneapolis, New Orleans, Philadelphia, Pitts burgh, and San Francisco) require 20 years’ service, though Chicago does not insist on this qualification unless the retirant is under 57. Cincinnati, Cleveland, Detroit, and New York require 25 years’ serv ice, New York modifying this requirement as mentioned above, while Milwaukee calls for 15 years’ service if the retirant is 57 or over, and 20 if he is under that age, 246 CARE OF AGED PERSONS IN UNITED STATES Disability retirement.— In all the cities disability due to injuries or illness incurred in the direct performance of duty is recognized as a cause for retirement on allowance, regardless of age or length of serv ice rendered. All but three (Minneapolis, New Orleans, and Pitts burgh) recognize disability arising from ordinary causes as ground for retirement on allowance, though several require service qualifica tions in addition. Cincinnati sets this service requirement at 5 years, New York and Philadelphia at 10, Cleveland at 15, and Balti more at 16. All the systems require medical examination and cer tification before retirement for disability is permitted, and in the case of ordinary disability it is frequently specified that the disability must not be due to the employee’s own fault or misconduct. Retirement Allowances Most of the systems provide the same allowance for service and for duty-disability retirement, and the commonest amount fixed is onehalf the salary drawn at the time of retirement. Two cities, Cleve land and Pittsburgh, grade the allowance according to the rank held by the retirant, the monthly payments ranging in Cleveland from $87.66 to $125, and in Pittsburgh from $50 to $75. In Chicago and Milwaukee the allowance consists of an annuity bought by the retirant’s accumulated contributions and a pension bought by the city’s contributions on his behalf, the maximum in Chicago being 75 per cent of the salary received at the time of withdrawal (salary over $2,600 a year being omitted from the calculation) and in Milwaukee 75 per cent of the highest salary received during the period of service. In Chicago, if the retirant was in the service before the adoption of the present system, has reached the age of 50, and has given 20 years of service, he is entitled to retire on an allowance of one-half his sal ary, whether or not the accumulations to his credit will purchase such an annuity, the city making up any deficiency. In Milwaukee the city provides an allowance for prior service for those on the force when the system was adopted. Of the other nine cities, seven fix the allowance at one-half the salary drawn at the time of retirement, Philadelphia puts it at one-half the average salary for the last 10 years, and San Francisco at one-half the salary of the rank held 3 years prior to retirement. Detroit intro duces an interesting variant by fixing the pension at one-half the salary of the rank held by the retirant at the time of withdrawal; if, later on, the salary attached to that rank is changed, the allowance changes accordingly. Minneapolis puts the allowance at one-half the salary, but fixes $75 a month as the maximum to be paid. Since the adoption of the system, salaries have been raised and now the salary of the lowest rank is $150 a month, therefore, $75 a month is at once the minimum and the maximum payable under this system. Disability retirement allowances.— In 10 of the cities the allowance for duty disability is normally the same as for service retirement, though in some of these a certain latitude is permitted, the proviso reading that the amount is not to exceed one-half the salary at time of retirement. Of the three remaining cities, Chicago provides for duty disability an allowance of three-fourths of the recipient’s salary, with an additional allowance for each child under 18, the whole not to exceed the salary drawn at the time of injury. Milwaukee gives 55 per cent of the salary with $10 a month for each child under 18, CHAPTER X I I .---- PUBLIC EM PLOYEES’ RETIREMENT 247 the whole not to exceed 75 per cent of the salary, and Pittsburgh provides that the retirant shall receive for 52 weeks one-half of the salary at the time of injury, and then, if permanently injured, he is entitled to a lump sum of $1,200 from another fund. As mentioned before, the Minneapolis, New Orleans, and Pitts burgh systems do not permit retirement on allowance in case of ordinary disability. Of the 10 cities which permit such retirement, 4 give the same allowance as for duty disability and 6 either per mit or enforce a different pension. Thus, in Buffalo the council is to set the allowance, but may not give more than one-half the salary at the time of retirement. In New York, if the retirant has served 10 but less than 20 years, the pension is to be not less than one-fourth nor more than one-half the salary, but if he has served 20 or more years it is one-half the salary . Chicago and Milwaukee give one-half the salary, with the usual deductions for annuity pur poses, and both cities provide that this allowance may not be paid for a period longer than one-fourth the retirant’s term of service, and not in any case for over five years. Philadelphia allows for each year of service one-twentieth of the normal retirement allowance, and Cincinnati gives $36 for each year of service, with a maximum of $900 a year. Dismissal allowances.— Only two systems, those of Cincinnati and Cleveland, include these allowances. Both provide that if a man is dismissed after 15 years’ continuous service, except for certain speci fied faults or misconduct, he is entitled to an allowance which in Cincinnati is not to exceed $600 a year and in Cleveland is to be one-half the allowance for service retirement for his rank. Refunds Only four of these systems provide for a return of contributions in case of the death or separation from the service of a member before reaching pensionable status. In Chicago, if a member with draws or is dismissed before reaching pensionable status, he receives a refund, with interest, of his contributions for annuity purposes, but not of what he has paid in for ordinary disability retirement (this being looked upon as in the nature of insurance) nor of his contribu tions toward expenses of maintenance. If a member is unmarried or a widower, upon reaching age 57 or at the time of his retirement, if that takes place before 57, he is entitled to a refund, with interest, of his contributions for the widow’s annuity. Upon the death of a member his heirs are entitled to a refund, without interest, of his contributions for annuity purposes, provided they have not been paid out to the policeman himself or to his dependents in the form of annuity. Milwaukee has a somewhat similar system. Upon with drawal or dismissal before reaching pensionable status the officer is entitled to a refund of the entire amount contributed for his own and his widow’s annuity with interest. A similar refund is made to his heirs or estate in case of death. In Pittsburgh a refund of contribu tions without interest is made in case of the withdrawal, dismissal, or death of a member, and in San Francisco, while no refund is made in case of withdrawal or dismissal, a refund of contributions, without interest, is made in case of death from natural causes after 10 years of service, to the widow, minor children, or dependent mother of the deceased. 248 CARE OF AGED PERSONS IN UNITED STATES Provision for Dependents All the systems considered recognize a responsibility toward the immediate dependents of a man killed in the performance of duty or dying as a result of injuries so received, and 9 of the 13 also make some provision for dependents in case of death irom normal causes. There is a good deal of variety in the kind and degree of provision made. In some of the older systems a flat pension was fixed for the widow or for the dependent children under a certain age; sometimes the amount was revised as the cost of living rose, but this was not in variably done, and so it happens that in some cases the widow’s pen sion, which was doubtless entirely satisfactory when the system was adopted, is now a scant provision for any normal needs. In the systems which have been reorganized in recent years, the provision for dependents sometimes receives as careful and detailed attention as the arrangements for the benefit of the member himself. Chicago and Milwaukee are good examples of this, annuities for the widows and provision for minor children of the members being basic features of the schemes. The Chicago plan provides that if a member dies from ordinary causes, his widow is entitled to an allowance purchased by the accumulated contributions made for this purpose by the member and the city, the maximum allowance being 60 per cent of the member’s salary. A prior-service allowance is provided by the city alone for the widows of members in service before the s} stem was adopted. In case a member is killed in the performance of duty, his widow is entitled to what is called the compensation annuity, amounting to three-fourths of the decedent’s salary, which is paid to her until her husband, had he lived, would have reached age 57, when it ceases and she receives only the ordinary widow’s allowance, described above. This ordinary allowance continues during life, not being affected by her remarriage. Whether the man’s death was due to normal causes or to injuries received in the service, an allowance of $10 is made for each child under 18, until it reaches that age. If the mother as well as the father is dead, the allowance for the children is increased to $25 a month. The compensation annuity and the children’s allowances combined must not exceed the full salary re ceived by the deceased, any excess being taken from the children’s allowances. The Milwaukee system is in the main similar to that of Chicago in this matter, though under its terms the combined allowances of the widow and children may not exceed 75 per cent of the deceased mem ber’s salary. Also in Milwaukee the extra allowance made to the widow of a man killed in the performance of duty is whatever amount is needed to bring her annuity up to the amount which she would have received had her husband attained age 57 or, having reached that age, had completed 15 years of service before his death. This extra amount is stopped in case of her remarriage, but the normal annuity continues throughout her life. The allowance for each child under 18 is, as in Chicago, $10 a month, but if the mother as well as the father is dead this is increased only to $15 a month instead of to the $25 provided under the Chicago plan. Few of the other cities make such elaborate provisions. Baltimore, Detroit, Philadelphia, and San Francisco provide for dependents CHAPTER X I I .---- PUBLIC EM PLOYEES’ RETIREMENT 249 only in case death is due to the performance of duty. In that case Baltimore al]ows the police commissioner in his discretion to give the widow during widowhood the pension the man would have received if retired; Detroit gives the widow a pension of $100 a month until remarriage, with an allowance of $20 a month for each child under 16; Philadelphia gives a pension of $20 a month with $6 a month for each child under 14; and San Francisco gives one-half the dece dent’s salary to the widow during widowhood. In case no widow survives the decedent, the allowance may be paid to dependent children or, if there are none, to a dependent parent or parents. In the other cities provision is made for dependents, whether or not death is incurred in the performance of duty, though occasion ally it is provided that an officer must have served for a specified period or else the dependents are not entitled to the allowance. In Pittsburgh a flat payment of $1,200 is made. New York provides that in case of a duty death the allowance is to be not less than $600 a year, nor more than one-half the decedent’s salary, and that in addition there shall be a lump-sum payment equal to the annual salary the decedent was receiving at the time of his death. In the case of a death from ordinary causes the dependents are entitled to a pension of $300 a year. In New Orleans the widow of an officer killed in the discharge of duty or dying from ordinary causes after 20 years of service is entitled to $150 a year, and in the other cities the allowances range from $300 to $1,200 a year, or, in some cases, to one-half the salary the officer was receiving at the time of his death. In these cities the widow’s pension continues only during widow hood. Allowances for each child under a given age are common, the age limit va^ing from 14 to 18, and the amount of the allow ance from $6 to $25 a month, Detroit alone exceeding this last figure with a proviso that if the widow dies or remarries, the person re sponsible for the care of the children shall receive $40 a month for each child under 16. Retirement Systems for Firemen I n B a l t i m o r e and in Boston the firemen are included in the general scheme covering city employees, and in three cities they and the police are merged in a common system. Elsewhere they are covered by plans of their own, often dating back to a period very near the organization of the service as a city department. With the exception of the San Francisco system, all of these retirement plans were formed in the last century, the oldest being that of New York City, which commenced paying benefits in 1871. A number, how ever, have been so changed within recent years that they are prac tically new systems. Minneapolis, for instance, introduced impor tant changes in 1921, Milwaukee and Pittsburgh in 1924, and De troit in 1925. Chicago made various changes in its system in 1917, and since 1925 has had several plans under consideration for reorgan izing it, or for including it with the general municipal retirement plan. 250 CARE OF AGED PERSONS IN UNITED STATES The systems covered, with their approximate membership in 1926, are as follows: Buffalo___________________________ Chicago__________________________ Cincinnati_______________________ Cleveland________________________ D etroit___________________________ Milwaukee_______________________ Minneapolis_____________________ 946 2, 341 624 1, 061 1, 698 723 513 New Orleans_____________________ 628 New York C ity__________________6, 078 Philadelphia_____________________ 2, 100 Pittsburgh_______________________ 931 940 St. Louis_________________________ 967 San Francisco.___________________ These systems commonly cover only the uniformed force, but in a few cases it is specifically stated that all members of the department are to be included, while in others certain groups of the nonuniformed members are covered. The Detroit system, for instance, applies to the uniformed and civilian groups alike, while the Chicago plan covers the fire-fighting force, the fire-alarm operators, and the linemen connected with the department. Employee Representation in Management In Buffalo the system is managed by a board of 5, consisting of the mayor and 4 councilmen, in Detroit by a board of 5 all of whom are ex officio members, in New York the commissioner of the depart ment is trustee of the fund with full power to administer and control it, and in San Francisco the board of fire commissioners has the trusteeship of the fund. In the nine remaining cities the members of the force are represented on the administrative body, and not infrequently form a majority there. In New Orleans, for instance, the board consists of the president and secretary of the board of fire commissioners and the chief engineer of the department, ex officio, and 6 members of the uniformed force elected by their fellows; the Minneapolis board of 8 includes 6 active members of the force elected by their fellows, and in Milwaukee the board of 5 consists of the city treasurer, 1 member appointed by the mayor, and 3 elected by the firemen from their own number. Character of Schemes and Source of Funds Three of the systems, those of Detroit, New York City, and San Francisco, are noncontributory, the cities bearing the whole expense, but elsewhere the employees and the cities join in supporting the plans. In regard to contributions from employees the contributory systems are evenly divided, five fixing the contribution at a flat sum monthly, and five requiring a percentage of the salary. In the first group the Cincinnati system calls for a contribution of 50 cents a month from each member, in Cleveland the payment ranges from 50 cents to $1.25, according to the rank of the member, in Minneapolis it is fixed at $1.50 a month, with an initiation fee of $10, in St. Louis it is $2 per month with an initiation fee of $5, while in Philadelphia members in active service contribute one day’s pay and pensioners one-half of a day’s pay, based on their salary at the time of retire ment. In the second group the firemen of New Orleans pay 1 per cent of their salaries for pension purposes, those of Chicago and Pitts burgh 2.5 per cent, and those of Buffalo 4 per cent. Under the Chi cago system a fireman who retires before reaching 50 must contribute an amount equal to 2.5 per cent of his final salary yearly until he CHAPTER X I I .— PUBLIC EM PLO YEES’ RETIREM ENT 251 reaches that age. Milwaukee has a carefully worked out system under which members pay 3 per cent of their salaries for their own annuities, 1 per cent for widows’ annuities, one-half of 1 per cent for ordinary disability benefits, and one-eighth of 1 per cent toward administrative expenses. In Minneapolis, New Orleans, and Pitts burgh, members are liable to assessments of from $1 to $2 upon the death of a fellow member. As in the case of the police retirement systems, it is common for the cities to use for the benefit of the firemen’s fund a number of miscellaneous receipts. New Orleans, for instance, turns over to the fund all fines imposed upon the force and fines imposed upon others for violations of the fire regulations, 1 per cent of all license fees, payments for special details, rewards for special services, and proceeds from the sale of surplus and condemned property of the department. Another source of income is often the tax on business done in the State by outside fire-insurance companies. It is not unusual for a State tp levy a tax on such business and to turn over to the cities in which it is done all or part of the tax on the business done in that city, often specifying that a certain percentage of it is to go to the fire department’s pension fund. The city also very generally makes a direct contribution of what ever amount is needed to maintain payment of pensions and benefits, either appropriating it each year from the general revenues or levying a tax especially for the purpose. Of the cities covered, Milwaukee alone has a carefully worked out system of contributions designed to cover each year the liabilities incurred that year. For each man on the pay roll it contributes annually 9 per cent of his salary for his pension, 2.5 per cent for the widow’s allowance, and one-half of 1 per cent for ordinary disability benefits. In addition, it contrib utes yearly one-eighth of 1 per cent of the aggregate pay roll toward expenses of administration and makes a deficiency contribution to meet extra benefits and the prior-service liability. Its contribution is raised by a tax levy of not to exceed five-tenths of a mill on the dollar. In several cities the fire department still maintains the custom of having an annual carnival, getting up an annual handbook with charges for advertising, or in some similar manner raising money either for the retirement fund or for the benefit association which is sometimes maintained in close connection with the retirement system. Cost of Administration In Milwaukee the city and the members of the force make regular contributions to defray the cost of administration, but elsewhere either such expenses are paid out of the general funds of the sys tem or there is a rather vague division of costs between the system and the city, the former perhaps paying for clerk hire, postage, printing, and the like, while the latter carries such expenses as rent, heat, and light without making any distinction between what might justly be debited to the system and what is strictly chargeable to the department. In a few cases the whole cost of the system is carried as part of the department’s expenses. 35777°— 29------- 17 252 CAEE OF AGED PERSONS IN UNITED STATES Conditions for Retirement Service or superannuation retirement.— As a condition for retirement on allowance, age is rather an unimportant matter in the firemen’s systems, only five cities imposing an age qualification, and several of these modifying it by other circumstances. Philadelphia puts the age for optional retirement at 45, with a service requirement of 20 years. Chicago puts it at 50, but permits retirement earlier if the claimant has served for 20 years; in such a case, however, contribu tions to the fund must be continued until the retirant reaches 50. Minneapolis sets 50 as the normal age for optional retirement, but permits it earlier if 20 years of service have been given; in that case, however, the allowance does not begin until the retirant has reached 50. San Francisco makes retirement optional at 55 after 20 years of service, but permits it at any age after 25 years’ service. Milwaukee varies its age requirement according to length of service and to the allowance to be paid. Retirement is optional at 57 if the retirant has served 15 years, or as soon after 57 as 15 years of service have been completed. It is also permitted at 50, after 20 years’ service, or, with a reduced allowance, at 50 after 10 years’ service. The remaining eight cities have no age requirements. It is not customary to set an age for compulsory retirement, the arrangements for disability retirement taking the place of such a provision. The San Francisco system specifies that a member may be compulsorily retired at 60 or over, if infirm or incapable, but in the other systems this is taken for granted. A service requirement is universal. Milwaukee sets it at 15 years, though, as mentioned above, it sometimes permits retirement after 10 years, reducing the allowance when this privilege is claimed. Eight cities (Buffalo, Chicago, Minneapolis, New Orleans, New York, Philadelphia, Pittsburgh, and St. Louis) fix it at 20 years. San Francisco requires either 20 or 25 years, according to age, and Cin cinnati, Cleveland, and Detroit call for 25 years. Disability retirement.— All these systems provide for retirement on allowance in case of disability incurred in the performance of duty, without imposing any conditions as to age or length of service. This is the only form of disability retirement on allowance permitted in Detroit, Philadelphia, St. Louis, and San Francisco, but the other systems give pensions in case of ordinary disability, providing it is not due to the man’s own fault or misconduct. Cincinnati requires that such a retirant must have served not less than 5 years, and New York makes a difference in the amount of pension granted if the service is of less than 10 years’ duration, but with these exceptions there are no age or service limitations. Medical certification of dis ability, based upon examination, is generally required, and under some systems periodic reexaminations must be taken so long as dis ability pensions are paid. Retirement Allowances Nine cities (Buffalo, Chicago, Cincinnati, Cleveland, Detroit, New Orleans, New York, Philadelphia, and San Francisco) give as the normal retirement allowance half or “ not less than half” the salary drawn at the time of retirement, five of them modifying this provision somewhat. Chicago places on it a minimum of $000 and a maximum CHAPTER X I I .— PUBLIC EM PLOYEES’ RETIREM ENT 253 of $3,000 a year; Cincinnati sets a minimum of $75 and a maximum of $100 a month; Cleveland has the same maximum, but makes the minimum $87.66 a month; Detroit specifies that the allowance is to be half the salary attached to the rank held at the time of retirement, and that if this salary is changed at any time the pension is to undergo a corresponding change; and Philadelphia sets the allowance at onehalf of the average annual salary for the last four years of service. The four remaining cities use different plans. Under the Mil waukee system the allowance consists of an annuity bought by the retirant’s accumulated contributions, plus a pension bought by the city’s accumulated contributions to his credit, the two together not to exceed 75 per cent of the highest salary received during the period of service. For those in the service before the present system was adopted, the city provides a prior service allowance. Minneapolis gives $600 a year to those retiring after 20 years’ service, and increases this by progressive additions for each 5-year period in excess of the required 20. Pittsburgh grades its allowances into six classes, ac cording to the rank held by the retirant, the annual amounts running from $600 to $900. St. Louis gives $600 a year. Disability allowances.— Only two of these cities, Milwaukee and Minneapolis, make any distinction between the service allowance and the duty disability allowance. Cincinnati and New York, while making no difference between these allowances, pay a smaller allowance to those retiring on account of ordinary disability with only a limited term of service. The nine remaining cities pay the same allowance, whatever the cause of the retirement. In cases of ordinary disability, Cincinnati pays no allowance unless the retirant has served at least five years. For those meeting this condition, the allowance is $3 per month for each year of service up to 25, at which point it reaches the minimum for service and for duty disability, and there it stops. In actual practice, since service retirement is permissible after 25 years of service, the retirant would probably claim that, rather than the disability allowance. Under the Milwaukee system the allowance for duty disability is 55 per cent of the salary drawn at the time the disability was incurred, with an additional allowance of $10 a month for each child under 18 years old, the total amount not to exceed 75 per cent of the highest salary drawn during the period of service. For ordinary disability the allowance is 50 per cent of the salary, from which 4 per cent is deducted for annuity purposes; this allowance may not be paid for over five years. Minneapolis grades the allowance according to the degree of in capacity. For those who are totally disabled the allowance is* $900 a year; those who are permanently incapacitated for work as firemen but are able to do light manual labor or office work receive $480; and those who are disqualified for firemen’s service but able to do ordinary manual labor receive $180 yearly. In New York the allowance is the same for service retirement, for duty disability, and for ordinary disability after 10 years of service; for ordinary disability with less than 10 years of service, the allow ance is not to exceed one-third of the final salary. Dismissal allowances.— The Cincinnati and Cleveland systems pro vide that if a member is dismissed after a stated period of service, unless it be for certain faults specified in the regulation, he is entitled 254 CARE OF AGED PERSONS IN UNITED STATES to a dismissal pension. In Cincinnati it is given for dismissal after 15 years of service and amounts to $2 a month for each year of service rendered, up to 25. In Cleveland the service period is 12 years, and the amount of the allowance is fixed at three-eighths of the salary. Refunds Only 2 of the 10 contributory systems, those of Milwaukee and Pittsburgh, provide for a refund of contributions in case of separation from the service before reaching pensionable status. Milwaukee provides that in case of withdrawal or dismissal the accumulated contributions for annuity purposes shall be returned with compound interest. In case of death, if the decedent leaves dependents no refund is made, since the plan embodies provisions for their care, but if there are none, a refund is made to the heirs or the estate. If a fireman in service at age 57 is unmarried or a widower he may receive a refund, with compound interest, of his contributions for the widow’s annuity, but if he marries thereafter his widow will not be entitled to any allowance. Under the Pittsburgh plan there is no refund in case of death, but if a member withdraws or is dismissed, his contributions are returned to him without interest. Provision for Dependents Without exception these systems make provision for widows and dependent children of members, and quite frequently it is provided that if there are no dependents of these categories, a pension will be paid to a dependent father or mother of the deceased. Under the Milwaukee system the funds for the care of dependents are financed as carefully as those for the firemen themselves, the employees and the city together contributing for the widows’ allowances, and the city alone contributing for the children’s allowances. Under this system in case of death from ordinary causes the widow’s allowance is the annuity purchasable by the accumulated contributions for this purpose. If death occurs in the line of duty the widow receives an extra allowance sufficient to bring the annuity up to what it would have been had her husband lived and continued his contributions up to the age of 57, or to such time thereafter as he would have com pleted 15 years of service. For each child under 18 there is an allow ance of $10 a month, or $15 if the mother is not living. In the case of a duty death, the combined allowances of mother and children may reach a maximum of 75 per cent of the decedent’s highest salary, but in case of a death from ordinary causes these may not exceed 50 per cent of the final salary. The ordinary widow’s allowance is con tinued throughout her life, but the extra allowance given in case of a duty death is discontinued if she remarries. The plans of the other cities present certain variations. Pittsburgh has no pensions for dependents, but pays a death benefit of $1,100. Detroit and New Orleans do not pension dependents unless the death was due to injuries received in the service, but New Orleans in any case pays a death benefit of $1,000. The other systems all provide pensions for the widow, whether or not the death was due to the performance of duty, but in several cities the pension is larger in case of a duty death. They also either give a monthly allowance for the benefit of each child under a stated age, or provide that the CHAPTER X I I .---- PUBLIC EM PLOYEES’ RETIREMENT 255 pension shall go to the children if there is no mother living, or be con tinued to them if the mother dies before they have reached the age limit. In all these systems the widow’s pension is limited to the dura tion of her widowhood. Combined Systems for Police and Fire Departments I n e a c h case these systems were formed by combining existing systems covering the separate departments, and none of the plans has been in operation long in its present form. The oldest is the Washington system, established in 1916. Newark combined its two systems in 1920 and Los Angeles in 1923. In Los Angeles, however, the system was radically changed in 1926, the new plan commencing to operate in January, 1927. The Los Angeles scheme covers only the uniformed forces of the two departments, including the police women, the Newark plan takes in also the clerical and administrative officers, and in Washington the system, in its present form, includes the uniformed members of the fire department, the Metropolitan police force, the street railway crossing officers, the White House police, and the United States park police. Administration The Los Angeles system is managed by a citizens’ board of 5, appointed by the mayor, and the Newark system by a board of 5 consisting of the mayor and the chief financial adviser of the city, ex officio, 1 policeman and 1 fireman, each elected by his fellows, and 1 nonoffice-holding citizen, elected by the 4 other members. In Washington the system is managed by a board of three, consisting of the corporation counsel of the District, and one member each from the police and the fire departments, designated by the District commis sioners, who are authorized to change the personnel of the board from time to time, and are further empowered to make, modify, and amend the regulations and rules of procedure for the board. Source of Funds All three systems are contributory. In Los Angeles the members, since January 1, 1927, have contributed 4 per cent of the salary, in Newark they contribute 2 per cent of the salary, except those who were 35 years of age or over on entering the service, for whom the contribution is 4 per cent, and in Washington the contribution is 2 ^ per cent of salary, raised in 1924 from 1 per cent. In Los Angeles the city makes an annual contribution of several different sums. It appropriates first a percentage of the pay rolls of the two departments sufficient to cover the liability incurred for that year’s services; second, a deficiency contribution of $635,000, which is to be continued for 36 years to liquidate the accrued liability; and, third, it pays into the fund all fines and deductions from the salaries of members of the two forces, all proceeds from the sale of unclaimed property, interest, and rewards and donations. The amount of the two appropriations is raised by taxation. In Newark the city con tributes annually a sum equal to 4 per cent of the combined pay rolls of the two departments, and also turns into the fund all fines imposed on members, all deductions from their salaries for absences or lost 256 CARE OF AGED PERSONS IN UNITED STATES time, and half of all rewards. If at any time the pension fund should prove inadequate to the demands upon it, the city is to include in any tax levy a sum sufficient to meet its requirements for the time being. Under the Washington system no specific contribution is required from the District, but if at any time the fund is insufficient to meet the expenditures authorized, the District commissioners are to direct that such amounts, appropriated from the general revenues of the District, are to be paid into it as may be necessary. Also, the fund is to receive all fines imposed for disciplinary purposes upon the mem bers of the two forces, all rewards, donations, and the net proceeds of the sale of unclaimed property in custody of the clerk of the police force. Cost of Administration In Los Angeles the city meets the cost of administration, in Newark it is paid from the fund, and in Washington it is carried as part of the general expenses of the departments. Conditions for Retirement Service or superannuation retirement.— Los Angeles has no age qualification for retirement, Newark permits it at 50 and requires it at 65, and Washington sets 60 as the age at which it may be per mitted. Los Angeles requires 35 years of service as a qualification for the full retirement allowance, but permits retirement with a smaller allowance after 25 years of service. For those in service before the adoption of the present system 30 and 20 years of service are required. Newark sets 20 years of service as a minimum, while Washington has no service requirement. Disability retirement.— All three systems permit retirement on allow ance for duty disability, without regard to age or length of service. Medical certification, based on examination, is requisite, and reexam ination may be required from time to time. The Los Angeles and the Newark systems make no provision for ordinary disability, but the Washington plan permits retirement on allowance in case of perma nent disability arising from ordinary causes if the member has reached age 55 and has given 25 years of service. Retirement Allowances Los Angeles gives those who retire after 35 years of service a pension of two-thirds of the average salary received for the last three years before retirement. If the service was for 25 years or longer, but under 35, the pension is one-half ol the average salary for the last three years, with an addition of 1% per cent of such salary for each year over 25. For those who were in the service before the present plan was adopted, these allowances are paid for service of 30 and 20 years, respectively. The maximum pension for those entering the service after this plan was adopted is $1,800; there is no minimum, except as determined by the amount of the salary. For disability retirement, the board may fix the pension in its discretion according to the degree of disability, except that it may not be less than 10 nor more than 90 per cent of the salary received at, the time of retirement. CHAPTER X I I .— PUBLIC EM PLOYEES’ RETIREM ENT 257 In Newark the allowance for service and for duty disability retire ment is the same— one-half of the salary received at the time of retirement. In 1926 the lowest salary paid was raised to $2,500, so that thereafter the minimum pension would be $1,250 a year; no maximum is set. In Washington the allowance, whether for service or disability retirement is one-half the salary attached to the retirant’s rank; if the salary is increased thereafter, the pension is to be increased proportionately. Refunds No refund of contributions is provided for in any of these systems. Provision for Dependents Under the Los Angeles system the widow of a pensioner, or of an active member eligible for retirement, or of a member dying from injuries or illness due to the discharge of duty, receives during widowhood a pension equal to one-half the decedent’s average annual salary for the last three years of service, with an additional allowance for children under 18 until they marry or reach that age. Except in the case of a duty death, the widow must have been married to the decedent for at least a year before his death in order to receive the pension; if the decedent is a pensioner, she must have been married to him for at least a year before he left the service. If there is no widow, the pension will be paid to a child or children under 18, or to dependent parents. In Newark, the widow of a retired or active member, provided she was married to the decedent before he reached the age of 50, receives a pension of $1,000 a year during widowhood. If there is no widow, a pension of $25 per month may be paid to children under 16, or to dependent parents. In Washington the widow of a pensioner or member in active service is given a pension during widowhood of $60 a month, with an allow ance of $10 a month for each child under 16. Principal Provisions of Plans T h e essential features of the plans studied are given in the table which follows: 258 T a b le 6 8 .—C O M P A R IS O N OF P E N S IO N S Y S T E M S F O R P O L IC E A N D F IR E M E N Police N a m e o f system an d auth orization E m p lo y e e s ’ c o n trib u tio n One-half salary at tim e o f retirem ent; no m axim u m or m in im u m except as deter m in ed b y the am ount of salary. C ertain provisions for w idow s and m in or children of m en killed in per form ance of du ty. Superannuation and d u ty d isa b ility: O nehalf salary at tim e o f retirem ent. O rd i n ary d isability: A m o u n t fixed b y co u n cil, b u t not to exceed one-half salary at tim e o f retirem ent. S uperannuation: A n n u ity b o u g h t b y retiran t’s con tribu tion s, plus pension b ou gh t b y c it y ’s con tribu tion s to his credit; m axim u m , $1,950 per annum . F or em p loyee in service before system w as a d op ted , after reaching age 50 and givin g 20 years’ service, one-half salary at tim e of retirem ent, regardless of am ou n t o f con tribu tions. O rdinary d isability: O ne-half salary at tim e of re tirem ent, from w h ich usual dedu ctions for pension purposes are m ade, allow ance n o t to be con tin u ed m ore than 5 vpiars D u t y d isability: Three-fourth s o f salary at tim e o f in ju ry, plus allow ance for children under 18. If retirant lives t o reach 57, this allow ance is dis con tin u ed and he is given superannua tion allow ance he w o u ld h ave received had he con tin u ed in service to that age. Superannuation and d u ty disa b ility: Onehalf salary at tim e of retirem ent; m in i m u m , $900; m axim um , $1,200 per year. O rd in a ry d isability : A fter 5 years’ serv ice, $36 for each year o f service, m axi m u m , $900 per year. If discharged after 15 years’ service, except for specified faults, n o t to exceed $600 a year. P rovision s for w id ow s and children und er 18, and in som e cases for de pend ent parents. P rovision s for w id ow s and children u nd er 18. P o lice pen sion fu n d o f the c it y o f B u ffalo, N . Y . (L o ca l law N o . 8.) 4 per cen t o f sal aries. C ertain m iscellaneous m oneys and a direct appropriation w hen needed. P o lic e a n n u ity and benefit fu n d o f C h icago. (Illin ois L a w s o f 1921, p. 262; L a w s of 1925, p. 208.) 4.75 per cen t o f salary up to $2,600, all over that a m o u n t b e ing exem pt. F or each m em ber, an am ount equal to 8.5 per cent of his salary for his retirem ent and ordinary dis ab ility benefit, and 2 per cent for w id o w ’s pension; c ity also bears w hole cost o f extra benefits and m akes u p any d eficiency in cost of adm inistration o f fund. P olice relief and pension fu n d o f the c it y of C in cin n ati, O h io (G en . C od e 1910, secs. 4616-4631). D u es $1 per m o n th . Certain m is c e lla neous m oneys and a direct appropria tion w hen needed. Superannuation: N o age re quirem ents; 25 years’ serv ice. O rdinary d isability: 5 years’ service. D u t y disa bility : N o age or service re>quirem ent. STATES C ertain m iscellaneous m on eys and a direct appropriation w hen fund requires it. UNITED 2 per cen t o f sal aries. IN Perm itted o n ly for in cap acity to perform d uties o f position, w hether due to age or other causes. If in cap acity re sults from d u ty injuries, re tirem ent perm itted regard less of length of service; if due to other causes, o n ly after 16 years’ service. Superannuation: N o age re quirem ent, 20 years’ serv ice. D u ty and ordin ary disability: N o age or serv ice requirem ent. Superannuation: O ptional at or after age 57; no co m p u l sory age. N o service re quirem ent for those entering service since system was es tablished, b u t am ou n t of a l lo w a n c e d e p en d s on length of service. T h o se in service before system was adopted m a y retire at 50 after 20 years’ service. Or dinary and d u ty d isability: N o age or service require m ent. P olice pension plan o f B a ltim ore, M d . (M a ry la n d L a w s o f 1900, chs. 263, 266; 1924, ch . 411, sec. 2.) PERSONS O ther benefits AGED R etirem en t allow ances OF C on ditions for r e tire m e n t1 CARE C it y ’s con tribu tion P rovision s for w id o w s, c h ild r e n under 16, or de pen d en t parents. P olice relief fu n d o f the c it y o f C le v e land, O hio ( C it y O rdinance, 37945; G en. C od e, 1910, secs. 4616-4631). P olice pension system o f N e w O r leans (L a. L a w s o f 1904, act 32, sec. 11; 1910, act 10; 1912, act 253; 1920, act 97). 4.625 per cent o f salaries. R a te m a y va ry slight l y w ith cost of adm inistration. 1 per cent of m o n th ly salary and dues of 50 cents per quart e r after 6 m o n th s ’ proba tion ary service. 2 per cent of sal aries. Certain m iscellaneous m oneys, and an annual appropria tion sufficient to m aintain pension paym ents. per cent o f salary of each m em ber, and also 0.125 per cen t of aggregate salaries of w hole force for cost o f adm inistration. In addition, an annual d eficiency con tribu tion to m eet accrued liab ility. P ays w hole cost of d u ty disability benefits, c h ild ’s ann uity, and c o m pensation and s u p plem ental a n n u ity . Certain m iscellaneous m oneys, and an an nual am ount equal to tw o-tenths, and n ot to exceed tw ofifths o f one m ill u p o n each dollar of all taxable property. C ertain m iscellaneous m oneys, and an nually 2 per cent of am ount app ropri ated for m ainte nance o f police de partm ent. 12 S uperannuation an d disability: From $1,052 to $1,500 per year, a ccordin g to rank. If discharged, except through his ow n fault, after 15 years’ service, onehalf o f allow ance for superannuation. Provisions for w id ow s and children under 16. Superannuation an d d isability: O ne-half of salary attached to rank held at tim e of retirem ent. I f salary scale is changed, pensions un d ergo a corresponding change. S uperannuation: O ptiona l at age o f 57, w ith 15 y ears’ service, or at 50, w ith 20 years’ service; also at 50, w ith 10 years’ service, b u t sm aller allow ance given. O rd ina ry and d u ty disabil ity : N o age or service re quirem ent. Superannuation: A n n u ity b ou g h t b y retiran t’s con tribu tion s, plus pension bough t b y c it y ’s con trib u tion s o n his behalf; m axim u m 75 per cent o f highest salary received b y retirant. C ity bears w hole cost o f allow ance for years of service before system w as established. O rd in a ry disa b ility: O ne-half salary at tim e o f retirem ent, m in us 4 per cent for an n u ity purposes, to be p aid for not m ore th an 5 years. D u t y d isability: 55 per cent o f salary at tim e o f in ju ry, w ith extra allow ance for ch ild or children under 18, total n ot to exceed 75 per cent of salary. Pensions for de pendents of m an killed in service or d y in g from injuries received in service. Provision s for w id ow s and children under 18; special benefits if dece dents’ death due to service. Superannuation: O ptiona l at age 50, after 20 years’ service. D isa b ility : N o age or serv ice requirem en t, b u t allow ance p aid o n ly for d u ty disability. Superannuation and d isability: O ne-half salary at tim e o f retirem ent; m in im u m and m axim u m , $900. P r o v i s i o n s for w idow s and chil dren under 16. S uperannuation: N o age re quirem ent; perm itted after y ears’ contin uous service. D u t y d isability; N o age or service requirem en t. S uperannuation and d isability: N o t to exceed one-half salary at tim e o f retire m ent. P rovisions for de pendents in som e cases. 20 1A ll the system s require m e d ica l ex am ination and certification as con dition s for d isa b ility retirem ent. 259 EM PLO YEES’ RETIREMENT M in n ea p olis p olice relief association (M in n . G en. Stats, of 1923, secs. 1432, 1442; am en d ed b y M in n . L aw s of 1925, ch . 197; C it y C o u n cil Proceedings, D ec. 14, 1923. v ol. 49, p. 712). cent of salary; retired m em bers, 1 per cen t of pension. Superannuation: N o age re quirem ent; 25 years’ serv ice. O rd in a ry disa b ility: 15 y ears’ service. D u t y disa b ility : N o age or service re q uirem ent. S uperannuation: N o age re qu irem en t; 25 years’ service. D isability : N o age or service requirem en t. X I I .— PUBLIC P o lice m e n ’s a n n u ity and benefit fu n d of M ilw a u k ee (W is. L a w s of 1921, ch. 589; C it y O rdinance, F 20714). 1 per .d o .. CHAPTER P olice pen sion a n d retirem ent fu n d o f D etroit ( C it y Charter, 1925, ch. 21, secs. 19-26). Monthly dues range from 50 cents to $1.25, a c c o r d in g to rank o f m em ber. 260 T a b le 6 8 — C O M P A R IS O N OF P E N S IO N S Y S T E M S F O R P O L IC E A N D F I R E M E N — Continued Police— Continued N a m e of system and au th orization E m p lo y e e s ’ c o n trib u tio n C it y ’s con tribu tion Certain m iscellaneous m oneys, and annual a p p ro p r ia tio n of am ount needed. P olice pension fu,nd association of c ity of P ittsbu rgh , Pa. (P itts bu rgh D igest, p p . 50, 51, secs. 163169). Superannuation: N o age re quirem ent; 20 years’ se rv ice. D u t y disability: N o age or service requirem en t. Superannuation: F ro m $50 to $75 per m on th . D u t y d isability: O ne-half salary for 52 w eeks; then, if perm an en tly injured, a lu m p sum of $1,200 is paid from another fund. Superannuation and d u ty d isa b ility: Onehalf salary attached to rank held three years prior to retirem ent. D i s a b i l i t y and dea th benefit fu n d is m aintained; dues $1 per m onth. P r o v i s i o n s for w id ow s and children under 16 and dependent parents if death i due lo service. Superannuation: C o m p u lso ry at age 65; 20 years’ service. D u ty disability: N o age or service requirem ent. Provisions f or w id ow s, children under 14, or de p end ent parents if death occurs in line of du ty. STATES $2 per m o n t h ___ P r o v i s i o n s for w id o w s , and children under 18, and, in some cases, dependent parent, UNITED P olice relief and pension fu n d of San F ran cisco (C h arter o f San F ran cisco, A rt. V I I I , ch. 10). Certain m iscellaneous m oneys, also direct appropriation not to exceed 1.5 per cent of city taxes. Certain m iscellaneous m oneys. S uperannuation: O ne-half salary at tim e o f retirem ent. O rd inary d isability: Varies w ith length o f service, ranging from “ n o t less than one-quarter nor m ore than on e -h a lf” of salary at tim e of retirem ent after 10 b u t u nd er 20 years’ service, to one-half salary after 20 years’ service. D u t y d isability : N o t less than one-fourth nor m ore than one-half salary at tim e o f retirem ent. S uperannuation and d u ty d isability : Onehalf average salary for last 10 years; m axim u m $1,500 per year. O rd inary d isability: O ne-fortieth o f average salary for last 10 years, m u ltip lied b y years of service. IN O ne d a y ’s p a y each m on th , bu t salary in excess of $3,000 per year is o m itte d w h en calcu lat ing co n trib u tio n . 2 per cent o f sal ary. S uperannuation: N o age re quirem ent; com p u lsory after 25 years’ service, unless ex tension secured. O ptional, at 55, after 20 years’ service, and at 60, regardless of length of service. O rd inary d isability: 10 years’ service. D u ty d isability: N o age or service requirem ent. Superannuation: O ptional at age 50, after 20 years’ service. O rdinary d isability: 10 years’ service regardless of age. D u t y d isability : N o age or service requirem en t. PERSONS P olice pen sion plan of P h ilad elp h ia (B r o w n ’s P h ilad elp h ia D igest, secs. 7-11, p. 47). Other benefits | AGED Certain m iscellaneous m oneys, and a d i rect app ropriation for am ount needed. R etirem en t allow ances OF 2 per cen t o f sal aries. I | CARE P olice p en sion fu n d o f the c it y of N e w Y o r k (G reater N e w Y o r k Charter, secs. 351-357, 366). C on ditions for retirem ent Firemen F irem en ’s relief and pen sion fu n d o f B u ffalo (L o ca l law s o f B u ffa lo, N o . 7; C it y C harter, secs. 275-275J, 277-283). 4 per cent of salary. F irem en ’s pen sion fu n d o f C h icago (111. R e v . Stats. 1917, ch . 24, secs. 417-419K, p p . 461-466.). 2.5 per cent o f sal ary. F irem en ’s pen sion fu n d o f C in c in nati (O h io G en. C o d e 1910, secs. 4600-4615). 50 cents a m o n t h . _ Various m iscellaneous sum s, and proceeds o f a tax, not to ex ceed three-tenths of a m ill on the dollar. F irem en ’s pen sion fu n d o f C levela n d , O hio (G en . C od e 1910, secs. 46004615). F ro m 50 cents to $1.25 a m onth accordin g to p o sition held. F irem en ’s pen sion an d retirem ent fund o f D etroit, M ic h . (C it y C harter (1925), ch 15, secs. 14-19.) C i t y ’s contribu tions C o n d itio n s for retirem ent R etirem en t allow ances V arious m iscellaneous sum s and 2 per cent o f foreign fire insur ance prem ium s, and in add ition direct a p p ro p r ia tio n of am ou n t needed to m aintain pension paym ents. V arious m iscellaneous sum s and direct ap p ropriation raised b y tax levy. Service: N o age requirem en t; option al after 20 years’ serv ice. O rd in a ry and d u t y disa b ility : N o age or service requirem en t. Service and d u t y d isability : M in im u m , one-half salary at tim e o f retirem ent; no m axim u m set. O rd inary disability: M a xim u m , one-half salary at tim e of re tirem ent; n o m in im u m set. Service: O ptiona l after 20 years’ service, b u t m em ber retiring u nd er age 50 m ust c on tin u e con trib u tion s to that age in order to draw pension. D isa b ility : N o age or service requirem en t. Service: N o age requirem en t; option al after 25 years’ serv ice. O rd in a ry d isability: F ive years’ service. D u t y d isability: N o age or service requ irem en t. Service an d disa b ility: O ne-half salary re received at tim e of retirem ent— m in im u m $600, and m axim u m $3,000 a year. D o. Service and d u t y d isability : O ne-half sal ary at tim e o f retirem ent— m in im u m $900, and m ax im u m $1,200 a year. Or d in ary d isability : $36 m u ltiplied b y n um ber o f years o f service u p to 25. If discharged w ith o u t fault o f his ow n after 15 y ears’ service: A n n u al pension o f $24 for each year o f service— m axi m u m , $600 a year. Service and d isability : O ne-half salary at tim e o f retirem ent— m axim u m , $1,200 a year. I f discharged except for fault on his part after 12 con secutive years’ serv ice* pension o f six-sixteenths of salary at tim e of dism issal. D o. V arious m iscellaneous sum s, and app ropri ate am ou n t needed to m aintain pension p aym ents, raising this b y tax le v y not to exceed threetenths o f a m ill on the dollar. N o co n trib u tio n s— A ppropriates annual ly am ount required to m eet pension p aym ents raising a m ount b y special tax levy . Service: N o age requirem en t; o ption al after 25 years. P er m anent d isability : N o age or service requirem en t. Service: N o age requirem en t; 25 years’ service. D u t y dis ab ility : N o age or service re quirem ent. Service and d u t y d isability : O ne-half of salary attached to rank held at tim e of retirem ent. If this salary is changed later, allow ance is changed to correspond. Other benefits P rovision for pendents. D o. D o. de X I I .-------------------------------------------------------------------------------------------------------------------------- E m p lo y e e s ’ con tribu tions CHAPTER N a m e of system 262 T a b le 6 8 .—C O M P A R IS O N OF P E N S IO N S Y S T E M S F O R P O L IC E A N D F I R E M E N —Continued Firemen— Continued N a m e of system E m p lo y e e s ’ c o n trib u tio n s '7 « 0 -'7 0 1 SOQN F irem en ’ s pension fu n d , o f P itts burgh, Pa. (C it y O rd. N o . 490, 1924.) A c t iv e force contrib u te one d a y ’s p a y per m o n th ; pensioners o n e - h a l f d a y ’s pay. 2.5 per cen t o f sal aries, plu s assess m en t o f $1 on death o f m e m ber. Various m iscellaneous funds and direct apn ro o r i a t i o n of am ount needed to m aintain pension paym ents. 2 per cent of tax on foreign fire insurance com panies, and d i rect appropriations as needed. Service: N o age requirem en t; optional after 20 years’ serv ice. D isa b ility : N o age or service requirem en t. V arious m iscellaneous sum s and direct appropriations as Service: O ptiona l after 20 years’ service w ith o u t re gard to age. D u t y disa bility: N o age or service re quirem ent. Service: O ptiona l from age 45 on w ard after 20 years’ service. D u t y d isability: N o age or service require ment. $200. D e a t h benefits; pension for de pendents if death due to service. Service, d u ty , disability, and ordinary dis a b ility after 10 years’ service: O ne-half of salary at tim e of retirem ent. O rdinary d isability retirem ent w ith ies;» Ilian 10 years’ service: N o t to exceed one-third o f salary at tim e o f retirem ent. Service and d u ty d isability: O ne-half of average annual salary for last 4 years’ service. O rd inary disability: N o pen sion. P rovision for pendents. Service and d u ty disability: F rom $600 to $900 a year, a ccordin g to rank of retir ant. D eath benefit. D o. de STATES F ire m e n ’s pension fu n d o f P h ila delphia. (B r o w n ’ s P h iladelph ia D igest, secs. 7-11, p. 47.) Service: O ptional after 20 years’ service regardless of age. D isa b ility : N o age or service requirem ent. P rovision for de pendents and fu neral benefit of UNITED N e w Y o r k fire depa rtm en t relief fu n d (G reater N ew Y o r k C harter, secs. Various m iscellaneous sum s and 1 per cent of tax on foreign in surance com panies. W id o w ’s annuity, w id o w ’ s com p en sation and sup plem ental annu ity , and ch ild ’s ann uity. IN F ire m e n ’s pension an d relief fu n d o f N ew Orlenas (L a. A cts, 1902, N o. 43; 1904, N o. 17; 1912, N o . 152; 1914, N o . 27; and 1926, N o . 321). Service: O ptional after 20 years’ service, b u t allow ance m ay not be draw n until re tirant reaches ago 50. D isa bility: N o age or service re quirem ent. Service: A n n u ity bough t b y retirants’ c o n trib u tion s, plus pen sion bou gh t b y c it y ’s con tribu tion s on his behalf. M a x i m u m , 75 per cent o f highest salary w hile in service. C ity p rovides full allow ance for years o f prior service. D u ty disa b ility : A n n u ity , as above, w ith pension to bring it u p to 55 per cent o f salary w hen in ju ry was received; extra allow ance for children under 18. O rd in a ry disability: O ne-half o f salary at tim e o f disability, for n o t over 5 years. Service: P rop ortion ed to length of service, w ith a m in im u m o f $600 per annum for 20 y ears’ service and progressive rates of increase for each 5 years over that. D is ab ility : G raded accordin g to degree of d isability, ranging from $180 to $900 a year. Service and d isability: O ne-half salary re ce iv e d at tim e o f retirem ent. PERSONS $1.50 per m o n th , w ith in itiation fee o f $10. O c casional assess m en ts o f $2 per m e m b e r for death benefits. 1 per cen t o f sal ary, plus 75 cents a m on th , and $2 u p o n death o f m e m ber. N o co n trib u tio n s.. Service: O ptional at age 50 after 20 years’ service, and at 57 after 15 years’ service, also perm itted at 50, after 10 years’ service, b u t w ith re duced allow ance. O rd inary and d u ty d isability: N o age or service requirem ent. AGED M in n ea p olis fire depa rtm en t relief association (G en . Stats. 1923, secs. 3748, 3752; am en ded , L a w s o f 1925, ch. 204, 205). A n n u a lly for each m em ber 12 per cent of his salary; also one-eighth o f 1 per cent of total salaries for costs of adm inis tration. C o n tr ib u tion to cover accrued liab ility and extra be nefits, raising am ount b y special tax levy. Proceeds of tax o f onetenth of a m ill on the dollar, and 2 per cent tax on foreign insurance prem ium s. OF 4 625 per cent of salary. CARE F irem en ’ s a n n u ity and benefit fund o f M ilw a u k e e . (W is . L a w s of 1923, ch. 423; C it y O rd ., F 25191.) O ther benefits C i t y ’s contribu tions $2 per m on th , and initiation fee of Certain taxes and va rious m iscellaneous sums. F irem en ’ s relief fu n d o f San F ran cisco. (C it y Charter, A rt. I X , C h . V I I .) N o co n trib u tio n s. A ppropriates am ount necessary, raising it b y special tax le v y . Service: N o age requirem en t; option al after 20 years’ serv ice, the last tw o contin uous. D u t y d isability: N o age or service requirem ent. Service: O ptiona l at age 55, after 20 years’ service, and at an y age after 25 years’ service. D u t y d isability : N o age or service require m ent. Service and d u ty d isability: $600 a year. O rd in a ry d isability : N o allow ance. Service and d u ty disa b ility : O ne-half of salary received at tim e o f retirem ent. P rovision for de pendents. D o. CHAPTER F irem en ’ s pension fu n d o f St. L ou is. (M o . R e v . Stats. 1919, ch. 72, A rt. X X V I I ; C it y O rds. 30561-63.) 1 4 per cent of sal ary since Jan u ary 1, 1927. A percentage of p a y rolls of the tw o de partm ents, and an annual liat sum to liqu ida te accrued liability; also m is cellaneous sum s, fines, etc. Service: N o age requirem en t; 35 years’ service, b u t per m itted after 25 years w ith sm aller allow ance. D u ty d isability : N o age or service requirem en t. P olice an d fire pen sion fu n d o f N e w ark, N . J. (N e w Jersey L aw s, 1920, ch. 160.) 2 per cent of salary. I f em ployee is 35 or over on en trance, 4 per cent. Superannuation: O ptiona l at age 50, after 20 years’ service, and co m p u lso ry at 65. D u t y d isability: N o age or service requirem ent. P o lice m e n ’s and firem en ’s relief fund, o f W ash in gton , D . C . (U . S. Stats, at Large, v o l. 39, p. 718; v ol. 43, p. 176.) 2.5 per cent of sal ary. V arious m iscellaneous sum s and annual appropriation equal to 4 per cent of c o m bined p a y rolls of the tw o depa rt m ents. V arious m iscellaneous funds, and direct con tribu tion from general revenue of D istrict as needed. Service and d isability: O ne-half of salary received at tim e o f retirem ent. I f the salary is increased after retirem ent, the pension is increased to correspond. P rovision for pendents. D o. D o. de 263 Service: O ptional from age 60 on. D u t y d isa b ility : N o - age or service requirem ent. O rd inary d isability: A g e 55, after 25 years’ service. Service: F rom one-half to tw o-th ird s of average salary for last three years accord ing to length o f service (from 25 to 35 years, except that for those in service before system w as a d op ted , it is from 20 t o 30 years). D u t y disa b ility: F ixed b y board, w ith m in im u m o f 10 per cent and m axim u m o f 90 per cent o f salary at tim e o f retirem ent. Superannuation and d u t y d is a b ility : One half o f annual salary received at tim e of retirem ent. EM PLOYEES’ RETIREMENT F ire and p olice pen sion system of L os A ngeles. (L o s A n geles C h ar ter, sees. 180-189.) X I I .— PUBLIC Police and firem en 264 CARE OF AGED PERSONS IN UNITED STATES Statistics of the Systems T he table follow ing shows the experience under the various sys tems: T able 6 9 .— C O V E R A G E , P E N S IO N E R S , A M O U N T S D IS B U R S E D , A N D P E N S I O N S O F P O L I C E A N D F I R E M E N , B Y C I T I E S , 1926 C ity Year ending— P olice system s: B altim ore ____________________ ______ ______ D ec. 31,1926 B u f f a l o ___ ______ _____ ____________ _ ___ ____ do ______ C h ica go__________________ ________ ________ ___ do __ __ C incinnati _________ ________________ _ ___ do _____ Cleveland do _ D etroit _ _ ____ ______ - _ June 30,1926 Milwflnkp.p! D ec. 31,1926 ______ ___ __ __ _ ____ ___ do_ __ M in n eapolis N ew O rleans___ ___ __________ ______ __ ___ d o _____ __ N ew Y o r k C ity ______ _______ _ do _. P h iladelphia __ __ _____________ ______ _ ____ do _____ P ittsbu rgh ______________________________ ____ do _____ San F rancisco _ _ _ _ ____ do ______ T o t a l___ ___ ________________ _____ F irem en ’s system s: B uffalo C h ica g o. _ _________ _____ ______ ______ _____ Cincinnati ____ ________________________ C levela n d _______________________________ __ D e tr o it .. _________________________ . . __ M ilw a u k e e . ________ __________________ _ _ M in n ea p olis. _____________________________ N ew O rleans. ____________________________ N ew Y o r k ________ ________ _____ __ __ _ P h iladelphia ____________ ______ __ P ittsbu rgh __ __ _______________ ___ St. L o u is ___________________________________ San Francisco D ec. 31,1926 _ do _____ N o v . 30,1926 D ec. 31,1926 June 30,1926 D ec. 31,1926 ____ d o _______ ____ d o ______ D ec. 31,1925 Jan. 7,1926 D ec. 31,1926 do June 30,1926 T o ta l_______________________________ P olice and firem en’s system s: Uos Anseles N e w a rk ______________________ _________ __ W ashington. D . C _ _ __ T o ta l.................................... ......... ............. G rand total June 30,1926 D ec. 31,1926 June 30,1926 AVERAGE N u m ber covered b y sys tem N u m ber of pensio lers on roll A m oun t disbursed in pen sions A v erage annual pension 1 1,864 1,144 6,080 525 1,421 2,762 938 499 877 15,950 5, 600 904 1,186 257 259 933 412 376 304 222 173 127 f 061 869 $233,167 173, 533 2,056,160 295,166 218,836 340, 752 170,816 95,998 60,682 4,303,157 522, 627 $907 670 701 716 582 1,121 769 555 478 710 601 160 214,975 1, 344 39, 750 15', 153 8, 685,869 715 946 2,341 624 1,061 1, 698 723 513 628 6,078 2,100 931 940 967 309 1,337 356 342 229 288 242 115 S, 047 350 242 308 293 168, 213 852, 259 236,627 208, 765 258,064 171,985 131,909 69,827 2, 503,382 191, 716 188,102 118,575 376, 355 544 637 665 610 1,127 597 545 607 822 548 777 385 1,284 19, 550 7, 458 5,475, 779 734 3,979 2,200 2, 286 351 365 286, 766 320,191 (2) 817 877 (0 8,465 716 606, 957 848 67, 765 2C, 327 14, 768, 605 726 1 C om p u ted b y d iv id in g am ount disbursed b y num ber o f pensioners. 2 N o data. State and City Retirement Systems for Teachers N THE summer of 1927, when the inquiry as to retirement systems wTas undertaken by the Bureau of Labor Statistics, 21 state-wide teacher-retirement systems were in effect, and in addition seven cities having a population of 400,000 and over had retirement systems for their teachers, independent of those of the States. Of the State systems, those of Arizona, Maine, and Nevada do not lend themselves readily to tabulation, so a brief summary of their principal features will be given, after which the systems of the remaining States and the seven cities will be discussed in detail. The Arizona law, passed in 1912, provides for a noncontributory system under which a teacher is permitted to retire after 25 years of I CHAPTER X I I .— PUBLIC EM PLOYEES’ RETIREM ENT 265 service, on an allowance of $600 a year. The administration of the system is intrusted to the State board of education, and the pensions are to be paid from the school fund of the State. The Nevada law, passed in 1915, provides for an annual contribu tion of $9 (later raised to $12) from the teacher, and permits retire ment after 30 years of service, 15 of which must have been in the State, on an annua] allowance of $500. In 1919 this amount was raised to $600.’ Retirement for disability is permitted after 15 years of service, with a proportionately smaller allowance. The system is administered by the State board of education, and the money for the State’s part of the allowance is raised by an ad valorem tax of 3 mills on the $100. The secretary of the system states that on June 21, 1927, there were 24 teachers on the pension roll, 11 being on service and 13 on disability retirement, with average allowances of $584 for service and $389 for disability retirants. The average age of those on service retirement was 55.5 and their average period of service was 30.5 years. For those on disability retirement the corresponding figures were 53 and 20.6 years. The amount paid out in allowances during 1926 was $10,846. The situation in Maine is rather involved. In 1913 a noncontribu tory system was established under which teachers might retire at 60 on pensions ranging from $200 to $300 a year, according to their length of service. In 1923 this system was abolished, except that pensions were confirmed to all to whom they had been granted under its terms, and a new scheme was established under which members contribute 5 per cent of their salaries, while the State is to give annually an amount equal to the combined contributions of the members. Retire ment is permitted at 60, after 30 years of service, on an allowance bought by the combined contributions of the teacher and the State. Membership in the system is optional, and so far only seven teachers have elected to come under its terms. Pensions granted under the old system are still being paid, but none of the members of the new scheme have as yet qualified for retirement. Scope of Systems M ost of the systems, whether of State or city, limit membership to teachers, usually including superintendents and similar officials under this title. New Jersey and Penns37lvania include other em ployees of the school system— janitors, engineers, and the like. In New York City the teachers’ system covers only the teaching force, but the board of education has established a special system, included in this study, for all its permanent, nonteaching employees except superintendents who come under the teachers’ system. 266 CARE OF AGED PERSONS IN UNITED STATES Date of Establishment, and Membership T h e follow ing table shows the date of establishm ent and the ap proxim ate m em bership of the system s in clu d ed : T a b l e 7 0 .— D A T E O F E S T A B L I S H M E N T A N D A P P R O X I M A T E M E M B E R S H I P O F S T A T E A N D C IT Y R E T IR E M E N T SY STE M S FO R T E A C H E R S Y ear M e m b e r ship establish ed 1 State or city State system s: California C on n ecticu t Illinois _________ In d ia n a . _______ M a ry la n d M assachusetts__ M ich igan M in n esota M o n ta n a . __ N ew J e r s e y .______ N ew Y ork N orth D a k o ta _________ O h io . _______ __ -Penns vl v a n ia ____ 1913 1917 1915 1915 (1921) 1927 1914 1917 1915 1915 1903 (1919) 1921 1913 1920 1921 36,108 9, 749 38,888 12, 341 20, 019 24,471 16, 866 5,600 19,830 39,648 8, 226 42, 972 58,409 State or c ity State system s— C o n tiru e d . R h od e Isla n d ___ ___ V e r m o n t __________ _. V irgin ia _______ _______ W isco n sin ___ _________ C ity system s: C h icag o. ___ __ D e tr o it___________ __ M ilw au k ee _____ __ M in n e a p o lis __________ N ew O rleans_________ N ew Y o r k .. N ew Y o rk Board of E d ucation ________ W ashington, D . C ____ M em ber Year ship esta b lish e d 1 1908 1919 1908 1911 (1921) 18,054 1896 1895 1909 1909 1910 1894 (1907) (1923) (1921) (1924) (1918) (1917) 11,927 6, 300 2, 054 2, 344 1,619 25,995 1921 1920 2, 507 2, 761 3,599 2 425 1 Figures in parentheses indicate year of change in system . 2 M em bersh ip of v olu n tary system . Some of the earlier systems were established with rather loosely planned provisions, which were gradually found to be unwise or unworkable, and the systems were modified accordingly. Sometimes a complete reorganization took place and a practically new system was installed; in these cases the year of the change is given in paren theses in the above table. Maryland made a complete change while this study was in progress, substituting for a partial plan of earlier date an actuarial reserve plan which became effective in 1927. In some of the other States an unsatisfactory system was modified, feature by feature, so that the plan now in operation may bear but slight resemblance to the original, yet no date can be given at which its character was radically changed. The figures as to membership are, for the most part, as of 1926. They are not comparable, owing to differences in the time of enu meration and in practice as to including those who have not formally withdrawn, but who may not be active members at a given time. The membership may fluctuate materially as between June and December, for instance, and a comparison as to size between two systems using different dates for their enumeration might be mis leading in the extreme. The figures are given merely as conveying an approximate idea of the size of the different groups, and can not be safely used for other purposes. Employee Representation in Management # T h e e m p l o y e e s very generally share in the management, and some times theirs is the dominant voice. In five systems they have no representation on the administrative body. In three of these— the State systems of California, Rhode Island, and Virginia— the system is administered by the State board of education In Washington, D. C., it is in the hands of the Commissioners of the District of Columbia, and the system of the Board of Education of New York CHAPTER X II. PUBLIC EM PLO YEES’ RETIREMENT 267 City is managed by the board itself. With these exceptions the employees have, or may have, representation on all the boards of management. The boards usually consist of certain specified officials of the State or city, holding their position ex officio, and of other members who, according to the particular system, are either appointed by some specified authority or elected by the teachers. In six of the States those who are not ex-officio members are appointed by the governor. In three of these— Indiana, Montana, and Wisconsin— the governor has free choice as to whom he will appoint, except that the Indiana system provides that not more than two of his appointees may be members of the teaching force. Illinois, Michigan, and North Dakota, on the other hand, specifically provide that some or all of the governor’s appointees must be teachers, either in active service or retired on pension. In Michigan, moreover, at least one must be a woman teacher in the public schools. The Wisconsin system really provides for greater representation of the teachers than is apparent from the above statement, since it calls for three boards of first instance, one each for the public schools, the normal schools, and the university, the members of all of which are elected by their fellows. These act upon all claims for retirement from their respec tive departments, but a right of appeal lies from them to the upper board, composed of two ex-officio members and five appointees of the governor, which also handles the funds and investments. The systems of the remaining nine States all provide that one or more members of the administering body must be elected by the teachers from among their own number. In two of the city systems, as mentioned above, the employees are not represented by elective or appointive members of the adminis tering body. In the other six systems the teachers elect representa tives and in three of them— Chicago, Minneapolis, and New Orleans— their representatives form a majority of the board. In New York City and Detroit the teachers elect 3 of the 7 members, and in Mil waukee 4 of the 9. In Milwaukee it is specified that two of the teachers’ representatives must be women. Character of Plans and Source of Funds R h o d e I s l a n d has a noncontributory system under which the State bears the whole expense, and Michigan and Montana have wholly contributory systems under which the teachers contribute all, the State paying in nothing to the fund. With these exceptions, all the systems, both State and city, call for a division of the cost be tween employer and employee, the proportion borne by each and the methods of determining contributions varying widely. All the funds may be increased by interest on deposits, profits on investments, gifts, legacies, and the like, but the contributions from the members of the systems and the employing agencies are the chief reliance. Contributions from Employees In two States the teachers contribute a flat sum yearly, California requiring $12 per teacher and Montana assessing each teacher $1 for each month of the school year; as the school year varies in length in 35777°— 29------- 18 CAKE OF AGED PERSONS IN 268 UNITED STATES different parts of the State, the contributions vary accordingly, but it is provided that a teacher must have paid in az least $300 (raised, in 1927, to $600) in order to be eligible for a superannuation allow ance. Three States modify this plan by requiring a graded flat sum. Illinois calls for $5 annually from those who have taught 10 years or less, $10 a year from those who have taught from 10 to 15 years, and $30 a year from those who have taught over 15 years. After 25 years of teaching contributions may cease. Minnesota calls for $5 an nually for the first 5 years, $10 for the next 5, $20 for the next 10, and $30 for the next 5, making a total of $425 for 25 years of teaching, after which contributions may cease. Those with salaries over $1,500 a year may be required to contribute on a percentage basis, but the annual contribution must not fall below what the flat sum for the corresponding year would be. Indiana introduces a further modifi cation of the idea by requiring a flat contribution, based on age at entrance, designed to produce at age 60, after 40 years’ service, an annuity of $300. The range of contributions is from $35.77 for those entering the service at age 20 to $18.04 for those entering at age 40. Four States require the teachers to contribute a flat percentage of their salaries. In Wisconsin the rate is 5 per cent, but teachers under 25 years of age are not called upon to contribute. New York and Ohio fix the rate at 4 per cent. Ohio exempts from contribution all salary over $2,000, but places an additional assessment of $1 per annum on all teachers to meet the expenses of administration. Virginia requires a contribution of only 1 per cent of the salary, but provides that if, at the time of retirement, the teacher’s contributions have not reached 30 per cent of the average annual salary for the last five years of teaching, a deduction shall be made from the first year’s pension to bring the credits up to that amount. The systems of three other States call for a flat percentage, but set limits upon the amounts to be collected. Connecticut, Massachu setts, and Vermont all require 5 per cent of the salary, and all fix the maximum contribution at $100 a year, but Connecticut sets a minimum of $25, Massachusetts of $35, and Vermont of $16 a year. Two States, Michigan and North Dakota, provide for a graded percentage. Michigan changed its rate in 1927 and now requires 1 per cent of the salary, not to exceed $10 per annum, for the first five years; 2 per cent, not to exceed $20, for the next 10 years; and 3 per cent, not to exceed $30, for the next 15 years. The teacher must have contributed at least 100 per cent of the first year’s retire ment allowance. North Dakota requires a contribution of 1 per cent of the salary, not to exceed $10 annually, for the first 10 years, and then 2 per cent, but not to exceed $40 a year for 15 years, after which contributions may cease. In three States the contribution is a percentage of the salary, based on sex and age at entrance, which will produce, after normal require ments as to age and length of service have been fulfilled, a sum suf ficient to purchase a specified annuity. In these States the percentage ranges, according to age at entrance, as follows: M en M aryland___________________per cent__ 4.28 to 6.28 New Jersey_________________ per cent__ 3.60 to 6.11 Pennsylvania_______________per cent__ 3.33 to 5.30 W om en 4.08 to 7.75 3.91 to 7.42 3.69 to 6,59 CHAPTER X I I .---- PUBLIC EM PLOYEES' RETIREM ENT 269 The city systems show much the same kind of arrangements. Chicago and Milwaukee teachers pay graded flat sums. Chicago requires monthly payments of $1 for the first 4 years of teaching, of $1.50 for the second 4, $2.50 for the third 4, and thereafter $5 a month for as long as the teacher continues in service. In Milwaukee the contribution is $4 per month for the first 10 years of service, $6 per month for the next 5 years, and $8 a month thereafter. Both cities count 10 months to a school year. Detroit, Minneapolis, and New Orleans require a contribution of a flat percentage of the salary. Detroit places the rate at 3 per cent, but exempts salary above $1,500; Minneapolis calls for 5 per cent, but does not require contributions from those under 25; and New Orleans sets the amount at 2 per cent. New York, Washington, and the system of the New York Board of Education all require a percentage of the salary, based on age at entrance and calculated to produce, at the normal age for retirement, a sum sufficient to purchase a specified annuity. Contributions from State and City As mentioned before, Michigan and Montana make no contri butions to the retirement systems. Rhode Island and Virginia appropriate annually from their general funds the amounts needed for payment of current pensions. Four States contribute annually either the proceeds of a special tax or an arbitrarily determined amount. Of these, California gives 5 per cent of the inheritance tax, Illinois and Minnesota the proceeds of a special tax levied for the pur pose, and North Dakota gives 10 cents annually for each child in the State aged 6 and under 21 years. The remaining 10 States make regular contributions sufficient to provide a definite share of the retirement allowance earned by cur rent service and to liquidate gradually the accrued liability. This contribution is frequently calculated as a percentage of the teachers’ salary roll for the year. Wisconsin, included in this group, raises the necessary amount by a special tax, while the others appropriate what is needed from the general revenues. Of the eight city systems, four (those of Minneapolis, New York, Washington, and the New York Board of Education) make appropria tions calculated to provide a definite part of the retirement allowance for each employee, covering both current and accrued liability. The other four have no uniform principle of contributions. Chicago gives $2 for each $1 contributed by the teachers. The amount is raised by a special tax levy, and if at any time it should prove insufficient the board of education is to appropriate from the general education fund whatever amount is needed to make up the deficiency. So far, this has not been found necessary. Detroit contributes the interest on the daily balances of the teachers’ salary fund and tuition fees from nonresident pupils, Milwaukee gives 40 per cent of the surtax on net incomes in excess of $3,000, and New Orleans makes an appropriation equal to 3 per cent of the teachers’ salary roll, but not to be less than $30,000 a year. The systems, it will be seen, fall into two groups. In the first, the contributions made by the employing agency and by the employees are carefully calculated to build up a fund which will be increased each year by an amount sufficient to cover the liability incurred that year 270 CARE OF AGED PERSONS IN UNITED STATES and to meet a definite portion of the accrued liability. Usually these contributions are invested at compound interest, and their earnings are an important factor in building up the reserves. In the other group, contributions have been fixed without sufficiently careful calculations as to what the future demands on the fund will be, and the schemes are, from an actuarial point of view, unsound. In a system like that of Rhode Island, the question of soundness hardly enters, since the State bears the whole expense. Some of the other systems of this group have large balances 011 hand, and the claim is made that their condition is entirely satisfactory Thus, the report of the Chicago teachers’ system shows that for the year ending August 31, 1926, the excess of total income over total disbursement was $745,731, and that the total reserve fund was $4,324,025. To any suggestion that this reserve is startlingly smaller than the future liabilities already incurred, the reply is made that under the law, if the funds should at any time prove insufficient the board of educa tion must appropriate from the general education fund whatever is needed, and that therefore it is absurd to speak of the danger of insolvency. On the other hand, some of these systems are already in distress and others are trying to recast their schemes so as to avoid future difficulties. In Montana, for instance, the expenditures of the fund in 1926 exceeded its income by $18,573, and it was calculated that in about four years more the reserves would be entirely exhausted. In 1927, accordingly, the law was so amended that no teacher might receive a pension without having contributed at least $600 to the fund, and that the total amount paid out in pensions in any year might not exceed the fund’s income for that year. If necessary, pensions must be reduced below their nominal figure to bring outlay down to income. The Minnesota system guarded against danger of bankruptcy by inserting a proviso that “ The board of trustees may ratably reduce the annuities provided in this act whenever, in the judgment of the board, the condition of the fund shall require such reduction.” So far, the trustees have never felt that the condition of the fund justified paying the full allowances called for, and only a percentage has been paid. The Minneapolis plan shows a curious variation. When the sys tem was under consideration it was estimated that to provide the contribution called for from the city a tax le^y of approximately 1J^ mills would be required. As adopted, however, the plan limited the tax to 1 mill, until a higher rate should be authorized after 1927, and included a proviso that, until such a higher rate should be authorized, the city’s contribution to the credit of the individual teachers should be reduced pro rata as much as might be necessary to bring its total contribution within the amoum; raised by the lower tax. Cost of Administration In 6 S t a t e s the expenses of administering the system are paid out of the general fund, in 7 the State makes a specific appro priation for the purpose, and in 2 they are carried as part of the general expenses of the department of education. In Ohio, a special fund for the purpose is raised by an assessment of $1 a year on each teacher. Vermont maintains a special fund, made up of gifts and CHAPTER X I I .---- PUBLIC EM PLOYEES’ RETIREM ENT 271 receipts from any other source than the contributions of teachers and State, and interest thereon, and from this pays cost of administra tion and meets any unforeseen expenses that may arise. Wisconsin provides that the costs are to be paid out of the interest earned by the fund. In four of the cities, Chicago, Detroit, Minneapolis, and Milwaukee, expenses are met from the funds of the system. In New York, the city defrays the cost, apart from its other contribution. The New York Board of Education carries the system as part of its normal expenses, and in New Orleans and Washington the department of education bears the cost. Conditions for Retirement Superannuation or Service Retirement S u p e r a n n u a t io n retirement may be based or on a combination of the two. Of the 18 (California, Minnesota, North Dakota, Rhode sin) have no age reauirements of any kind. following ages: T able 7 1 .— A G E on age, on service, States considered, 5 Island, and Wiscon The others set the F O R O P T IO N A L A N D C O M P U L S O R Y R E T IR E M E N T T E A C H E R S ’ R E T IR E M E N T SY STE M S State Connecticut. Illinois _______________ _ Indiana ____ _______ _ M arylan d __ ______ _____ M ich igan . _ ____ M on tan a ___________ N ew Jersey N ew Y o r k ___________________ A g e for optional retire m ent A g e for c o m p u l sory re tirem ent 60 50 60 60 60 M assachusetts 60 55 62 60 70 70 70 __ State ___________ _______ O hio Pennsyl vania - - _____________ V erm ont: W o m e n ___________ ______ M en ____________________ SET B Y STATE A g e for optional retire m ent 60 62 A ge for c o m p u l sory re tirem ent 70 70 60 65 Virginia: 70 70 W o m e n ..________________ M en _____________ . 50 58 Michigan had no age provisions up to 1927, when it amended its law to make 60 the age for optional retirement. Connecticut and New York modify their age provision to permit retirement, regard less of age, after 35 years’ service, and Ohio after 36. Five States (Maryland, Massachusetts, New Jersey, Ohio, and Wisconsin) make no service requirements for employees in general, but Massachusetts and Wisconsin enforce one against those employed before the system was adopted who wish to claim credit for prior service. The other States make the following service requirements: California— 30 years, of which 15, including the last 10, must have been in the State. Connecticut— 15 years in State. If retirement is claimed under 60 by virtue of 35 years’ service, 20 must have been in State. Illinois— 25 years, of which 15 must have been in State, outside of Chicago and Peoria. Indiana— 40 years; on partial allowance, after 25. One-fourth of service m ay have been outside State. Michigan— 30 years, of which 15 must have been in State; on partial allowance, after 25 years’ service. Minnesota— 20 years, of which 15 must have been in State. 272 CARE OF AGED PERSONS IN UNITED STATES Montana— 25 years (raised to 30 in 1927), of which 35 must have been in State. New York— 25 years. Retirement permitted after 35 years, regardless of age. North Dakota— 25 years, of which 18 must have been in State. Pennsylvania— 10 years. Rhode Island— 35 years, of which 25 must have been in State. Vermont— 30 years, of which 20 must have been in State. Virginia— 30 years, all within the State. It will be seen that one State requires only 10 years of service, one demands 15, one sets it at 20, four at 25, four at 30, and one each at 35 and 40 years. Of the eight city systems, Chicago, Detroit, and Minneapolis have no age requirement; Milwaukee, New Orleans, and New York permit retirement, with a service qualification, at 65; Washington at 62, with a service requirement; and the New York Board of Education at 60, regardless of service. Milwaukee and the New York Board of Education permit retirement, regardless of age. after 35 years of service. New York City and Washington set 70 as the age for com pulsory retirement (Washington permits extensions after this age), while the other systems do not provide for compulsory retirement. The service requirements of the city systems are as follows: Chicago— 25 years, of which 15 must have been in Chicago; increased allow ance for service over 25 up to 35 years. Detroit— 30 years, of which the last 20 must have been in Detroit. Milwaukee— 25 years, of which 15 must have been in Milwaukee; retirement at any age after 35 years’ service, of which 20 must have been in the city. New Orleans— 40 years; retirement on smaller allowarce after 30 years. New York— 35 years, of which 20 must have been in New York City. Washington— Must serve in District for 10 years preceding retirement, and for the whole period since reaching age 52. Credit for not to exceed 10 years given for service outside District. Minneapolis has no service requirements, and neither has the system of the New York Board of Education, though the latter, which places the optional retirement age at 60, permits retirement at any age after 35 years of service. Disability Retirement Ordinary disability such as to unfit the sufferer ior performing satis factorily the duties of his position is looked upon in all the systems as a cause for retirement on allowance, though various restrictions are put on such retirement. Medical certification of the fact and character of the disability is almost universally required, and often periodic reexaminations are enforced. In some cases it is provided that the disability must be permanent, and in others that when it occurs after the age for optional retirement, superannuation and not dis ability retirement must be taken. None of the systems take age into consideration in this matter, but all have a service requirement. In this respect the qualifications are as follows: Maryland and Wisconsin, 5 years; Vermont, 6; Connecticut, Indiana, New Jersey, Ohio, and Pennsylvania, 10; California, Illinois. Michigan, Minne sota, Montana, and North Dakota, 15; and Massachusetts, Rhode Island, and Virginia, 20 years. New York requires 20 years' service for present teachers and 15 for new entrants. Among the city systems, Minneapolis and New Orleans permit retirement on allowance for disability after five years’ service, but Minneapolis specifies that the disability must be complete and per CHAPTER X I I .— PUBLIC EM PLOYEES’ RETIREMENT 273 manent. Detroit, New York, and Washington require 10 years’ service, Washington coupling this with a proviso that the retirant must be 45 or over; if he is under that age, he must have served 15 years. Chicago requires 12 years, and Milwaukee, 25. The New York Board of Education system, which permits ordinary disability retirement after 10 years’ service, provides also for duty disability retirement, permitting retirement on allowance, regardless of length of service, if the disability is due to accident or injury incurred in the performance of duty. Retirement Allowances Superannuation In t h e m a n n e r of determining the superannuation or service allowance, the systems fall into two groups. In the first the amount of the allowance is determined arbitrarily and is usually given either as a flat sum or as a percentage of the average final salary, a maxi mum and minimum being set in many cases. In some of these sys tems it is provided that the retirant must have paid contributions for a certain length of time or must have paid a specified sum into the fund in order to draw the full allowance, but there is no definite rela tion between the amount of his contribution and the amount of the allowance. In the second group the allowance consists of an annuity bought by the retirant’s accumulated contributions, plus a pension bought by the employing agency’s accumulated contributions to his credit, so that the relation between contributions and allowance is direct and immediate. Eight of the State systems belong to the first group. Of these, California pays an allowance of $500 and Montana of $600 a year. (In Montana, beginning in 1927, allowances had to be cut below this figure to bring the outlay within the limits of the system’s income.) Illinois allows, for each year of service, an annual payment of $16, with a maximum of $400 a year, while North Dakota gives 2 per cent of the average final salary, with a minimum of $350 and a maximum of $750. The Minnesota system contemplates an allowance of $350 a year to those retiring after 20 years of service, with a progressive increase for longer service, up to a maximum of $500 after 25 years. The allowances in practice, however, have had to be scaled down from this, owing to the insufficiency of the State’s contribution to meet the share of this allowance assigned to it. Michigan, Rhode Island, and Virginia allow one-half of the average final salary, but Michigan provides for a minimum of $300 and a maximum of $500, Rhode Island a minimum of $500 and a maximum of $700, and Virginia, setting no minimum, puts a maximum of $400 a year for those whose salaries have been below $1,000 and of $500 for those whose salaries have exceeded that amount. The 10 States of the second group vary as to the part of the allow ance provided by the employer and as to the limitations upon the total amount to be received. Roughly, the allowance is determined by the amount of the annual contributions, the length of service, and the age at retirement, but some variable factors are often intro duced. If the retirant was in the service before the retirement sys tem was adopted, the employing agency usually either increases the allowance up to what it would have been had the system been in 274 CARE OF AGED PERSONS IN UNITED STATES effect for the whole period of employment, or provides a part of what this extra amount would have been. Several States place a limit upon the amount to be paid. Con necticut has a minimum of $350 and a maximum of $1,000, Indiana a minimum of $131 and a maximum of $700, New York a minimum of $400 after 25 years’ service, and Ohio a minimum of $300 after 36 years’ service. Massachusetts fixes as a maximum the equivalent of an annuity of $1,000, purchased at age 60, but provides that if by reason of long service a retirant’s accumulated contributions reach a sum which would purchase more than one-half of this, the excess is to be returned to him on retirement, while the State discontinues its contributions to his credit when they reach a sum sufficient to pur chase the other half. The city systems are evenly divided between these two methods of determining the retirement allowance. Of those in the first group, Chicago pays an allowance of $800 after 25 years of service with an increase of $20 annually for each year over that period, up to a maximum allowance of $1,000. In Detroit, the allowance is $1,200. In Milwaukee it is $600 after 25 years of service, with an increase of $20 per annum for each additional year of service up to a maximum allowance of $900. In New Orleans it is one-half the average final salary after 40 years of service, and for an earlier retirement onefortieth of this amount for each year of service rendered; the mini mum is $300 and the maximum is $600. In the systems of New York, Minneapolis, Washington, and the New York Board of Education, no limits in either direction are placed upon the amount of the allowance, which consists of an annuity bought by the retirant’s accumulated contributions and a pension bought by the employing agency’s accumulated contributions to his credit. Minneapolis, however, provides that the pension may not be drawn until the retirant reaches the age of 50. The city’s contributions in Minneapolis have not been sufficient to provide the amount of pension contemplated in the system adopted in 1923, and the pensions paid have been prorated accordingly. Disability Allowances for disability are usually closely related to the service allowances. In Illinois, North Dakota, and Virginia they are calculated in exactly the same manner. In California, Michigan, Minnesota, Montana, and Rhode Island they are such a proportion of the super annuation allowance as the retirant’s years of service are of the num ber required to qualify for the superannuation allowance. In Connect icut, Indiana, Maryland, Massachusetts, New Jersey, New York, Ohio, Pennsylvania, Vermont, and Wisconsin the retirant receives the annuity purchasable by his accumulated contributions as in the case of the superannuation allowance, but the pension granted by the State is increased, if necessary, to bring the total allowance up to some specified minimum or to some fraction of what the retirant would have received had he qualified for the superannuation allowance. The city systems show the same relation between the two forms of allowance. In Chicago, Milwaukee, Detroit, and New Orleans the disability allowance is such a fraction of the superannuation CHAPTER X I I .— PUBLIC EM PLO YEES’ RETIREMENT 275 allowance as the retirant’s years of service form of the number re quired for service retirement. In Minneapolis and in Washington the allowance consists of annuity and pension, calculated as for super annuation retirement. Under the New York system the retirant receives, in addition to the annuity bought by his own contributions, a pension of one-fifth of his average final salary, with an allowance for prior service; the total, however, must not exceed one-half of his average final salary. Under the New York Board of Education system the retirant receives his annuity and a pension sufficient to bring the allowance up to nine-tenths of what would be the service retirement allowance for the years of service rendered. In case of duty disability, the retirant receives a pension of three-fourths of the average annual salary for the last five years, plus the benefit of his own contributions, which are either used to purchase an annuity or returned to him in a lump sum, at his option. Refunds As R h o d e I sl a n d has a noncontributory system, the question of refunds does not arise there. California, Montana, and Virginia make no refunds under any circumstances. In the other States re funds of part or all of the employee’s contributions are usually made in case of withdrawal or dismissal, or of death before reaching pen sionable status; Illinois and Indiana, however, do not make any refund in case of such a death, though they do for dismissal or with drawal. Illinois, Michigan, Minnesota, and North Dakota refund one-half of the amount contributed, and Connecticut, Maryland, Massachusetts, New Jersey, New York, Ohio, and Pennsylvania re turn the whole amount with interest, usually compounded. Indiana returns the whole amount on separation after 10 years’ service, and makes a partial refund for a shorter period of service. Vermont pro vides that if the teacher has served as long as six years he shall re ceive the amount of the State’s contributions on his behalf as well as his own, and Wisconsin makes the same payment of the total amount to the teacher’s credit in case of death before reaching pen sionable status, though in case of dismissal or withdrawal the State’s contributions are retained, the retirant receiving the total amount of his own contributions. Turning to the city systems, Chicago returns contributions, with out interest, on dismissal or withdrawal, but in case of death no re fund is made to the estate. New Orleans returns one-half the con tributions, without interest, in case of death or withdrawal; in case of dismissal the total contributions, without interest, are returned. The other systems all provide that in case of the separation of the employee from the service, whether by death, resignation, or dis missal, the full amount of the contributions is to be returned. Detroit varies'this by providing that the full amount, with simple interest, of the contributions paid in between 1923 and 1927 is to be returned, but only one-half, without interest, of contributions paid in after September, 1927. Milwaukee specifies that the refund is to be with out interest, but the two New York systems, Minneapolis, and Washington allow interest on the contributions returned. CARE OF AGED PERSONS IN UNITED STATES 276 Provision for Dependents N in e of the State systems— Connecticut, Maryland, Massachu setts, New Jersey, New York, Ohio, Pennsylvania, Vermont, and Wisconsin— provide that at the time of retirement the employee may choose one of several options, either taking a straight allowance to be continued through his life, or choosing a smaller allowance, part or all of which is to be continued after his death to some selected bene ficiary, or receiving some other actuarial equivalent of the total amount credited to him. In case of the death of a contributor before reaching pensionable status, Maryland and Wisconsin give death benefits. The other 9 systems make no provision for dependents. Among the city systems, New York, Minneapolis, and the New York Board of Education provide options at the time of retirement. Under the Minneapolis system if a member dies in service the amount of the city’s deposits to his credit, with interest, is paid as a death benefit. New York gives six months’ salary as a death benefit if the decedent had qualified for retirement, and the Board of Educa tion system gives the same amount if a member dies in the service from ordinary causes. If, however, the death was due to injury received in the service, a pension of one-half the average annual salary for the last five years is given to the widow, dependent children, or dependent parent. The other systems make no provision for dependents of either contributors or pensioners, though in Milwaukee and in Washington if a pensioner dies before he lias drawn benefits to the amount of his own contributions to the fund the difference will be returned to his heirs. Principal Provisions of Plans T he follow ing table shows the essential provisions of these p lan s: T a b le 7 3 .— C O M P A R IS O N OF T E A C H E R S ’ R E T I R E M E N T S Y S T E M S State systems C alifornia p u b lic-s ch o o l teach ers’ re tirem en t salary p lan (Stats, o f 1913, eh. 694). $12 a year in semiannual pay m ents. 5 per cent of inherit ance tax; extra app r o p r i a t i o n s , if needed. C on n ecticu t teachers’ retirem en t sys tem (P u b . A c ts of 1917, ch . 411). 5 per cent of salary ; m in im u m $25 and m axim um $100 a year. B iennial appropria tio n of am ount esti m ated as necessary. Illin ois State teachers’ pen sion and retirem ent fu n d (L a w s of 1915, p. 649; 1919, p. 746). A n n u a l paym ents o f $5 for first 10 years of teach ing, $10 for next 5, and $30 for next 10. C o n tribu tion s cease after 25 years’ service. M u st am ount to $400. F ro m $18.04 to $35.77 a year, accordin g to age at entrance. P roceeds of tax le v y o f one-fifth o f a m ill on dollar of assessed valuation in State. Superannuation: O ptional at age 50; no co m p u lso ry age; 25 years’ service, of w h ich 15 m ust have been in State. D isa b ility : 15 years’ service, of w h ich 9 m ust h ave been in S t a t e . C on tribu tion s m ust be m ade u p to $400. A m o u n t sufficient to p a y four-sevenths of cost of retirem ent allow ances, and ex tra benefits; cost of adm inistration. Superannuation: O ptional at age 60; no co m p u lso ry age; 40 years’ service, o f w hich 30 m ust have been in State; perm itted after 25 years, w ith sm aller allow ance. D isa b ility : 10 years’ service, of w h ich three-fourths m ust h ave been in State. In d ia n a State teachers’ retirem ent fu n d (A cts of 1915, ch. 182; 1921, ch. 256). C on d ition s for r e tir e m e n t1 R etirem ent allow ances S uperannuation: N o age re quirem ent; 30 y ears’ service, of w h ich 15, in clu d in g the last 10, m u st h ave been in California. D is a b ility : 15 y ears’ service in State. S uperannuation: O ptiona l at age 60, after 15 years’ service in State, and at a n y age after 35 years’ service, of w h ich 20 w as in State; co m p u lso ry at^70. D isa b ility: 10 years’ service in State. Superannuation: $500 a year. D isa b ility : Such part o f $500 a year as th e n um ber o f years of teaching form s o f 30 years; m in im u m , $250. N on e. Superannuation: A n n u ity b o u g h t b y retira n t’s accu m u lated con tribu tion s, plus pension o f equal am ou n t from State. M in im u m , $350; m axim u m , $1,000 a year. A llow an ce for prior service. D is ab ility : A n n u ity bou g h t b y retirant’s accu m u lated con tribu tion s plus pension from State o f one-thirtieth of w hat pen sion w o u ld have been at age 60 m u lti p lied b y years of service. Superannuation and disa b ility: $16 for each year of service ren d ered . F or super ann uation , m in im u m and m axim um alike are $400 a year; for disa b ility, m in i m u m , $240; m axim u m , $400. O ptions. S uperannuation: A n n u ity b o u g h t b y re tira n t’ s con tribu tion s, plus pension, am ou n t depen din g on length of service and age; m in im u m , $131; m axim um , $700. D is a b ility : M in im u m , $500 a year; m axim u m , five-eighths of final salary. Other benefits N one. D o. EM PLOYEES’ RETIREMENT C on tribu tion s from State X I I .— PUBLIC C o n tribu tion s from em ployees CHAPTER N a m e of system and a u th o riza tio n 1 A ll the system s require m edical exam ination and cer tification as co n d itio n s f<or d isa b ility retirem ent. 277 278 T a b le 72 .— C O M P A R IS O N OF T E A C H E R S ’ R E T I R E M E N T S Y S T E M S — Continued State systems— Continued 5 per cen t o f sal ary; m in im u m $35 and m axi m u m $100 a year; not required after 30 ye a rs’ co n trib u tio n s. M ic h ig a n teachers’ retirem ent fu n d (P u b . A cts, 1915, A c t N o . 174; 1927, A c t N o. 135). F ro m under $5 to $20 a year, accord in g to le n g th of service; m axim u m s increased in 1927 to $10, «20, and $30. M in n esota teachers’ insurance and retirem ent fund (L a w s o f 1915, ch. 199). F r o m $5 to $30 a year, accordin g to length of serv ice; not required after 25 years’ service. $1 a m o n th for each m o n th o f school year. O p t i o n s ; death benefit of one-half of average final com pensation. N o con tribu tion .. Superannuation: N o age re quirem ent u n til 1927, w hen 60 was set for op tional re tirem ent; 30 years’ service, of w h ich 15, in clu d in g last 5, m ust h ave been in State. D isability? 15 years’ sp.rvicp in State. Superannuation: N o age re quirem ent; 20 years’ serv ice, o f w h ich 15 m ust have been in State. D isa b ility: 15 years’ service, o f w h ich 10 m ust have been in State. Superannuation: O ptional at age 55; no co m p u lso ry age; 25 years’ service (raised to 30 years in 1927), of w h ich 15 m ust have been in State. D isa b ility : 15 years’ service in State. S uperannuation: A n n u ity bou gh t b y r e tira n t’s con tribu tion s, plus pension of equal am ou n t, the tw o m aking oneseventieth of average final com pen sation for each year of service. A llow an ce for prior service. D isa b ility : A n n u ity plus pension necessary to m ake nine-tenths of w hat superann uation allow ance w ould be; m in im u m 25 per cent of average final com pensation. Superannuation: F or future entrants and present em ployees w ith less than 15 years’ service, an n u ity bou gh t b y retir a n t’s con tribu tion s and pension of equal am ou n t; m axim u m , $1,500. F or present em ployees w ith 15 years’ service, a d d i tional pension if needed to m ake m in i m u m o f $400. D isa b ility : A n n u ity and pension based on service; m in im u m p en sion, one-thirtieth of $250 for each year of service. S uperannuation: O ne-half o f average final com pensation; m in im u m , $300; m axi m u m , $500; partial pension for 25 years’ service. D isa b ility : F raction of super ann uation allow ance, proportion ed to length of service. Proceeds of a State tax of one-tw entieth o f a m ill on all tax able property. N o con tribu tion .. Superannuation: O ptional at age 60 and co m p u lso ry at 70. Fifteen years’ service in State required o f em ployees entering before system w as a d op ted ; for others, no service require m ent. D is a b ility : 20 years’ service in State. O ptions. IN Superannuation: O ptional at age 60, co m p u ls o ry at 70; no service requ irem en t, b u t allow ance is affected b y length of service. D isa b il ity : 5 y ears’ service. AGED M on ta n a teachers’ retirem ent salary fund (L aw s of 1915, ch. 95). Two contribu tions, calculated as per centages of active p a y roll: (a) T o cover lia b ility for benefits earned b y current service, and (6) to m eet accrued liability; cost o f a d m inistration. A n nual app ropria tions to cover cur rent and accrued liabilities, and to pay costs of a d m in istration. N on e. Superannuation: $350 a year after 20 years’ service, w ith increm ents of $30 for each add ition al year, u p to m axim u m of $500. D isa b ility : F raction of a bov e, prop or tioned to length of service. D o. S uperannuation: $600 a year for those w h o have paid in $300 (raised to $600 in 1927); in practice, allow ance is determ ined b y co n d itio n of fund. D isa b ility: Such p rop ortion of full pension as retirant’s service is of 30 years. Do. STATES M assachusetts teachers’ retirem ent system (G en . L aw s, ch. 32; A cts .o f 1923; ch. 381; 1926, ch. 212). Other benefits UNITED Percentage o f sal ary, r a n g i n g from 4.28 to 7.75, based o n sex and age at entrance. R etirem en t allow ances PERSONS T ea ch ers’ retirem ent system of M a r y la n d (L a w s of 1927, ch. 344). C o n d itio n s for retirem ent OF C on tribu tion s from State CARE C o n trib u tio n s from em p lo y e e s N a m e of system an d au th orization Superannuation: O ptional at age 62; c o m p u lso ry at 70; n o service requirem en t. Pres en t em ployees m a y retire at a n y age after 35 years’ serv ice. D isa b ility : 10 years’ service in State. N e w Y o r k State teachers’ retirem ent fu n d (L aw s of 1920, ch. 503, art. 43-b, secs. 1100-1109q; am en ded , 1923 and 1927). 4 per cent o f salary. A n n u al am ount equal to 5.2 per cen t of teachers’ salary roll. N o rth D a k o ta teachers’ retirem ent system (L aw s of 1913, ch . 251; 1919, ch. 161). 1 or 2 per cent of salary, accord in g to length of s e r v i c e , w ith m axim um s of $20 and $40 a year; con trib u tion s cease after 25 years. 4 per cent o f salary u p to $2,000. In ad d itio n , $1 a year for cost o f adm inistration. T e n cents annually for each child in State betw een ages o f 6 and 21. S uperannuation: O ptiona l at age 60, after 25 years’ service in State, or at a n y age after 35 years’ service; m a y b e de m an d ed at 70. D isa b ility : F o r present teachers, 20 years’ service, o f w h ich the last 10 m ust h a ve been in State; for others, 15 years in State. Superannuation: N o age re quirem ent. R e q u ire s 25 years’ service, o f w h ich 18 m ust h ave been in the State. D is a b ility : 15 years’ service. Percentage of teachers’ salary roll, vary in g w ith actuarial state of fund, to cover pensions for current service, and accrued liab ility. Superannuation: O ptional at age 60, except for new en trants w ith less th an 5 years’ service, and at a n y age after 36 years’ service; co m p u l so ry at 70. D is a b ility : 10 years’ service. Percentage o f sal ary, based on sex and age at entrance; all salary above $2,000 exem pt. R egular con tribu tion to cover liab ility for current service, and accrued liabilitycost o f adm inistra' tion . S uperannuation: O ption a l at age 62; co m p u lso ry at 70; 10 years’ service. D is a b ility : 10 years’ service. O h io State teachers’ retirem en t sys tem (L a w s of 1919, secs. 7896-1 to 7896-63). P en n sy lv a n ia State sch o o l e m p lo y e e s ’ retirem ent fu n d (L a w s o f 1917, N o . 343). Superannuation: A n n u ity b o u g h t b y re tiran t’s co n tribu tion s, plus pension of equal a m ou n t, the tw o form ing oneseventieth o f average final com pen sation for each year o f service. A llo w a n ce for prior service. D is a b ility : O ne seventi eth o f average final co m p en sation for each year o f service; m in im u m , $300 a year. Sup erannuation: A n n u ity b o u g h t b y retiran t’s co n trib u tio n s p lu s pension of on e-fou rth o f final com p en sation ; m in i m u m , after 25 years’ service, $400. A l low a n ce for prior service. D isa b ility : A n n u ity as ab o ve ; pen sion o f one-fifth of average final salary, b u t n ot over fourfifths o f pension receiva ble had retirant rem ain ed in service to age 70. O ptions. Superannuation an d d isa b ility : 2 per cent o f average final com pen sation , m u lti p lied b y years o f service; m in im u m , $350; m ax im u m , $750. N on e. Superannuation: A n n u ity b o u g h t b y re tira n t’s accu m u lated con trib u tion s plus pension o f equal am ou n t; m in im u m , after 36 years’ service, $300. F u ll allow ance for prior service. D is a b ility : A n n u ity plus pension to brin g allow ance to 1.2 per cent of average final com pensa tio n for each year o f service; m in im u m , 30 per cent o f average final com pensation. Superannuation: A n n u ity b o u g h t b y re tira n t’ s con trib u tion s plu s pension of sam e am ou n t, together equ a lin g oneeightieth o f average final com pen sation for each year o f service. A llo w a n ce for prior service. D is a b ility : A n n u ity plus pension sufficient to brin g allow ance to one-ninetieth o f average final com pensa tio n for each year of service; m in im u m , 30 per cent of average final com pensation. O ptions. Do, D o. EM PLOYEES’ RETIREMENT A p p r o p r ia tio n s to cover benefits earned b y current service, accrued l i a b i l i t y , and cost of adm inis tration. X I I .— PUBLIC Percentage o f sal ary, based on sex an d age at en trance. CHAPTER State teachers’ pen sion an d a n n u ity fu n d of N e w Jersey (A c ts o f 1919, ch . 80). to CO 280 T a b le 7 2 .—C O M P A R IS O N - OF T E A C H E R S ’ R E T I R E M E N T S Y S T E M S —Continued State systems — Continued P ercentage of sal ary (at present 5); m in im u m , $16, an d m axi m u m , $100 a year. A n nual am ount equal to total co n trib u tion of teachers, u p to $20,000. V irginia p u b lic sch ool teachers’ re tirem ent fu n d (C o d e of 1919, ch. 36, secs. 787-805). 1 per cent o f sa la ry. A nnual appropriation of am ount needed; at present, co n trib u tion is $10,000. W iscon sin teachers’ insurance and retirem ent system (Stats. 1923, secs. 42.20-42.57, 20.251, and 20.30). 5 per cent o f sa la ry ; teachers under 25 do n o t c o n tribu te. Proceeds of a surtax on net incom es in ex cess of $3,000, to c o v er liab ility for cu r rent service, and accrued liab ility. N one. S uperannuation: A n n u ity b o u g h t b y re tiran t’s accu m u lated co n tribu tion s and pension o f equal am ou n t from State; m axim um , one-half average salary du r ing service. D is a b ility : A n n u ity plus pension, as above, w ith such add itional pension from State as the retirem ent board m a y consider ju st; sam e m axi m u m as above. S uperannuation a n d d isa b ility : O ne-h alf of average salary for last 5 years; n o m in i m u m set; m axim u m , $400 if salary w as below , and $500 if it w as over $1,000. O ptions. S uperannuation: A n n u ity b o u g h t b y retiran t’ s accu m u lated con trib u tion s plus pension b ou gh t b y State’ s accu m u lated con tribu tion s to his credit, S tate’s part not to be paid u n til retirant reaches 50. D isa b ility : Sam e as for superann uation , except that 50-year lim it for State’ s penoion clocs n e t o - r r J^or rotir^int^ ir* service before system w as a d o p ted w ith 25 years’ service and havin g reached age o f 50, the State m akes an extra allow ance in respect o f prior service. O p t i o n s ; death benefit. Superannuation: O ptional at age 58 for m en, and 50 for w om en ; n o c o m p u lso ry age; 30 years’ service in State. D isa b ility : 20 years’ service. Superannuation: N o age set, b u t State’ s part of allow ance w ill not be paid until cla im ant is 50; no service require m ent except for those cla im ing prior service allow ance. D isa b ility: 5 con secutive N one. STATES S uperannuation: O ne-half o f average sal ary of last 5 years; m in im u m $500; m axi m u m , $700. D is a b ility : Such p ro p o r tion o f superann uation pension as years o f service are o f 35. UNITED V erm on t teachers’ retirem ent sy stem (A cts of 1919, ch . 57). Superannuation: N o age re quirem ent; 35 years’ serv ice, o f w h ich 25, including the last 15, m ust have been in State. D isa b ility : 20 years’ service in State. Superannuation: O ptional at age 65 for m en, and 60 for w om en ; n o co m p u lso ry age; 30 years’ service, of w h ich 20, includ ing the last 5, m ust have been in State. D is a bility: 6 years’ service in State. IN A n nual appropriation of am ount needed to pay current pen sions. PERSONS N o c o n t r ib u tio n .-. R etirem ent allow ances AGED R h o d e Island State teachers’ pen sion system (L a w s o f 1907, ch. 1468; 1909, ch. 401; 1914, ch. 1090; 1921, eh. 2054; 1926, eh. 776). Other benefits C o n dition s for retirem ent OF C on tributions from State CARE C on tribu tion s from em ployees N am e of system an d au th o riza tio n City systems N a m e of system M ilw a u k e e p u b lic-sch o o l teachers’ a n n u ity an d retirem ent fu n d (L aw s of 1909, ch. 510: 1911. ch. 189: 1921, ch. 591; 1925, ch. 243). C o n dition s for retirem ent R etirem en t allow ances A p propriation of $2 for each $1 from teach ers; if insufficient, a m ount needed is to be transferred from general edu ca tion fund. Interest on daily ba l ances of teachers’ salary roll, and tu i tion fees paid b y nonresident pup ils, etc. S uperannuation: N o age re quirem ent; 25 years’ service, of w hich 15 m ust have been in C h icago. P erm a nent d isability: 12 y ears’ service, three-fifths of w h ich m ust h ave been in C hicago. Superannuation: N o age re quirem ent; 30 37ears’ service, of w h ich the last 20 m ust have been in D e tro it. D is ability: 10 years’ service in D etroit. Superannuation: A fter 25 years’ service, $800 a year, w ith $20 extra for each year of service over 25, u p to 10; m axim um , $1,000. D isa b ility : Such proportion of $800 a year as retirant’s contribu tions form o f $850; m in im u m , $300 a year. 40 per cent of proceeds of a surtax on net in- Superannuation: O ptiona l at age 65, after 25 years’ service, and at a n y age after 35 years’ service, of w h ich 15 and 20, respectively, m ust have been in M ilw au k ee. D isa b ility : 25 years’ service, 15 in M ilw au k ee. Superannuation: N o age re quirem ent, b u t c it y ’ s share of allow ance n ot to be paid till age 50 is reached; no service requirem en t. D is ability: 5 con secu tive years’ service. M in n e a p o lis teachers’ retirem ent fu n d association (G e n . L a w s 1909, ch . 343; 1923, ch. 310). 5 per cent o f sal- j A m o u n t raised b y a ary. T h o se u n- ; tax le v y of 1 m ill on der 25 do not the dollar, con tribu te. N e w Orleans teachers’ retirem ent fu n d (A c t N o . 116 o f 1910; N o . 263 o f 1914; and N o . 17 o f 1918). 2 per cent of salary. A m o u n t equal to 3 per cent of teachers’ sal ary roll; m in im um , $30,000 a year. S uperannuation: O ptional u p to age 65, after w h ich c o m pu lso ry retirem ent m a y be dem an d ed if advisable; 30 y e a r s ’ s e r v i c e as m i n i m u m , 40 as n orm al require m ent. D is a b ility : 5 years’ service. Other benefits N one. Superannuation: $1,200 a year. D isa b ility: Such p ro p o rtio n of $1,200 a year as re tiran t’s years o f service are o f 30; m in i m u m , $400. D o. Superannuation and d isability : A fter 25 years’ service, $600 a year, w ith $20 ad d i tion al for each year o f service over 25, up to 15; m a xim u m , $900. D o. Superannuation: A n n u ity bou g h t w ith re tiran t’ s accu m u lated con tribu tion s plus pension bou gh t w ith c it y ’s accum ulated con trib u tion s on his behalf; latter not available und er age 50. A llow an ce for prior service. D is a b ility : Sam e as super ann uation , except that c it y ’s pension is available at once, regardless of age. Superannuation: A fter 40 years’ service one-half of average salary for last 5 years; und er 40 years’ service, one-fortieth of norm al allow ance for each year of service; m in im u m , $300; m axim u m , $600. D is a b ility : F or each year of service, one-for tieth o f norm al retirem ent allow ance. Options; death benefit. N one. X I I .---------------------------------------------------------------------------------------------------------------------------- D e tr o it pu b lic-sch ool teachers’ re tirem ent fu n d (P u b . A cts of 1923, N o . 152). Contributions, g r a d e d by length of service, ranging from $10 to $50 a year and totaling $850 in 25 years. 3 per cent o f sal a ry (2 per cent prior to Septem ber, 1926) b u t salary over $1,500 a year ex em pt. Contributions, graded b y length o f service, rang ing from $4 to $8 a m o n th ; not re qu ired after 40 years’ service. C on tributions from city CHAPTER C h icago p u b lic-s ch ool teachers’ p e n sion and retirem en t system (L aw s of 1921, p. 821; 1925, p. 571). j Contributions from ! em ployees T a b le 7 2 .-C O M P A R I S O N OF T E A C H E R S ’ R E T I R E M E N T S Y S T E M S —Continued City systems— Continued 1 N ew Y o r k C it y b oa rd o f ed u cation 1 P ercentage o f sal- A n nual con tribu tion ary, based o n s e x ,: for each em ployee of retirem ent system (L a w s o f 1921, i age at entrance, an am ount equal to ch. 713). and k in d o f rehis' ow n contribu tirem ent (age or tion; also contribu service) desired, i tion to cover accrued ! liab ility and cost of extra benefits. A ge retirem ent: O ptional at age 60. Service retirem ent: On co m p le tio n o f 35 years’ service. O rd inary disability: 10 years’ service. D u t y dis a bility: N o service require m ent. Superannuation: A n n u it y ’ b ou gh t b y re tiran t’ s a ccu m u lated con trib u tion s plus p ension b o u g h t b y c it y ’s accu m u lated con tribu tion s, a m ou n tin g to one-seven tieth of average final salary for each year o f service. A llo w a n ce for prior service. D is a b ility : A n n u ity bou gh t b y retiran t’ s a ccu m u la te d con tribu tion s plus pension o f 20 or 25 per cent, accord ing to circum stances, of average final com pensation. A g e or service retirem ent: A n n u ity b ou gh t b y retirant’ s co n trib u tio n s plus pension b ou gh t b y c it y ’s con trib u tion s to his credit, the tw o a m ou n tin g to one-seven tieth o f average annual salary for last 5 years m u ltip lie d b y years o f service. A llo w a n ce for prior service. O rd inary d isability : A n n u ity as a b o v e w ith p en sion to bring allow an ce u p to 90 per cent o f norm al allow ance for years of service. D u t y d isa b ility: A n n u ity as a b ov e (or retirant m a y h a ve his con trib u tion s returned) plus pension o f three-fourths o f average annual salary for last 5 years. S uperannuation and disa b ility: A n n u ity consisting o f tw o parts: (1) A n a m ou n t equal to 1 per cent, o f the average sa.larv for last 10 years m u ltip lie d b y years of service; (2) an a m ou n t equal to $15 m u ltip lie d b y years of service prior to 1926. Service in excess o f 40 years n ot used in calcu lating allow ances. t T ea ch ers’ retirem ent fund o f W a s h in gton, D . C . (41 U . S. Stat. L . ” 387*11 17 S P t?/. L. 2 r*. 727\ , P ercentage o f salary, n o t to exfi CfilC’ TI lated o n actu arial basis, b u t all salary over $2,000 a year exe m p t. ; ! ; ; D istrict contribu tes a percentage of teachora’ ea]tjrT7 roll +r> cover its share of benefits earned b y current service, and its accrued liab ility, Superannuation: O ptional at age 62; c o m p u ls o ry at 70; 10 <?p.rvif»p in T)ist.riot. and since reaching age 52. D isa b ility : 10 years’ service, if retirant is 45 or over, and 15 years, if under that age. D eath benefit. P rovision for de pendents; death benefits; options. O ptions. STATES Superannuation: O ptional at age 65; co m p u lso ry at 70; 35 years’ service, o f w hich, in case of future entrant, 20 must h ave been in N e w Y o rk C ity . D isa b ility : 10 years’ service. UNITED Regular a p p r o p r i a tions, calculated on actuarial basis, to cover current and accrued liability; for cost of adm inis tration. IN Percentage o f salary, based on age at entrance. T ea ch ers’ retirem ent system of the c it y of N ew Y o r k (L a w s o f 1917, ch. 303; Charter of G reater N e w Y o r k , sec. 1092). O ther benefits PERSONS R etirem en t allow ances AGED C on dition s for retirem ent OF C on tribu tion s from city CARE C o n trib u tio n s from em p loyees N a m e of system CHAPTER X I I .---- PUBLIC EM PLO YEES’ RETIREMENT 283 Statistics of State and City Systems T h e t a b l e following shows the pensioners and amounts disbursed by each of the State and city systems in 1926: T able 7 3 .— C O V E R A G E , N U M B E R OF P E N S IO N E R S , A M O U N T S D IS B U R S E D , A N D A V E R A G E P E N S I O N O F S T A T E A N D C I T Y T E A C H E R S , 1926 State or city Y ear ending— State system s: C a lifornia___________ _____ __________ C on n ecticu t- ______ _______________ Illin ois__________ ________ ____ ______ I n d i a n a ______ - _________ - _____ M assachusetts___ __ _ _____________ M ic h i g a n _____ - __ _____________ M in n esota— __ _________ __________ M on tan a - - _______N ew Jersey— ___ ____ __ ___ N ew Y o r k _______ _______ . . _____ N orth D a k o t a ,. ___ ________ O h io_____ _______________ ________ P en n sylva n ia .- _ _ _________ ______ R h od e Isla n d .- - _____ ____ __ ____ Virginia W iscon sin . . ________ ___ June 30,1926 J u ly 1,1926 June 30,1926 Sept. 30,1926 June 30,1926 Sept. 30,1926 June 30, 1926 __ d o . . __ _ ___ d o _____ _ Ju ly 31,1926 June 30,1926 A u g. 31,1926 June 30,1925 June 30,1926 d o _____ ____d o _ . T o ta l____ N u m ber covered b y system A verage annual pension * 36,108 9,749 38, 888 12, 341 20,019 24, 471 16, 866 5, 600 19, 830 39, 648 8, 226 42, 972 58,409 3, 599 17, 055 18, 054 1,061 186 1,486 496 852 619 589 130 1,062 1,996 79 2 1,829 1,206 180 758 565 $457,095 95, 592 566, 705 242,450 449, 781 181,844 98, 577 65, 214 910,918 1, 202,619 43, 680 772, 704 421,113 87, 516 129, 665 252, 202 $431 514 381 489 528 294 167 502 852 603 553 422 349 486 171 446 371,835 13,094 5,977, 675 457 1926 1926 1926 1926 1926 11,927 5, 569 2,054 2, 344 1, 619 973 242 89 293 101 3 647, 495 256, 509 » 69, 495 132, 521 41,042 665 1,060 781 452 406 D ec. 31,1926 June 30,1926 __ _do . . . 25,995 2,507 2,761 2,041 126 84 2,441,493 176,656 64, 778 1,196 1,402 771 _________ _____ ________ C ity system s: C h icago _ _____________ ____ D e t r o i t ___ - - - _______________ ____ M ilw aukee* _______ ____ _ _ M in neapolis N ew O rleans. __ ____ N ew Y o r k — T ea ch ers’ retirem ent _ __ ____ B oa rd of education svstem___ W ashington, D . C __ N u m ber of A m ount pensioners disbursed on roll in pensions Oct. Aug. June D ec. A u g. 31, 31, 30, 31, 31, _ _ __ ___________________ 54, 776 3,949 3, 829,989 970 G rand total ________ 426, 611 17,043 9,807,664 575 T o ta l. 1 C om p uted b y d ividing benefits b y n um ber of pensioners. 2 Inclu din g 460 taken over from c ity system s. 3 Year ending A ug. 31. Carnegie Fund for Teachers’ Retirement2 N 1905, Andrew Carnegie established the Carnegie Foundation for the Advancement of Teaching; the object of which was the provision of a free pension for superannuated teachers in colleges and universities. Under the rules of the foundation the following benefits were pro vided: (1) An old-age pension available at 65 years of age or later and amounting usually to about 60 per cent of the active salary of the teacher during his last five years of service but subject to a maximum pension of $4,000. A teacher whose salary was low received a larger proportion of his salary as pension. (2) A disability pension, granted in cases of total disability, after 25 years’ service as professor or 30 years service as professor and instructor. This pension averaged about 40 per cent of the active salary. (3) A widow’s pension equiva lent to one-half of the pension to which the husband would have been entitled. I 2 D ata are from annual reports o f the Carnegie F o u n d a tio n for the A d v a n c e m e n t o f T e a ch in g , for the years 1917, 1918, 1919, 1927, 1928, and its B u lletin N o. 9 (1916), 35777°— 29------- 19 284 CARE OF AGED PERSOxVS IN UNITED STATES Two classes of beneficiaries were created: (1) Teachers in “ asso ciated institutions/7 i. e., in those of college rank which maintained high standards of work and the tenure of whose teaching force was “ reasonably secure and respected;” and (2) teachers selected for pension by virtue of their notable service in the teaching profession. By the end of the fiscal year 1918-19 the foundation was paying pensions to 347 retired teachers and to 183 widows of teachers. The total amount paid to these beneficiaries that year was $828,386. By that time the trustees of the fund had come to the opinion that the basis of the plan was unwise, both from a financial standpoint and from that of the best interests of the teachers themselves. Even as early as 1914-15, it was pointed out that the pensions being paid to retirants from associated institutions alone amounted to more than two-thirds of the income available to the Foundation, to say nothing of the pensions which had been granted to individual teachers the payments of which absorbed the income from &bout $2,500,000 of the endowment of the Foundation. The average pension at that time was $1,700. Also, the trustees had come to the conclusion, as a result of their experience, that “ even for high-minded men such as constitute the membership of the body of college teachers, it is in the long run undesirable.” It is one thing to carry out Mr. Carnegie’s kindly conception of a gracious act to old and worn teachers; it is quite another thing to say to the man of 30 or 40 or 50, “ Your future is cared for years hence by a retiring allowance furnished without your cooperation.” The trustees of the Foundation came clearly to the conclusion that only that pension system would be fruitful and feasible which was provided by annual contributions extending over a torm of years, furnished by the joint participation of the government of the college and the individual; that the old-age annuity should be upon a contractual basis; and that it should be the individual property of the teacher, capable of being continued by him until such time as he desired to avail himself of its provisions, whether he migrated from one college to another or whether he went out of college work altogether. Present Plan T h e w h o l e b a s is of the scheme was changed in 1918 and a con tributory annuity system set up, the Foundation, however, continuing to make allowances in certain cases. The teachers of associated insti tutions are divided into three classes, as follows: (a) Those in the service of these institutions on November 17, 1915, and who reached the age of 65 on or before June 30, 1923: (b) those in the service on November 17, 1915, and who had not yet become 65 years of age by June 30, 1923; and (c) those entering the service after November 17, 1915, and who are participating in the annuity plan. Teachers in class (a) become eligible for a pension from the Founda tion after 15 years’ service as a professor or 25 years’ service as an instructor or instructor and professor. Pensions are based upon the following formula: Retiring allowance = ^ -4 -4 0 0 , but are subject to a maximum of $4,000 or 90 per cent of the active pay and a minimum of $1,000 per annum. Disability allowances become receiv able after 25 years of service as a professor or 30 years of service as instructor and professor, upon the basis of the following formula: CHAPTER X I I .---- PUBLIC EM PLOYEES’ RETIREM ENT Disability allowance = (years of service + 15) + 320. 285 The widow’s pension amounts to one-half of that payable to the husband. For teachers in class (b) the maximum allowance specified for class (a) teachers becomes payable between July 1, 1923, and June 30, 1925, to those who reached their 66 year, during the next fiscal year, to those reaching 67 years, during 1926-27 to those reaching 68 years, and during 1927-28 to those reaching 69 years. After June 30, 1928, the maximum allowance becomes available only at age 70. For those in class (c) there is no fixed age of retirement, since the teacher holds a deferred annuity contract of which he may avail himself at any time at which he and his college may agree and with such a sum as has been earned by the joint contributions of teacher and college. A teacher who becomes disabled after five years of service assigns his annuity policy to the Foundation, which assumes the liability for an annuity of two-thirds of the amount to which the teacher would have been entitled had he continued to contribute until reaching his sixty-fifth birthday, subject to a maximum of $3,000. Such payments continue during life, or in case of death, until the accumulation to the teacher’s credit has been returned to his estate. Teachers’ Insurance and Annuity Association T h e c o n t r ib u t o r y system is known as the Teachers’ Insurance and Annuity Association. This association not only carries the an nuity insurance of the system; it also writes straight life, and 20-year and 30-year endowment policies. Not more than $30,000 can be written on the life of any one person and not more than $10,000 may be term insurance nor more than $15,000 decreasing or modified life contracts. Under the annuity plan a college which accepts the plan contributes 5 per cent of the salary of the teacher and the teacher himself 5 per cent. These contributions produce, on the average, an amount equal to 50 per cent of the active pay at 65, the proportion being smaller or greater according to whether the teacher elects to retire before or after reaching that age. A disability pension (as already mentioned) becomes payable for total disability after 5 years (in stead of 25 years, as formerly) of service. The association began writing insurance in March, 1919. At the end of six months’ operation it had written more than $750,000 in life insurance, besides annuity contracts for $116,000 annually at maturity; making it at that time one of the five leading American insurance companies with regard to premium income for deferred annuities. In 1928, after 9 years’ operation, the association had 7,600 policyholders, and had written insurance to the amount of some $24,000,000 and annuity contracts providing for payments of $8,970,314 annually. On June 30, 1927, there were 176 educational institutions which had entered the scheme; in some of those which have not done so, indi vidual teachers are purchasing their own annuities. 286 CARE OF AGED PERSONS IN UNITED STATES Annuitants, and Annuities Paid in 1927-28 T h e n u m b e r of persons receiving old-age protection from the fou n dation and the annuity association is as follow s: Foundation: Number of teachers on roll______________________ . Number of widows on roll________________________ T otal_____________________________________________ 1927-28 468 370 838 Amount paid in retirement allowances and widows’ pensions________________________________ $1, 386, 823 Average retirement allowance____________________ _____ 1, 630 Teachers’ annuity association: Number of policies— E n d of J927 Life insurance____________ _________________________ 4, 316 Annuity insurance_________________ __ _____________ 5, 633 Amount of policies— Life insurance________________________________ $23, 903, 775 Annuity insurance____________________________ 8, 970, 314 At the end of 1927, life annuities totaling $38,812 were being paid to 84 persons by the teachers’ annuity association.The condition of its funds at that time was as follows: Premium income__________________ Insurance reserve_________________ Annuity reserve__________________ Disability reserve_________________ Other funds_______________________ Capital____________________________ Surplus and contingency reserve. $2, 337, 218 1, 397, 088 7, 963, 173 17, 983 368, 649 500, 000 1, 517, 636 Special Reserves of the Foundation Tw o s p e c ia l reserve funds have been set up by the foundation, the first of which was designed to supplement the income from the foun dation’s endowment and the second to give special assistance to col leges and universities who desire to become members of the annuity association. Each institution upon becoming a member of the asso ciation faces the financial problem of meeting the accrued liability for the pensions of the older members, since the annuity contract takes care only of the younger teachers; the reserve fund was established to assist the colleges to meet this problem. In some cases a sum has been given to be added to an endowment fund established by the educational institution to meet the payments for pensions to the older teachers. In other cases the foundation has granted retirement allow ances to these teachers; these allowances, it is stated, have always been on a modest scale, but total a considerable amount. In certain other cases the colleges have urged their teachers, young and old, to enter the annuity association and pay contributions even though the years remaining before retirement be few, and has then supplemented the allowances so earned from a special fund raised for the purpose. In such cases, the foundation has from time to time made a cash con tribution to the college fund. Chapter X III.—Pension Plans of Private Employers ROBABLY there has never been a time when humane employers did not expect to provide to some extent for employees who had grown old in their service, but the definite provision involved in an organized pension system is largely a growth of the present century. The Baltimore & Ohio Railroad established its system in 1884, and a few other plans were in effect before 1900, but for the most part those now in force have been inaugurated within the last 20 years. From 1910 to 1916, inclusive, some 69 systems were established, but after 1916 the movement slackened, though it has never ceased entirely. It is difficult to say how widely pension plans are in use at any given time. Some employers are averse to establishing a formal pension system, although they make much the same provision for their aged employees that other employers do through a system. For instance, 10 large corporations, some of which are well known for their fair and considerate attitude toward their employees, replied that they had never had a pension system, preferring to treat each individual case as circumstances seemed to require. Other employers establish a system tentatively, and it may be in force for some time before any public mention is made of it. In 1916, when the Bureau of Labor Statistics published a survey of civil-service retirement plans and industrial old-age pensions, it listed 117 plans as then being carried on by private employers. A study made early in 1925 by the research director of the Pennsylvania Old Age Pension Commission covered 594 firms providing pensions, of whom 370 had either a formal pension plan or a definite policy which had been followed for a number of years, while 224 stated that they had no formal system but paid pension allowances from time to time in individual meritorious cases. In 1925 the Bureau of Labor Statistics made a survey to determine the extent and character of the pension systems which private em ployers had undertaken to provide for their aged employees. In quiry was made of all employers known or believed to be maintaining such a system. Reports were obtained covering 134 pension plans; but it is believed that actually more than 200 companies were covered, inasmuch as a single plan might cover a whole group of allied enter prises. Thus, a single plan received in answer to the questionnaire of June, 1925, covers the gas and electric light companies of eight different municipalities, and some of the railway plans include allied lines operating throughout a whole section of the country. In some of these cases there has been a consolidation of plans existing sepa rately in 1916. Thus the earlier list showed five pension plans main tained by telephone and telegraph companies. In 1925 only two such plans were reported, but these cover telephone and telegraph systems in practically every part of the country, and apply to some 280,000 employees. Allowing for such combinations, it is probable that the systems listed in the present article cover well over 200 companies and corporations, while it is impossible even to guess at the number of employees brought within their scope. P 288 CARE OF AGED PERSONS IN UNITED STATES Kinds of Pension Plans T h e r e are two main classes of pension plans— contributory systems, in which the employee is required to contribute from his earnings to a fund from which pensions are paid, and noncontributory, in which no such contribution is required. There is some question as to whether these are fundamentally different. Whether the contribution to a pension fund be taken wholly from an em ployee’s wages or salary, or be paid wholly by the employer, or be derived in part from each, these contributions are in all three cases to be regarded as in reality a deduction from wages or salary. It is the opinion of students of the pension problem that the existence of a pension system in connection with any position or employment is taken into account by both parties to the contract of employ ment, and that, broadly speaking, wages and salaries actually paid are in due course reduced below what they otherwise would be by the amoilnt of the total contributions from both the employer and employee to a pension fund. The employee will thus pay for his pension by deductions from his wages or salary whether he is conscious of it or not. (Illinois, Pension Law:? Commission, Report, 1916, p. 282.) Various economists hold this theory/ and the civil-service employees of England were so convinced of its truth that they strove for years to have their pensions changed from a noncontributory to a contribu tory basis, in order that their share in providing them might be recog nized, and the right acknowledged of their families to some share in their accrued interest in the fund in case of the death of employees before reaching the age of retirement. Generally speaking, however, in the past this point of view has been ignored, and i t has been assumed that in noncontributory systems the employer bears the whole cost. Apart from the matter of contributions, the plans vary widely. Some employers establish a pension fund by an initial appropriation, provide for its investment and for future appropriations to keep it up to a fixed sum, establish a pension committee or board to manage the system, defining strictly its duties and powers, safeguard the pension with elaborate provisions as to how it is to be obtained and retained, and generally plan every detail of the system in advance. Others, when establishing their plans, prepare little beyond a statement that every employee who has served a certain length of time and has reached a certain age shall receive such and such a pension, and still others draw up plans of all degrees of elaboration between these extremes. Purpose of Pension Plans G e n e r a l l y speaking, the underlying purpose of such plans is to make life easier for employees who have grown old in the service; in other words, it is on the whole humanitarian, though a number of other purposes may play a part. Most employers hope, through the working of the pension plan, to enlist the loyalty and friendly feeling of their workers, to secure better service, and to diminish labor turn over. Sometimes such a purpose is given as the reason for instituting the plan. The company hopes that this voluntary establishment of a pension system which will assure to faithful employees an income when unable to work, either by reason of age or permanent incapacity, will confirm 1o them this company’s appreciation of faithful service, and its interest in their welfare, and thereby in crease their desire to render long service and devote their best efforts to the company, as so many employees have done in the past. i A m erican E co n o m ic R e v ie w , June, 1913, p. 287: “ Pensions as w a g e s /’ by A lbert de R ood e. CHAPTEK X I I I .---- B Y PRIVATE EMPLOYERS 289 Sometimes the plan is intended to act as a deterrent to labor troubles and especially to hinder employees from joining in strikes, and certain of the plans contain provisions that anyone quitting the employer’s service, even for one day, forfeits all claim to a pension, and if he is taken back, must come in as a new employee so far as pensions are concerned. The contributory plans are sometimes used to give the employer a kind of insurance against dishonesty, it being provided that in the event of the employee’s leaving or being dis missed, any amount which he may be owing to the employer shall be deducted before his contributions to the fund are returned to him. Other subsidiary purposes may enter in, but it is evident that the humanitarian impulse and the desire to secure more permanent and devoted service are the leading motives. Attitude Toward Pension Plans T h e m e r it s of the pension system from the employer’s standpoint are readily perceived. It prevents destitution among those who have grown old in the service, and makes it possible to lay off employees who through age, injury, or decrepitude have become inefficient, without involving them in severe hardship. It tends to secure greater stability, efficiency, and good will in the labor force; it probably diminishes labor troubles, especially strikes, though this effect is ren dered less important by the fact that many of the systems are estab lished among the class of employees who do not strike; and it tends to stabilize wage rates. Against these advantages must be set the cost of maintaining a system, and what is far more serious, the uncertainty of the cost under the common method of establishing pension systems. At first the expense is usually not serious. When a plan is initiated there are apt to be but few employees who have reached the retiring age, and for some years pensioners may be few, but as new workers each year reach the age limit and are added to the roll, while those already on it are apt to remain there for some time, the cost mounts rapidly. One company, whose plan calls for a service qualification of 25 years, and a pension of 1 per cent of the average earnings of the final 10 years multiplied by the number of years of service, presented figures covering the first 12 years during which the plan was in operation, which show how rapidly the annual payments increased: A n nual paym en ts A nnual paym ents 191 191 191 191 191 191 3 4 5 6 7 8 $37, 43, 55, 83, 96, 109, 031 030 267 897 425 911 191 192 192 192 192 192 9 0 1 2 3 4 $1 20 ,7 80 113, 273 134,923 156, 323 173, 428 199, 100 It will be seen that not only has the annual cost of the system in creased more than fivefold, but it is steadily rising, with the constant load not yet in sight. The cost, however, is not so serious an objection as the uncertain basis on which many of the plans are established. A pension system involves definite commitments for the future, and if it is adopted without full provision for meeting the coming demands, it is a very unsafe proposition. In many of the plans studied, the actuarial basis 290 CARE OF AGED PERSONS IN UNITED STATES on which the system should have been established has been ignored. In some cases a considerable reserve fund was set aside at the begin ning to meet pension costs; in others, the corporation appropriates year by year what is found to be necessary; in others, an initial re serve fund is supplemented by annual appropriations not to exceed a fixed amount. In general, the reserve funds and annual appro priations appear to have been determined rather arbitrarily, without reference to the age distribution of the employees at the time the plan was established, or any study of the prospective rates of retire ment, the rates of withdrawing before becoming pensionable, the death rate both for those in active service and on the pension roll, and other factors which go to determine the future demands on the pension fund. Some of these plans deal with only a small number of employees and the systems will probably never grow beyond the ability of the corporation to handle them; in other cases the fail ure to provide a sound basis may lead to serious and embarrassing consequences. The danger of this position is recognized by all who have studied existing pension systems. A committee of employers, appointed in 1920 to investigate the whole matter, in discussing the principles on which pensions might safely be established, laid special emphasis on this point: No pension system should be started without competent actuarial guidance. The projection into a considerable future of the cost of a pension system is a highly expert task, based upon the scientific collection of the appropriate data, the scientific analysis, of those data, and a wide acquaintance with pension formulae and experience. It is not fair dealing, either with the corporation or with its employees not to forecast, in such an accurate manner, the cost of the proposed pension plan. The employees are entitled to a pension system which has set up an actuarial balance over the years in which any one of them can expect to be affected. If the employee is required to contribute to the pension system, this is only honest. Even if the pensions are apparently the free gift of the corporation, and the economic possibility of this for a considerable period is doubtful, the employee is entitled to look forward with assurance to the pension promise. A pension promise that is uncertain involves an uncertain morality. (Merchants’ Associa tion of New York, Special Committee on Industrial Pensions, Report, p. 6.) Frequently the plans contain some provision designed to protect the employing company against the possibility of costs increasing beyond their expectations. For example, one plan states that— The board of directors of this company reserve the right to establish a new and lower basis of pension allowance, if at any time it shall be found that the basis adopted will create demands in excess of the sum fixed by the board of directors as the maximum amount to be expended for pension allowances in any one year. Such provisions protect the companies, but make it impossible for the employees to take the pension into consideration as a reliable factor in their plans for the future. Naturally no individual employee who has readied the age of retire ment is averse to taking a pension which he feels he has earned, but organized labor as a whole looks with disfavor upon such systems. The objections may be summed up under three heads: First, such plans reduce the mobility of labor, tend to make the worker submit to poor conditions without vigorous resistance, and to tie him to one job, especially as he grows older. The acceptance of a lower wage scale than could be secured by fighting for increases is prominent among the effects to which they object. Second, pension systems may be used to keep the worker from taking part in strikes or other action intended to CHAPTER X I I I .— BY PRIVATE EMPLOYERS 291 secure an improvement or prevent a worsening of conditions, and may even be used as a strong lever to force him into strike breaking. Third, even after fulfilling every condition set, the worker has no legal right of any kind to a pension, but receives it purely as a gratuity which may be suspended, reduced, or revoked at the employer’s option. As to the objections grouped under the first head, it will be noted that they are, for the most part, the very purposes frequently cited as grounds for establishing the systems. To lessen labor turnover, to promote loyal and faithful service, and to induce cordial and effi cient efforts on the part of the employees to forward the plans of the employer are often given in the outline of pension systems as ends to be obtained by their establishment. Whether or not the noncon tributory systems tend to keep down the wage level is perhaps open to argument, but it is a view accepted by many who study the theory of pensions, and the workers themselves hold it strongly. As to the second point, that pension systems may be used to pre vent collective action on the part of labor, the wording of many of the plans confirms the charge. A very common provision is that in order to qualify for the pension a worker must give continuous service, and the definition of “ continuous” is such as to bar any one who takes part in a strike. Voluntary withdrawal from the service con stitutes a breach of continuity, and if the worker is reinstated he comes in, so far as pensions are concerned, as a new employee, or may forfeit his pensionable status altogether. Some plans put the matter more explicitly. One limits pensions to employees who “ have not been engaged in demonstrations detrimental to the company’s best interests.” Another states that “ employees who leave the service of their own volition or under stress of influences inimical to the company, or who are discharged by the company, thereby lose all benefits of the benefit and pension system,” while another states flatly that “ employees who leave the service under strike orders forfeit all claims to pension benefit. ” Under such provisions a man who has worked all his days for one company and is on the verge of retiring with a pension may find himself forced to choose between giving up all hope of the pension he has earned or, as he sees it, being false to his fellows and to his own lifelong principles as a union man. The possibility of being called upon to act as a strike breaker is not so common, but exists under some of the plans. A number contain clauses giving the company power to revoke pensions at their discretion, or in case “ the conduct of the pensioner may seem unworthy of this bounty,” or if “ the pensioner displays a decided lack of appreciation of the company’s liberality in granting the pension.” It is evident that a refusal to come back to the service, in the event of a strike, might easily be construed as lack of appreciation or un worthy conduct, or as justifying the company in using its discretion to revoke the pension. A few plans distinctly provide that a pen sioner must come back whenever called. On request of the company at any time, pensioned employees will be expected to give it the benefit of their knowledge and experience and to act as advisers whenever called upon. The employing company reserves the right to recall pensioners to the service of the company, in which event pensions cease for the time being, and wages are paid in accordance with the standard wage rates for the occupation for which the pensioner has been recalled. This right of the company terminates when the pensioner shall have reached the age of 70 years. 292 CARE OF AGED PERSONS IN UNITED STATES The acceptance of a pension allowance does not debar a retired employee from engaging in other business, provided it is not prejudicial to the interest of this company, but such person shall hold himself in readiness, and be subject to any reasonable call of the company. Such clauses are by no means universal, however, and at least one company distinctly provides against a retired employee’s being forced into service against his will, by stipulating that while the company has the right to continue pensioners in service if it wishes, no pen sioner “ shall be compelled to accept such employment, and if he refuse, it shall in no wise affect his rights to a pension.” Naturally enough, the plans which provide for recalling pensioned employees to the service are found mainly in industries in which labor troubles have played a considerable part, and in which the ex istence of a body of potential strike breakers may be of value to the employers. Organized labor cites cases in which employers have exer cised this right, and superannuated workers have found themselves obliged to accept service against their comrades or to forfeit in old age the pensions for which they have qualified by long and faithful service. The third objection, the worker’s lack of any contractual right to a pension, is considered by many to be an almost fatal objection to the system. The worker has no rights whatever in the matter, even when he has fulfilled every condition laid down in the plan. The plans are frequently explicit on this point. The following provision is only a trifle more outspoken than those of numerous other plans: This pension system is established voluntarily by the company and m ay be amended, suspended, or annulled, and any pension granted under the same may be revoked at any time at the pleasure of the company, it being expressly under stood that * * * every pension allowance hereunder will be granted only at the discretion of the company and continued only at its pleasure. Even in the case of contributory pension systems, the employee has no right to anything beyond the return of his contribution. This question came before the courts in connection with the sale of one of the large packing businesses, in which a contributory pension system had been established and carried on for some 10 or 12 years. On the sale of the business the purchaser returned from the fund the contributions of such of the employees as had not yet reached pen sionable age, and used the remainder to pay the pensions already earned for as long as the fund should hold out. The pensioners sought to have the return of the contributions halted, on the ground that they had fulfilled all the conditions for securing pensions, that they had a right to the pensions, and that the pension fund should not be used for any other purpose than paying pensions. The deci sion of the court was that the employees had acquired no rights beyond the return of their contributions, that many of the pensioned employees had already received more than they had put into the fund and therefore had no claim to anything, and that the company in establishing and maintaining the pension system had not in any way bound itself to continue in business or to perpetuate the plan. Substitutes for Pension Systems T h e d i s a d v a n t a g e s of the pension system are so great, in the opinion of many, that efforts have been made to find a substitute which shall avoid its drawbacks and yet retain the advantage of CHAPTER X I I I .— B Y PRIVATE EMPLOYERS 293 aiding the employee to avoid destitution in old age. The plan which seems to have won most favor is the purchase of an annuity for each employee, payments being made for each individually each year, and each account being kept separate from all others. The annuity is to be purchased through some well-established insurance company, and its cash surrender value naturally increases with each year for which payments are made. The employer may bear the whole cost, or the employee may be required to contribute. The plan may be optional or obligatory for the individual employee, he may have a right to the cash surrender value of the policy at any time, or may be unable to realize anything from it until he reaches the age at which the annuity is to begin, or other variations may be introduced. The outstanding advantages of the plan are that it puts the whole matter on a business basis, instead of making it a matter of the employer’s liberality; that it is fair to the employees as among them selves, since each receives his own amount, and one who leaves the employment before retirement gets back what he has earned by his period of service instead of having contributed for the benefit of those who remain; that it gives the worker a contractual instead of only a moral right, so that he may plan his future with more assur ance; that it can not be used, as the pension system may, for dis ciplinary purposes; and that since the annuity is written by a strong insurance company, even the employer’s failure or withdrawal from business does not affect the worker’s surety. From the employer’s standpoint, it secures the great advantage of a pension system in that it enables him to retire employees who are becoming less efficient, with out undue hardship to them, while at the same time it enables him to calculate his costs accurately and it involves him in no future obliga tions. The payments of each year are a completed transaction, and if at any time he should find it necessary to give up the system, each worker would still receive the full benefit of all payments made on his account up to that time. In other words, there is no pension fund which must be maintained unless old employees are to be disappointed in their legitimate expectations, and which may come to grief if the employer fails, dies, or retires. Moreover, it meets the complaint that the pension is really deferred pay, which the man who with draws before reaching retiring age never gets, since every worker under such a plan gets his own deferred pay, his return being greater or less as his period of service varies. Several companies have already adopted this general plan, their systems varying in several points. As an example, one of these may be given in some detail. The plan first provides that any employee may notify the company of his intention to apply to a designated insurance company for an “ independence monthly income bond,” and may authorize the company to allot from his salary any sum, not less than $5 a month, toward the purchase of this bond. The company will thereafter duplicate the amount of the employee’s allotment, up to 5, 73^, or 10 per cent of his salary, depending upon his length of service. The plan then continues: The amount allotted from the salary, together with the company’s addition thereto, will be handed you monthly on the 15th, in the form of a check to the order of the insurance company. A t the end of each quarter you will forward the checks thus received to the insurance company, in payment of the quarterly installment then due on your bond. 294 CARE OF AGED PERSONS IN UNITED STATES A t your option, any amount up to one-half of the checks ssued to you may be applied to the purchase from the insurance company of an) form of endowment insurance, the dividends on which shall be allowed to accumulate as long as this company’s contributions continue. The insurance company will issue to you upon application and without medical examination (unless disability feature is desired) an independence monthly income bond, embracing the following features: (a) Monthly income payable to you, commencing at age 65 (or other age, if you prefer), and continuing for life. (b) In the event of your death before the monthly income commences, your beneficiary will receive in one payment an amount equal to the combined pay ments made by you and this company, after deducting the cost of the disability feature. (c) In the event of your death after the monthly income has commenced, but before 120 monthly payments have been made, your beneficiary will receive the balance of 120 payments. Monthly income is thus payable for 10 years in any event, and as much longer as you may live. (d) In the event of permanent total disability (if medical examination has been submitted to with satisfactory results) all further payments by you will cease, and your monthly income will commence at once, and continue as long as you live. (e) After the contract has been in force one year, it will have cash surrender or loan values comparable with those shown in the accompanying table. (/) Upon reaching the age of 65 (or other selected age) you will have the option of receiving a lump sum instead of the monthly income. (g) All dividends on the contract shall be allowed to accumulate as long as this company’s contributions continue. The bond above described will be issued to you directly by the insurance company. It becomes your property and all amounts contributed thereto by this company are irrecoverable. In the event of the termination of your employment by this company, the bond may be continued by you at its full amount, or it may be reduced in amount to offset the loss of this company’s further contributions, or it may be canceled, and its cash surrender value withdrawn by you: or it m ay be converted into a paid-up annuity. At your option, the amount of the bond m ay be increased or reduced at any time; or the age at which the monthly income payments to you will commence may be altered if you wish. Against such a system as this it, is sometimes urged that, as the years go on, the increasing cash surrender value of the policy becomes an inducement to the employee to leave his employer’s service in order to secure the lump sum at once. A second company which has recently adopted the general principle underlying this plan varies its operation in such a way as to eliminate this possibility. For each employee who has been in its service for five years 6r more, the com pany purchases annually a bond providing an annuity of $1 a month commencing at the normal retirement age, which is set at 65 for men and 60 for women. These bonds remain the property of the com pany until the employee either retires or completes 30 years of service, when they are delivered to him. If he continues in the service after 30 years, the company continues to buy an annual bond on his account which is delivered to him on purchase. The employee can not at any time get a cash surrender value on these bonds, and if he leaves the service before he has either reached the retiring age, or completed the 30-year period, he receives no benefit whatever from the plan. The company maintains, in addition, however, a contributory plan, under which the employee may make monthly deposits to which the company will add an amount increasing with the employee’s age, for the purchase of additional retirement bonds. This enables the worker to secure a more liberal income after retirement, at a very low cost to himself. Should he withdraw from the service, or cease depositing CHAPTER X I I I .— B Y PRIVATE EMPLOYERS 295 before reaching the retirement age, he is entitled to the return of his own contributions, with 4 per cent interest, compounded annually. This modification of the system does not meet the issue of deferred pay—i. e., if the worker leaves before the set period he receives nothing for the time he has served, but it does insure his getting the pension if he remains to the end, regardless of what may befall his employer’s business. It is evident that this use of the annuity principle avoids most of the objections urged against pension systems, and that it is adaptable to varying conditions. In theory such plans are highly approved by many students of the subject, but as yet there is little experience showing how they stand the test of actual working.2 2 O n Ju ly 1, 1925, the N e w Y o r k Stock E xchange and its affiliated com panies p u t into effect a service ann uity plan coverin g all em ployees under 60 w h o had com pleted one year o f active service. F o r each em ployee the com panies purchase ann ually an ann uity, beginning at age 65, v aryin g in am ou n t from $1 to, $3 a m on th , according to the salary received. T h ese am ounts are d ou b led for em ployees w h o authorize a d edu ction of not less than 3 per cent from their salaries for the purchase o f add itional annuities. I f an em ployee leaves the service or wishes to w ith d raw from the plan he m a y ( 1) contin ue on his o w n account the full paym ents to the insurance com p an y ; (2) cease p aym en t and receive at 65 such a n n u ity as has already been paid for; (3) w ith draw and receive back all his ow n contribu tions, w ith ou t interest. T h is leaves the m atter of deferred p a y to the e m p loyee’ s ow n decision. If he prefers to w ith draw his con tribu tion s, he receives n othing b u t w hat he has him self pu t in; if he chooses to w ait, he receives all that the co m p a n y has paid for on his accou n t, as w ell as w h at he has purchased him self. Chapter XIV,—Insurance Annuities as Support for Old Age I known that some persons of forethought, who are financially able to do so, provide for their own old age b}' the purchase of annuities from the regular insurance companies. This form of insurance, being much more costly than ordinary life policies, is not so popular. Again, there is also the tendency of young persons to dis count the future and to delay taking out such insurance. As, of course, the premiums increase with the age at taking out the policy, by the time the prospective insured reaches an age at which he begins to give serious consideration to his old age, he may find the premiums prohibitive or his family responsibilities too great to permit his pur chasing an annuity. T IS Insurance Annuities Purchased from Eight Companies In o r d e r to obtain an indication of the extent to which annuities are being used as a protective measure, inquiry was made of eight large insurance companies known to be writing such insurance. These were the Aetna Life Insurance Co., Equitable Life Assurance Society of the United States, Massachusetts Mutual Life Insurance Co., Metropolitan Life Insurance Co., New York Life Insurance Co., Prudential Insurance Co., Travelers Insurance Co., and Sun Life Assurance Co. of Canada. The table following shows, for each of the companies, the number of individual annuity policies in force, the annual amount of premium received for these policies, and the year in which the company began to write such policies: T able 7 4 .— N U M B E R O F A N N U I T Y P O L IC IE S IN F O R C E A N D A M O U N T O F P R E M I U M R E C E IV E D A N N U A L L Y T H E R E F O R , B Y C O M P A N IE S C om pany C om pany C om pany C om pany C om pany C om pany C om pany C om pany C om pany A__ _________________________________________________ _____ ____ B ____________________________________________________ ______ ___ C ______________________________________ _____________ _____ ___ D__ ________ _____________________________________ __________ E __________ ______________________________ ____________________ F. _______________________________________________ __________ G _ ___ __________ ______ ______________________________ _____ ___ H ._ ............................ ............................................. . ............................. T o ta l __ __________________________________________________ N um ber o f p o lic y holders Premium 2,483 44,97 L 77 7 1,71) 3, 521 2, 303 2,151 623 $1,612,682 25, 346,931 458, 614 1, 035, 743 1,916, 648 1,093, 573 1,484,730 590,958 58, 562 33,539,879 W ritin g such insurance since— 1905 1867 1918 1899 1860 1895 1888 1911 Each company was asked to state, as a result of its experience in this line, its opinion as to the popularity of annuity insurance. Com panies A and B find that immediate annuities are quite popular among older people, while younger ones take out deferred annuities. Company C states that it finds that “ single premium annuities 296 CHAPTER X I V .— INSURANCE AN NU ITIES 297 * * * providing for immediate income have not been very popu lar. However, our annual premium annuities providing for a deferred income commencing at ages 50, 55, 60, or 65 have been popular. We have at present 10,500 of such policies on the books. The present value at the due date of the income payments aggregates approxi mately $85,000,000.” Company D finds that “ The individual life annuity is not a popular form of contract in the United States at the present time because of the relatively high interest yield on safe investments and because an endowment at 60 or 65 under which life insurance and old-age income may be combined is more attractive.” In the opinion of Companies E and H, annuities have not been very popular and Company G finds them “ only moderately so.” Company F states that, “ relatively, the amount of annuity business transacted in this country is comparatively small.” Four companies state, nevertheless, that they believe the annuity insurance business is increasing in importance and scope; one com pany says it is keeping pace with other lines of insurance, and another states that while “ immediate annuities are showing only a normal growth, deferred annuities are becoming very popular.” One com pany relates the development of such insurance to the condition of the money market, stating that while annuities are increasing in importance, this increase is not rapid. “ In the past when rates of interest were higher, annuities were very rarely sought, but with the fall in the rate of interest there is an increasing tendency among older people to invest in annuities.” One company (which also writes group annuity contracts for em ployers to cover the employees, having 39 such contracts in force at present covering 37,384 employees) is somewhat pessimistic as regards individual deferred annuities, but writes as follows as regards endow ment and group policies: There is a growing tendency to provide for old age by the purchase of endow ment insurance which matures at age 60 or 65. The insured has the right to have the endowment paid in installments or as a life annuity instead of any one sum at maturity. Where payment is made in installments or as an annuity, it is practically a deferred annuity with life insurance benefits. As it is not possi ble to know which policyholders will elect to have the endowment paid in install ments, it is not possible to include such figures in any annuity statistics. The tendency toward long-term endowments is illustrated by the fact that the [com pany] did not commence issuing these contracts regularly until 1922 but in 1927 almost 5 per cent of our total ordinary business was written on this basis. There has been considerable development in the last few years in the use of annuity contracts in connection with the industrial retirement plans. American industry is apparently recognizing that the problem of pensions is a business problem which must be solved on a sound basis. The [company] has done a great deal of experimenting in the use of deferred annuities on a group basis for the operation of these retirement plans. There is every indication that this business will increase considerably in importance and scope in the years to come. This is indicated by the fact that the [company] has already covered almost 40,000 employees under group annuity contracts. W e believe that the future development of the annuity form of contract will be in connection with the industrial retirement plans. Savings Bank Annuities in Massachusetts M a s s a c h u s e t t s in 1907 passed a law permitting savings banks to establish an insurance department to write life insurance policies not exceeding $500 and annuity contracts not exceeding $200 a year. The act prohibited the use of solicitors or house-to-house collectors. 298 CARE OF AGED PERSONS IN UNITED STATES The purpose of the act was “ to offer to thrifty wage earners an opportunity to obtain life insurance and annuities at rates lower than those of the existing companies, by lessening the heavy expense entailed by the system of house-to-house solicitation and collection.” That this insurance, even at low rates, has not proved especially popular is shown by the reports of the Massachusetts Commissioner of Banks. His report for the year ending October 31, 1927, shows that up to that time 10 savings banks had established insurance departments, and 45,715 life policies had been issued in an amount of $49,171,745 (of which 65 policies, for a total of $10,928,350, were for group insurance). Only 513 persons had availed themselves of the opportunity to purchase annuities; the annual premiums amounted to $95,435. State Insurance in Wisconsin A l a w p a s s e d in 1911 by the Wisconsin Legislature established a “ life fund” to be “ administered by the State without liability on the part of the State, beyond the amount of the fund,” for the purpose of writing life insurance and annuities for citizens of the State (Wis. Stats. 1923, sec. 210.05). The act provided that the premiums for life insurance should be based upon the American Experience Table, with additions for extrahazardous risks, and those for annuities upon the British annuity tables of 1893, with interest at 3 per cent. Physical examinations are required for life insurance but not for annuities. The rates for a life policy of $1,000 range from $16.69 per year at age 16 to $65.70 at age 60. It is stated that “ the only difference between the rates of the State life fund and the regular old line com panies is that the amount charged for expenses in the State life fund is generally less than that charged by participating old line com panies.” One of the large items of expense— that of agents soliciting business— is dispensed with altogether by the State. The State policies are participating policies, and the insured receives a dividend at the end of each year. Data supplied by the Commissioner of Insurance show that on June 30, 1929, there were 946 policies in force, with a total amount of insur ance of 11,182,250. The premiums received during the year amounted to $21,843. Death claims paid during the year amounted to $3,100 and matured endowments to $1,000, while cash-surrender values on policies turned in amounted to $1,277. Appendix—Menus of Representative Homes M E N U S O F S IX O LD P E O P L E ’ S H O M E S Home No. 1 1 Breakfast D ay D inn er Supper S u n d a y ....................... Sliced oranges. C orn flakes and m ilk . B a con and eggs. B read and butter. C offee. P rim e roast beef. B oiled potatoes. C elery on stalk. C ream ed asparagus. Sliced pineapp le. B read and bu tter. T ea . Sliced lu n ch m eat. L ettu ce. Fried potatoes. String beans. Stew >d fruit. Brea< and butter. T ea . M o n d a y ____________ O atm eal and m ilk . B a k e d beans. B read an d bu tter. C offee. C elery sou p. R oa st p ork loins. B oiled p otatoes. Stew ed corn. Bread p u d d in g . B read and butter. Tea. B eef stew . B o ile d potatoes. C ream ed carrots. Sliced apricots. Bread and butter. T ea . T u e sd a y ____________ Sliced oranges. O atm eal and m ilk . Scrapple. Bread and bu tter. C offee. V egetable soup. R oa st veal shoulder. B ro w n potatoes. K id n e y beans. Fruit jello. B read and butter. T ea . H am bu rg steak. B o ile d potatoes. L im a beans. Stew ed fruit. B read and butter. Coffee. W e d n e s d a y ............... C orn flakes and m ilk . B oile d eggs. B read an d bu tter. Coffee. Split pea sou p. R oast beef. B oiled potatoes. C ream ed onions. R ice p u d d in g . Bread and b u tte r. Tea. Sliced m eats. L e ttu ce . H ash b ro w n potatoes. Succotash. Fresh apples. Bread and bu tter. T ea . T h u r sd a y __________ Sliced oranges. O atm eal and m ilk . H ot cakes. S yru p . Bread and butter. Coffee. B ean soup. H a m and cabbage. B oiled potatoes. Ice cream . B read and butter. Coffee. B eef croquettes. Fried p o ta to e s. String beans. S tew ed fru it. Bread and bu tter. T ea . F r id a y ______________ C orn flakes and m ilk . B oile d eggs. B read and bu tter. C offee. B a k ed fresh shad. M a sh e d potatoes. Stew ed corn. B read p u d din g. B read an d bu tter. T ea . Spaghetti. H ash bro w n potatoes. B u ttered beets. S liced pears. Bread and butter. T ea . S atu rd a y___________ O atm eal and m ilk . Fresh pork sausage. B read and b u tter. C offee. Fresh beef stew . B oiled potatoes. M ash ed turnips. T a p io ca pu d d in g. B read and bu tter. T ea . Frankfurters. M a sh ed potatoes. Saur kraut. A p p le sauce. B read and butter. Coffee. Home N o. 2 S u n d ay.. O ian ge. Cereal. B a con . B read and bu tter. C offee or m ilk . C h icken fricassee. G ra v y . P arsley new potatoes. C ream ed carrots. C o ld slaw . H om e-m ade cake. T ea or m ilk . C o ld m eat. L ettu ce. M ayonnaise. B read and bu tter. C ook ies. B artlett pears. T ea or m ilk . 1 F or m en on special diet, m enu d aily: Eggs in an y style except fried, m ilk, gluten, w heat, bran, and raisin bread. Fresh fruits and vegetables in season. 35777°— 29- -20 299 300 CARE OF AGED PERSONS IN UNITED STATES M E N U S O F S I X O L D P E O P L E ’ S H O M E S — C on tin u ed Home No. 2— Continued D ay Supper D inner Breakfast M o n d a y ____________ A p p le sauce. Cereal. French toast. Bread and butter. C offee or m ilk . R oast beef. G ra v y . B a ked p otatoes. C orn. B read and butter. B read p u d d in g . T ea or m ilk . C ream ed dried beef to a s t. B read an d b u tte r. C ook ies. R o y a l A n n e cherries. T ea or m ilk . T u e sd a y ____________ Stew ed peaches. Cereal. H o t cakes. B read and butter. C offee or m ilk . B a k ed h am . M a sh e d potatoes. B oiled cabba ge. B u ttered beets. B read and butter. Prune w h ip . T ea or m ilk . C h ick en n oodle sou p . C rackers. C elery. Bread and b u tter. C orn m uffins. Jam . T ea or m ilk . W ed n esd a y ................ Bananas. Cereal. L ive r. B read and bu tter. Coffee or m ilk . L a m b stew w ith potatoes. G reen peas. B read and bu tter. Sliced peaches. | Sweet crackers. T ea or m ilk . V egetable salad. Cheese. Bread and bu tter. Cornstarch p u d d in g . T ea or m ilk . V egetable fritters. L ettu ce and m ayonnaise. B read and butter. R ice pu d d in g . T ea or m ilk. T h u r sd a y .................... Orange. Cereal. B acon . B read and butter. C offee or m ilk. Casserole of m eat vegetables. L im a beans. C oldslaw . Bread and butter. F ru it cup. T ea or m ilk. F r id a y ....... .................. Stew ed apricots. Cereals. B o ile d eggs. Bread and butter. C offee or m ilk. B a k e d D e la w a re shad. M ash ed potatoes. T om a to e s a n d celery ste w . B read and butter. A p p le pie. T ea or m ilk. M acaron i au gratin. B read and butter. Jello w h ip w ith fruit sauce. T ea or m ilk. R oast leg of lam b. B a k ed potatoes. G reen beans. Relish. B read and butter. T a p io ca pu d din g. T ea or m ilk. V egetable soup. Saltines. B read and butter. B ran m uffins. Jam. T ea or m ilk. S atu rd a y___________ Stew ed prunes. Cereal. F ried corn m ush. B read and butter. Coffee or m ilk. and on Home No. 8 W ed n esd a y __ ______ B a con and eggs _ . . . __ B u ck w h e a t or w heat cakes. C orn flakes or oatm eal. H o t bread. Coffee. Fruit. R oast beef. Spinach. M ash ed potatoes. Carrots. B a k ed tom atoes. Dessert (tw ice a w eek, al w ays ice cream on Sun d a y ). Salad— lettu ce and toes. C o ld ham . F ruit, canned. B iscuits. S u n d a y_____________ Stew ed p r u n e s ...................... B ran flakes. F rench toast. Tea, coffee, m ilk. Bread, butter, toast. R oast veal, bread filling. M ash ed potatoes. G ra vy. Asparagus tips. N u t jello. B read and butter. Tea, coffee, m ilk. C o ld b o ile d ham . Cheese an d crackers. Cake and apple sauce. Bread and butter. Tea, coffee, m ilk. M o n d a y ...................... C orn flakes. Cream of w heat. Fried eggs. B read, butter, toast. Tea, coffee, m ilk. B a ked m eat pie. C abbage slaw. Fruit salad. B read and butter. Tea, coffee, m ilk . C o ld sliced m eat. B a k ed beans. P ick le d beets. H o t biscuits and jelly. B read and butter. Tea, coffee, m ilk. tom a APPEN DIX— MENUS OF REPRESENTATIVE HOMES 301 M E N U S O F S I X O L D P E O P L E ’ S H O M E S — C o n tin u e d Home No. 4— Continued D ay Breakfast D inner Supper T u esd a y.. C orn flakes. B oiled eggs. Bread, bu tter, toast. Tea, coffee, m ilk. N o o d le soup. B o ile d potatoes. C ream ed string beans. B read and butter. Tea, coffee, m ilk. B a k e d veal loaf. R a w fried potatoes. A p ricots. Bread and butter. Tea, coffee, m ilk. W ed n esd a y.. Stew ed prunes. B ran flakes. F ried bacon. Bread, butter, toast. Tea, coffee, m ilk. B a ked ham . M ash ed potatoes. Stew ed tom atoes. Cornstarch p u d din g. B read and butter. Tea, coffee, m ilk. W elsh rarebit. Stew ed k id n e y beans. P ick led beets. Cherries. B read and butter. T ea, cocoa, m ilk. T h u rsd a y . C orn flakes. O at meal. Fried eggs. B read, butter, toast. Tea, coffee, m ilk. Swiss steak. B oiled potatoes. Stew ed peas. B read and butter. Tea, coffee, m ilk. F ried sausage and cakes. B oiled rice. P ineapple. B read and butter. T ea, coffee, m ilk. F rid ay _ C orn i B oile d m ackerel. B read , butter, toast. T ea, coffee, m ilk. F ried oysters. B row n ed potatoes. D andelion . R ice pud din g. B read and butter. T ea, coffee, m ilk. C ream ed asparagus soup. F ried potatoes. P ick led beets. Pears. B read and butter. T ea, coffee, m ilk. S atu rd a y- B ran flakes. Oat meal. F ried bacon. B read, butter, toast. Tea, coffee, m ilk. Escalloped potatoes. Spinach. C ream ed carrots. B read and butter. T ea, coffee, m ilk. Sardines. B a ked potatoes. Pea salad. B read and butter. T ea, coffee, m ilk. hot Home No. 5 S u n day.. H ot and cold cereal. B oiled eggs. C offee, tea, and m ilk. T o m a to soup w ith rice. R oast shoulder o f pork. B row n gravy. M ashed potatoes. B row ned parsnips. C h o co la te eclairs. C offee, tea, and m ilk. C ottage cheese. B aked apples. C innam on bun. C offee, tea, and m ilk. M o n d a y .. H o t and cold cereal. B a ked salt m ackerel. C offee, tea, and m ilk. V egetable soup. R oa st shoulder o f lam b. B ro w n gravy. B oiled potatoes. B oiled cabbage. Caram el custard , blanc m ange. C offee, tea, and m ilk. B oiled rice and m ilk. Stew ed fruit. C offee, tea, and m ilk. T u esd a y _ H o t and cold cereal. C ream ed beef. C offee, tea, and m ilk. R ice soup. L a m b stew w ith vegeta bles. Boiled potatoes. Bread p u d d in g w ith raisins. C offee, tea, and m ilk. B aked beans. C anned pears. C offee, tea, and m ilk. Y /ed n esd a y .. H o t and co ld cereal. B oiled eggs. C offee, tea, and m ilk. C ream of beef soup. P o t roast beef w ith brow n gravy. B oiled potatoes. B u ttered carrots. G inger bread. C offee, tea, and m ilk. C orn m eal m ush and m ilk. Stew ed fruit. C offee, tea, and m ilk. T h u r sd a y . H o t and co ld cereal. Frankfurters. C offee, tea, and m ilk. V egetable soup. H am bu rg patties. B ro w n gravy. B oiled potatoes. Cream ed parsnips. C h ocolate blancm ange. C offee, tea, and m ilk. C lam chow der. Stew ed fruit. C offee, tea, and m ilk. 302 CARE OF AGED PERSONS IN UNITED STATES M E N U S O F S I X O L D P E O P L E ’ S H O M E S — C o n tin u e d Home No. 5— Continued Breakfast D ay F rid a y ________ __ S atu rda y__________ D in n er Supper H o t and co ld cereal. B oiled eggs. C offee, tea, and m ilk. V egetable soup. B aked fish. B oiled potatoes. P ick led beets and onions. R ice pu d din g . Coffee, tea, and m ilk. M acaron i and cheese. Stew ed fruit. Coffee, tea, and m ilk. H o t and co ld cereal. L yon naise potatoes. C offee, tea, and m ilk. M acaron i soup. Beefsteak pie. B oiled potatoes. L im a beans. Sago pud din g. C offee, tea, and m ilk. B row n beef hash w ith potatoes and onions. Stew ed fruit. C offee, tea, and m ilk. Home No. 6 2 S u n d a y ------------------- Oatm eal. Scram bled eggs. B aked potatoes. D oughnuts. C orn bread. B aked beans. B row n bread. T a pioca p u d din g. M acaron i and cheese. Cake. M o n d a y .................. Oatm eal. C o ld ham . B a ked potatoes. H o t bread. B eef stew and dum plings. Sweet corn. A p p le pie. W arm ed bak ed beans. Cake. A p ric o t sauce. T u e sd a y ____________ Oatmeal. B a ked sausage. B a ked potatoes. D oughnuts. H o t bread. R oast pork. B oiled onions. B oiled potatoes. Squash. M in ce pie. Potatoes. C old m eat. Cake. P rune sauce. W e d n e s d a y ___ __ Oatmeal. B aked potatoes. Bacon. C orn cake. B oiled dinner. Squash pie. Vegetable hash. Cheese. Cake. T h u rsd a y - ............ O atmeal. B oiled eggs. Baked potatoes. D oughnuts. H o t bread. B oiled m utton. Sliced tom atoes. B ro w n bread. C ottage pu d din g. Potatoes. C old m eat. Cake. Peach sauce. F r id a y ................. ........ Oatmeal. B aked potatoes. Cream ed codfish. H o t biscuit. F ried fish. B oiled potatoes. Sw eet corn. String beans. B lu e b e rry pie. Potatoes. M ilk toast. Cake. S atu rda y..................... O atmeal. Fish cakes. D oughnuts. H o t bread. R oast beef. B oiled potatoes. Sweet corn. Cu cu m bers. Sliced tom atoes. B oiled rice. C orn cake d ip. Cake. . 2 B read, crackers, butter, tea, m ilk, table relishes served at all meals. H ospital patients have special diet w hen necessary. C offee at breakfast and dinner. IN D E X A A d m inistration and control: Page A lm sh ou ses_____ ____________________________________________________________________________________ 7 H om es for a ged ------------------------------------------------------------------------------------------ --------34-42,97,99,100,102,107 Pension plan s------------------------------------------------------------------------------------- 114,116,227,234,243,250,255,266,267 A ge o f hom es for a g ed _________________________________________________________ _____ 17,131,162,176,185,193 68 Alaska, pension legislation in ___________________________________________________________________________ A lm shouses: Care of aged in ______________________________________________________________________________________3, 6-12 R elative cost of, as com pared w ith citizens’ pen sion s______________________________________________ 76 ------ , as com pared w ith h om es for aged______________ _____________________________________________ 15 ( See also specific entries.) A n nuities, insurance__________ _____ ___________ _____________________________________________ _____ __ 3 ,296-298 68 A rizona, pension legislation in _________________________________________________________________ _________ Assistance to aged in their o w n hom es. ( See R elief, ol.d-age.) B Basis of retirem ent p l a n s . .. ........................ . 93,94,110-112,114-116,118,119,121-124,126,224,234,235,284,285 B ed room s. ( See Sleeping accom m od ation s.) B oard ing h om es________________ ________________________ ____ ______________________ 20,22,137,138,185,198-200 B uildings, h o m e __________________ _____ ________ ______ ________________________ _____ _________________ 43,44 C California, pension legislation in ______ ____________________________________________________________ _____ 69, 73 C olorado, pension legislation in ______________________________________________________________________ 69,71, 72 Com m ittees, duties o f_____________________________________________________________________________ 35,36,41,42 37 C om plaints, handling of, in h o m e s _____________________________________________________________________ C on ditions for receipt o f retirem ent allow an ces____________________ 220, 228, 235, 236, 245, 246, 252, 256,271-273 Cost of care: A lm shouses______________________________________________________________________________________ 6,7,10-12 A n n u ities__________________________________________________________________________________________ 296,298 H om es for aged__________________________________________________________________________________ 15,32-34, 65,80, 81, 97,100-102,107-109,129,153-156,161,162,169,171,173,175,181,182,184,190-192,214-218 Pensions or retirem ent allow ances___________________________________________________________ ______ 63, 64,88-90,92,113-126, 221,222, 233, 242, 264, 270, 283,286,289,290 Coverage o f pension plans...................................................... ..................... ................. 225,242,243,250,264,266,283-285 D D ep en d en cy , causes of, W isco n sin ------------------ ---------------------------- ------------------------------------- --------------------- 74,75 D ependents, provision for, in retirem ent p la n s------------ ------------------------------------------------------------------------94, 95,112,113,115-124, 221, 226, 230, 232,238-240, 248, 249,254, 255,257-263,276,282 D isciplin e in hom es for a g e d ... --------------- ------------------------------------------------------------------ --------------------- 39,40,64 D ism issal, causes for, from hom es for aged--------------------------------- -------------------------------------------------------25,26 E E n trance requirem ents. (See Requirem ents, entrance, o f hom es for aged.) F Farm s ow n ed b y h om es______________________________________ _________________ ______ 108,109,156,157,173,188 Fees charged b y h om es____ _______________________________ _____ - 20-22,136,166,179,180,185,198,199,211,212 F ood served at hom es for a g e d ----------------------------------------- --------------------------------------------------------- 53,108,299-302 Furnishings of hom es for aged------------------------- ---------- ----------------------------------------------------------- ------------------45-60 G G rou nds o f hom es for a g e d .................................................................................. - -------------- ---------------- ------------------44,45 303 304 IN D E X H H om es for aged: Page C h urch h o m e ________ _________ _ - ________________ _______ _____ ________________ 128-157 ________________________ _______________________ 84 Citizens, aged, h o m e s______________ _______________________ __________________3-5,13-62 C om pa ra tive d a t a .- . __ __________ F irem en’s h om es________________ . __________________________ ________________ 85,188,190 Fraternal h om e s _____________ ____ ___________________ ___________________ ____________________ 160-174 M in isters’ h om es_______________ ____ _______________ ______ __ ____________________ 132-134 N a tion a lity h o m e s ________________________ __________________________ _________ ______ ____ 175-182 Private ben evolen t h om es__________________ ________________ ______________ ________________ _____ 191-218 Sailors’ h om es_______________________ ____________________________________ _______. . . . . 64-67,80-84 Soldiers’ h om es____________________________________________________________ _____________ 64-67,80-84 T rad e-u n ion h o m e s_______________________________________________________ ................................. 96-109 Other h om es_______________________________________________________________ .............................- 184-190 ( See also specific entries concerning.) H om es for aged, n u m ber and d istrib u tio n _____________ _______ ______________________________ ______ 3 ,4,1 3,1 4 I In com e sources of. (See Support, sources of.) Inm ates, types of, at h om es...................................... ......................................... . 17-19, i?3—25,39,131-134, 147,163,194 Insurance: C h urch fraternal organization s____________________________________________________________________ _ 127 Fraternal organizations__________________________________________________ _____ _____ _________ 158 __________ ________ 297,298 State______________________________________________________________________ .......... ........................ 296-298 Insurance an n u ities__________________________________________________________ Insurance plan of h om e for aged____________________________________________ .................................... 212 Interest on residents’ m on ey . ( See M o n e y benefits.) K K en tu ck y , pension legislation i n ________________________________ ___________ ____________________________69, 71 L Location o f hom es for a g e d ................................ .......................................................................... 42,43,83,84,188, 210,211 M M a ry la n d , pension legislation in -------------- ---------------- ---------------------------------......-------- ------------------- ----------- 69, 72 M assachusetts, pension legislation in ________________________________________________________________ 68, 69, 72 M assachusetts, savings b an k annuities in --------------------------------------------------------- ------------------------------ - 297, 298 M atrons at hom es for aged, selection of, qualifications, and d u tie s ..................... ....... ........................... 5,35,37-41 M edica l care p r o v id e d _______________ 28, 29, 60-62, 65, 67,83,84, 96, 97, 99, 102, 10t-I06,147,166,180,188, 202, 204 M ilita ry pensions. ( See “ Soldiers’ pen sion s” under Pensions.) M in isters’ hom es. ( See under H om es for aged.) M in isters’ retirem ent. ( See under Pensions.) M in n esota, pension legislation in _____________________________________________ _________________________ 69,72 M o n e y benefits of hom es for aged---------------------------------------------------------------------------- 29,30,151,180,188, 208,209 M on tan a, pension legislation i n _______________________________________________ __________________ _____ 68-70 N N evada, pension legislation in _________________________ __________ _______________________________________ 68-70 N u m b er of persons p ro v id e d for: H om es for a g e d ____________________ _____________________ 2,3,14-16,65,80,81,129,161,162,175,184,191,192 Insurance an n u ities_____________________________________________ ______ ____________________________ 296,298 P en sion s___________________________________ 2,3,63, 64, 74,89,113-126,158,1.59,221,222,233,242,264,283,286 ( See also Coverage.) N ursing care at h om es____ _________________________________________ ___________ ____ 28,29,38,39, 65,67, 202,204 O O ccupations of inm ates, and services p e r fo rm e d ____________ 27,28,106,142-114,167,181,187-189,201, 202, 210 O peration, cost of. ( See C ost of care.) O peration, m ethods of, alm shouses................................ ..................................................... .......................................... 7, g P P en n sylva n ia , pension legislation in .............................................. ......... ........................................................... ..........68, 69 112, Pensions, d isability, am ou n t o f----------------------------------------------------------------------------------- --------------------- -------114-116,119,120,122,220,221, 226,229,230,237,238,246,247, 253,257,274,275,284 Pensions, superann uation , am ou n t o f ______________________________ _____ _______________ ________________ I ll, 114-116,118-122,125,126, 220, 221, 226, 229, 230, 236, 237,246, 252, 253,256,257,273,274, 283-285 Pen sion or retirem ent plans: C h u rch fraternal pen sion s-----------------------------------------------------------------------------------------------------------------127 C itizen s’ p en sion s---------------------------------------------------------------------------------- -------------------------------------------- 68-80 C riticism s an d ap p ra isal......... ................................................................................. .................................. 75-80,289-292 INDEX 305 Pension or retirem ent plans— C on tin u ed . Page D iscon tin u ed p lan s__________________________________________________________________________________ 95 Federal em ployees’ retirem ent____________________________________________________________________ 219-222 F irem en ’s pensions____________________________________________________________________________ 249-257,264 Fraternal p en sion s________________________________________________________________________________ 158,159 M in isters’ pensions________________________________________________________________________________ 110-126 M u n icip a l em ployees’ retirem ent_________________________________________________________________ 233-242 P olicem en ’s pensions_______________________________________________ , ________________ 242-249, 255-257, 264 Present status of pensions________________________________________________________________ 68-80,86,87,110 P u b lic em ployees’ retirem ent_____________________________________________________________________ 219-286 Soldiers’ p en sion s____________________________________________________________________________________ 63,64 State em ployees’ retirem ent______________________________________________________________________ 227-233 Teachers’ retirem en t______________________________________________________________________________ 264-286 Trade-un ion pen sion s__________________________________________________________________________ _____ 86-95 W age earners in in d u stry, pension plans fo r _____________________________________________________ 287-295 (See also specific item s.) Pensions, relative cost of, as com pared w ith alm shouses_______________________________________________ 76 Ph ysical conditions: A lm sh ou ses__________________________________________________________________________________________ 6 H om es for a g ed ____________ ________________ 4, 5, 26,42-62, 65, 67,83-85, 96-99,101,102,104,105,188, 210-213 Poorhouses, care of aged in. (See Alm shouses.) Privileges o f inm ates at hom es for aged______________ 4,28-32, 64,67,99,107,144,166,167,180,188,202,207-209 Probation, period of, for new residents at hom es for a g e d ............... .................................................................. 25,26 P roperty, value of. ( See Real estate and buildin gs.) R Rates of interest paid on inm ate’s p ro p e rty _______________________________ _____ ________ 151,167,180, 208,209 R eal estate and buildin gs, value of: A lm shouses ________ _____________________________________________________________ ____________________ 8,9 H om es for a g e d _______________________________________________________________________ 156,157,173,211-213 R ecreation p rov id ed at h om es_________________ 31, 32, 65, 67,83,84,96,97,99,102,107,147-150,166,188,207, 208 R efunds, provision for, u nd er retirem ent p la n s________________________________ 221,230,238,247,254,257,275 R egulations o f h om es _____ _____ ________________________________________________________________ 26,27,140,142 Relief, old-age________________________________________________________ 32,117,119-121,159,182,183,189,209,210 Religious services at hom es for a g e d ____________________________________________________________ 28,151,208 R equirem ents, entrance, o f hom es for a g e d _____________________________________________________________ 4, 17-23, 64, 83, 96-98,102,105,131-140,163,166,176,179,180,185,187,194,197-201 R etirem ent. ( See P en sion plans.) S Services perform ed b y residents. ( See O ccupations o f inmates.) Size of institutions: A lm sh ou ses___________________________________________________________________ ______________________ 12 H om e for aged_______________________________________________ 14,15,81,96-98,101.130,162,176,184,192,193 Sleeping accom m od ation s at h om es_________________________________________________________ 28,47-51,144-147 Soldiers’ pensions. ( See under Pensions.) S u p port, sources of: A lm sh ou ses______________________ _______ _______ ____________________________________________________ 11 H om es for a ged_____________________________ 21,22,32-37,97,107,128,151,153,167,168,181,189,190,213,214 Pen sion and retirem ent p la n s________________________________ ________ ____ _____ _____ _______ 69-73,90-93, 114-116,118,120-122,124,125, 219, 220, 228, 229, 234,235, 243-245,250, 251, 255,256, 267-270, 283-286 T h era py, occupational. ( See O ccupations o f inm ates, and services perform ed.) T rad e-un ion pensions. ( See under Pensions.) T y p e s of inm ates in h o m e s .................................................. ................... ......... .. 17-19,23-25, 39,131-134,147,163,194 U U tah, pension legislation i n ..................... ......................... ............. ..................... ......... ........... ......................................69,73 V V isitors, p rovision for, at hom es for a g e d _________________________________________________ _____ ________ 30 V isits b y inm ates o f hom es for a g e d ------------------------------------------------------------------------------ -------------- ----------- 30,31 W W ashington, pension legislation i n ______________________________________________________________________ 69 W id o w s ’ h om es____________________________________________________________________________________ 18,132,200 W isconsin, State insurance for citizens__________________________________________________________________ 298 ■ ------pension legislation i n ________________________________________________________________________________ 69-71 W ith draw als, practice as t o ____________________________________________________________________________ 25,26 W y om in g , pension legislation in _______________________________________________________________ ________ 69,73 LIST OF BULLETINS OF THE BUREAU OF LABOR STATISTICS The following is a list of all bulletins of the Bureau of Labor Statistics published since July, 1912, except that in the case of bulletins giving the results of periodic surveys of the bureau only the latest bulletin on any one subject is here listed. A complete list of the reports and bulletins issued prior to July, 1912, as well as the bulletins published since that date, will be furnished on application. Bulletins marked thus (*) are out of print . C o n c ilia t io n a n d A r b it r a t io n (in c lu d in g s t r ik e s a n d lo c k o u t s ) . *N o. 124. C on cilia tion and arbitration in th e b u ildin g trades o f G reater N e w Y o r k . [1913.] *N o. 133. R ep ort o f the industrial council o f the B ritish B oard o f T ra d e on its in q u iry into industrial agreem ents. [1913.] N o . 139. M ich iga n co p p e r district strike. [1914.] N o . 144. Industrial court o f the cloak, suit, and skirt in d u stry o f N e w Y o r k C ity . [1914.] N o . 145. C on ciliation, arbitration, and sanitation in th e dress and w aist in d u s try o f N e w Y o r k C ity . [1914.] *N o. *N o. N o. N o. N o. N o. N o. N o. N o. N o. N o. 191. 198. 233. 255. 283. 287. 303. 341. 402. 468. 481. C ollective bargaining in the anthracite coal in du stry. [1916.] C ollective agreem ents in th e m e n ’s clothing in du stry. [1916.] O peration o f th e industrial disputes investigation act o f Canada. [1918.] Joint industrial councils in G reat B ritain. [1919.] H istory o f th e S h ip bu ild in g L a b o r A d ju stm en t B oard , 1917 to 1919. N ation a l W a r L a b o r B o a rd : H isto ry o f its form ation, activities, etc. [1921.] U se o f Federal p ow er in settlem ent o f railw ay labor disputes. [1922.] T ra d e agreem ent in th e silk -ribbon in du stry o f N e w Y o r k C ity. [1923.] C ollective bargaining b y actors. [1926.] T ra d e agreem ents, 1927. Joint industrial control in the b o o k and jo b printing in du stry. [1928.] C o o p e r a t io n . N o. 313. C on sum ers’ cooperative societies in th e U nited States in 1920. N o. 314. C oop era tive credit societies in A m erica and in foreign countries. [1922.] N o. 437. C oop era tiv e m o v e m e n t in the U n ited States in 1925 (other than agricultural). E m p lo y m e n t a n d U n e m p lo y m e n t . *N o. N o. *N o. *N o. N o. 109. 172. 183. 195. 196. *N o. 202. N o. 206. N o . 227. N o. 235. *N o. 241. Statistics o f u n e m p lo y m e n t and the w ork o f e m p loym en t offices in the U nited States. [1913.] U n em p loy m e n t in N e w Y o r k C ity , N . Y . [1915.] R eg u la rity o f e m p lo y m e n t in th e w o m e n ’s ready-to-w ear garm ent industries. [1915.] U n em p loy m e n t in the U n ited States. [1916.] Proceedings o f th e E m p lo y m e n t M anagers’ C onference held at M in n eapolis, M in n ., Jan u a ry 19 and 20, 1916. Proceedings o f th e conference o f E m p lo y m e n t M anagers’ A ssociation o f B oston , M ass., held M a y 10, 1916. T h e B ritish system o f labor exchanges. [1916.] Proceedings o f th e E m p lo y m e n t M anagers’ Conference, P h iladelphia, P a ., A p ril 2 and 3, 1917. E m p lo y m e n t system o f the L ake Carriers’ A ssociation. [1918.] P u b lic em p lo y m e n t offices in th e U n ited States. [1918.] N o . 247. Proceedings o f E m p lo y m e n t M an agers’ Conference, R ochester, N . Y ., M a y 9-11, 1918. N o . 310. Industrial u n e m p lo y m e n t: A statistical stu d y o f its extent and causes. [1922.] N o . 409. U n em p loy m e n t in C olu m bu s, O hio, 1921 to 1925. F o r e ig n L a b o r L a w s . *N o. 142. A d m in istra tion o f labor law s and factory inspection in certain E u rop ean countries. [1914.] H o u s in g . *N o. 158. G overn m en t aid to h om e ow n in g and housing o f w ork in g people in foreign countries. N o. 263. H ou sin g b y em ployers in the U nited States. [1920.] N o . 295. B u ild in g operations in representative cities in 1920. N o . 469. B u ild in g perm its in th e principal cities o f the U nited States in [1921 to] 1927. [i] [1914.] I n d u s t r ia l A c c id e n t s a n d H y g ie n e . *N o. 104. L ea d poisoning in potteries, tile w orks, and porcelain enam eled sanitary w are factories. [1912.] N o . 120. H ygien e o f th e p ainter’s trade. [1913.] *N o. 127. D angers t o w orkers from dusts and fum es, and m eth ods o f p rotection . [1913.] * N o. 141. L ea d poisoning in th e sm elting an d refining o f lead. [1914.] * N o . 157. Industrial accident statistics. [1915.] *N o. 165. L ea d poisoning in the m an ufacture o f storage batteries. [1914.] *N o. 179. Industrial poisons used in th e ru bber in d u stry. [1915.] N o . 188. R ep ort o f B ritish departm ental com m ittee on th e danger in t h ) use o f lead in the painting o f buildin gs. [1916.] * N o . 201. R ep ort of com m ittee on statistics an d com pensation insurance cost o f the Internation al A ssociation of Industrial A ccid e n t B oard s and C om m issions. [1916.] * N o . 207. Causes of death, b y occu p ation . [1917.] *N o . 209. H ygien e o f the printing trades. [1917.] * N o . 219. Industrial poisons used or pro d u ce d in th e m anufacture o f explcsives. [1917.] N o . 221. H ours, fatigue, and health in B ritish m u n ition factories. [1917.| N o . 230. Industrial efficien cy and fatigue in B ritish m u n itio n factories. [1917.] * N o . 231. M o r ta lity from respiratory diseases in d u sty trades (inorganic c u s ts ). [1918.] * N o . 234. Safety m ov em en t in the iron an d steel in du stry, 1907 t o 1917. N o . 236. E ffects of the air ham m er o n th e hands o f stonecutters. [1918.] N o . 249. Industrial health and e fficie n cy . F in al report o f B ritish H ealth o f M u n itio n W ork e rs’ C om m ittee. [1919.] * N o . 251. P reventable death in the cotton -m an u factu rin g in d u stry. [1919.] N o . 256. A cciden ts and accident p reven tion in m achine b u ild in g. [1919.1 N o . 267. A n th ra x as an occupational disease. [1920.] N o . 276. Standardization of industrial accid ent statistics. [1920.] N o . 280. Industrial poisoning in m a k in g coal-tar dyes and d y e interm ediates. [1921.] N o . 291. C a rb on -m on ox ide poisoning. [1921.] N o . 293. T h e problem of dust phthisis in th e granite-stone in d u stry. [1922.] N o . 298. Causes and p revention of accidents in th e iron and steel in du stry, 1910-1919. N o . 306. O ccu p ation hazards and diagnostic signs: A guide to im pairm ents to be lo o k e d for in haz ardous occu pation s. [1922.] N o . 392. S u rvey o f h ygien ic co n d itio n s in th e printing trades. [1925.] N o . 405. P h osp horus necrosis in th e m anufacture o f firew orks and in th e preparation o f ph osph oru s. [1926.] N o . 425i R e c o r d o f industrial accidents in th e U n ite d States to 1925. N o . 426. D eaths from lead poison in g. [1927.] N o . 427. H ealth su rve y o f th e prin tin g trades, 1922 t o 1925. N o . 428. Proceedings of th e Industrial A ccid e n t P reven tion C onference, held at W ash in gton , D . C ., J u ly 14-16, 1926. N o . 460. A new test for industrial lead poisoning. [1928.] N o . 466. Settlem ent for accidents t o A m erican seam en. [1928.] N o . 488. D eaths from lead poisoning, 1925-1927. I n d u s t r ia l R e l a t i o n s a n d L a b o r C o n d it io n s . N o. N o. N o. N o. N o. N o. N o. N o. 237. 340. 349. 361. 380. 383. 384. 399. Industrial unrest in Great B ritain. [1917.] C hinese m igrations, w ith special reference t o labor con dition s. [1923.] Industrial relations in the W est Coast lu m b e r in d u stry . [1923.| L a bor relations in the F airm ont (W . V a .) b itu m in o u s-co a l field. [1924.] Postw ar labor con d ition s in G erm an y. [1925.] W ork s council m ovem en t in G erm an y. [1925.] L a bor conditions in th e shoe in d u stry in M assachusetts, 1920-1924. L a bor relations in th e lace and laee-curtain industries in th e U n ited States. [1925.] L a b o r L a w s o f t h e U n it e d S t a t e s (i n c lu d in g d e c is io n s o f c o u r t s r e la t in g t o l a b o r ) . N o. N o. N o. N o. N o. N o. N o. 211. 229. 285. 321. 322. 343. 370. Labor law s and their adm inistration in the P a cific States. [193 7.] W age-paym ent legislation in the U nited States. [1917.] M in im u m -w a g e laws o f th e U nited States: C on stru ction and operation. [1921.] L abor laws that have been declared uncon stitu tion a l. [1922.] K ansas C ou rt o f Industrial R elations. [1923.] L a w s p ro v id in g for bureaus o f labor statistics, etc. [1923.] L a bor law s o f th e U n ited States, w ith decisions o f courts relating th ereto. [1925.] N o . 408. L a w s relating t o p a y m en t o f w ages. [1926.] N o . 444. D ecision s o f courts an d opin ion s affecting labor, 1926. N o . 486. L a b or legislation o f 1928. [II] P r o c e e d in g s o f A n n u a l C o n v e n t i o n s o f t h e A s s o c ia t io n o f G o v e r n m e n t a l L a b o r O ffic ia ls o f t h e U n it e d S ta te s a n d O an a d a. (N a m e c h a n g e d in 1928 t o A s s o c ia t io n o f G o v e r n m e n t a l O ffic ia ls in I n d u s t r y o f th e U n it e d S t a t e s a n d C a n a d a .) *N o. N o. N o. N o. *N o. *N o. N o. N o. N o. 266. 307. 323. 352. 389. 411. 429. 455. 480. Seven th , Seattle, W ash ., J u ly 12-15, 1920. E igh th , N e w Orleans, L a ., M a y 2-6, 1921. N in th , H arrisburg, Pa., M a y 22-26, 1922. T en th , R ich m o n d , V a ., M a y 1-4, 1923. E leven th , C hicago, 111., M a y 19-23, 1924. T w elfth , Salt L ake C ity , U tah, A u gu st 13-15, 1925. T h irteen th , C o lu m b u s, O h io, June 7-10, 1926. F ou rteen th , Paterson, N . J ., M a y 31 to June 3, 1927. F ifteen th , N e w Orleans, L a ., M a y 15-24, 1928. P r o c e e d in g s o f A n n u a l M e e t i n g s o f t h e I n t e r n a t io n a l A s s o c ia t io n o f I n d u s t r ia l A c c id e n t B o a r d s a n d C o m m is s io n s . N o. N o. N o. *N o. N o. N o. N o. N o. N o. N o. N o. N o. N o. N o. 210. 248. 264. 273. 281. 304. 333. 359. 385. 395. 406. 432. 456. 485. T h ir d , C olu m bu s, O hio, A p ril 25-28, 1916. F o u rth , B oston , M a ss., A u g u st 21-25,1917. F ifth , M a d is o n , W is., S eptem ber 24-27, 1918. S ixth , T o r o n to , Canada, Septem ber 23-26, 1919. Seventh, San Francisco, C alif., Septem ber 20-24,1920. E igh th , C hicago, 111., Septem ber 19-23, 1921. N in th , B altim ore, M d ., O ctober 9-13, 1922. T en th , St. Paul, M in n ., Septem ber 24-26,1923. E leven th , H alifax, N o v a Scotia, A u g u st 26-28,1924. Index to proceedings, 1914-1924. T w elfth , Salt Lake C ity , U tah, A u g u st 17-20,1925. T h irteen th , H artford, C o n n ., Septem ber 14-17, 1926. F ou rteenth, A tlanta, G a., S eptem ber 27-29, 1927. Fifteen th , Paterson, N . J., Septem ber 11-14,1928. P r o c e e d in g s o f A n n u a l M e e t i n g s o f t h e I n t e r n a t io n a l A s s o c ia t io n o f P u b l i c E m p lo y m e n t S e r v ic e s . N o . 192. First, Ch icago, D ecem b er 19 an d 20, 1913; second, Indianapolis, Septem ber 24 and 25, 1914; third , D etroit, Ju ly 1 and 2,1915. N o . 220. F ou rth , B uffalo, N . Y ., Ju ly 20 and 21, 1916. N o . 311. N in th , B uffalo, N . Y ., Septem ber 7-9,1921. N o . 337. T en th , W ash in gton , D . C ., Septem ber 11-13,1922. N o . 355. E leven th , T o ro n to , C anada, Septem ber 4-7, 1923. N o . 400. T w elfth , C h icago, 111., M a y 19-23, 1924. N o . 414. T h irteen th , R och ester, N . Y . , Septem ber 15-17, 1925. N o . 478. F ifteen th , D e tro it, M ic h ., O ctober 25-28, 1927. P r o d u c t iv i t y o f L a b o r . N o . 356. P r o d u ctiv ity costs in the co m m o n -b rick industry. [1924.] N o . 360. T im e an d la b o r costs in m anufacturin g 100 pairs o f shoes, 1923. N o . 407. L a b o r co st o f p rod u ction and w ages and hours o f labor in the paper box-board in d u stry. [1926.] N o. 412. W ages, hours, and p r o d u ctiv ity in the p o tte ry in du stry, 1925. N o . 441. P r o d u ctiv ity o f labor in the glass in du stry. [1927.] N o . 474. P r o d u ctiv ity o f labor in m erch ant blast furnaces. [1928.] N o . 475. P r o d u ctiv ity o f labor in new spaper printing. [1929.] R e t a il P r i c e s a n d C o s t o f L iv in g . *N o. *N o. N o. N o. N o. N o. 121. 130. 164. 170. 357. 369. Sugar prices, from refiner to consum er. [1913.] W h eat and flour prices, from farm er to consum er. [1913.] B u tter prices, from producer to consum er. [1914.] Foreign food prices as affected b y the w ar. [1915.] C ost o f liv in g in the U n ited States. [1924.] T h e use o f cost-of-livin g figures in w age adjustm ents. [1925.] N o . 464. R etail prices, 1890 to 1927. S a fe t y C o d e s . *N o. 331. C od e o f ligh tin g: F actories, m ills, and other w o rk places. N o . 336. Safety code for the protection o f industrial w orkers in foundries. N o . 350. Specifications o f laboratory tests for approval o f electric headlighting d evices for m otor vehicles. N o . 351. Safety cod e for the construction, care, and use o f ladders. N o. 375. Safety cod e for la u n d ry m achinery and operations. N o . 378. Safety cod e for w o o d w o rk in g plants. N o. 382. C od e for ligh tin g school buildin gs. N o . 410. Safety code for paper and p u lp m ills. [I ll] S a f e t y C o d e s — C on tin u ed . N o. N o. N o. N o. N o. N o. 430. 433. 436. 447. 451. 463. Safety code for pow er presses and foot and han d presses. Safety codes for the p revention o f dust explosions. Safety cod e for th e use, care, and p rotection o f abrasive w heels. Safety co d e for ru b b e r m ills and calenders. Safety co d e for forging and hot-m etal stam ping. Safety c o d e for m echanical pow er-transm ission apparatus— first revision. V o c a t io n a l a n d W o r k e r s * E d u c a t io n . •N o. •N o. N o. N o. N o. 159. 162. 199. 271. 459. Short-unit courses for w age earners, and a factory school experim ent. [1915.] V ocation al edu cation su rv e y o f R ic h m o n d , V a . [1915.] V ocation al e d u cation su rv e y o f M in n eapolis, M in n . [1917.] A d u lt w orking-class e d u cation in G reat B ritain and th e U n ited states. [1920.] A p p ren ticesh ip in bu ild in g construction. [1928.] W a ges a n d H ou rs o f L ab or. •No. 146. W ages and regularity o f e m p lo y m e n t and standardization o f pieco rates in the dress and w aist in d u stry o f N e w Y o r k C ity . [1914.] •N o. 147. W ages and regularity o f em p lo y m e n t in th e cloak, suit, and skir1; industry. [1914.] N o . 161. W ages and hours o f labor in th e cloth in g and cigar industries, 19 LI to 1913. N o . 163. W ages and hours o f la b o r in th e b u ild in g and repairing o f steam railroad cars, 1907 to 1913. •N o. 190. W ages and hours o f labor in th e co tto n , w oolen , and silk industries, 1907 to 1914. N o . 204. S treet-railw ay e m p lo y m e n t in th e U n ited States. [1917.] N o . 225. W ages an d hours o f labor in th e lu m ber, m illw o rk , an d furniture industries, 1915. N o . 265. Industrial su rv e y in selected industries in th e U n ite d States, 1919. N o . 297. W ages and hou rs o f la b o r in th e petroleu m in d u stry , 1920. N o . 356. P r o d u ctiv ity costs in th e c o m m o n -b rick in du stry. [1924.] N o . 358. W ages an d hours o f labor in th e autom obile-tire in d u stry, 1923. N o . 360. T im e and labor costs in m anufacturin g 100 pairs o f shoes, 1923. N o . 365. W ages an d hours o f labor in th e paper and p u lp in d u stry, 1923. N o . 394. W ages an d hours o f la b o r in m etalliferous m ines, 1924. N o . 407. L a b or cost o f p ro d u ctio n and wages an d hours o f labor in th e paper box-board in du stry. [1925.] N o . 412. W ages, hours, and p r o d u c tiv ity in th e p o tte ry in d u stry , 1925. N o . 413. W ages an d hours o f labor in th e lu m b e r in d u stry in th e U n ited States, 1925. N o . 416. H ou rs an d earnings in anthracite and bitu m in o u s coal m in in g , l ')22 and 1924. N o . 435. W ages and hours o f la b o r in foundries and th e m e n ’s clo th in g in d u stry , 1911 t o 1926. N o . 438. W ages and hours o f labor in th e m o tor-veh icle in d u stry, 1925. N o . 442. W ages and hours o f labor in th e iron a n d steel in d u stry, 1907 t o ]926. N o . 446. W ages and hours o f la b o r in cotton -good s m anufacturin g, 1910 to 1926. N o . 450. W ages and hours o f labor in th e b o o t an d shoe in du stry, 1907 t o 1926. N o . 452. W ages an d hours o f labor in th e h osiery and underw ear industries, 1907 t o 1926. ■N o . 454. H ou rs and earnings in b itu m in ou s-coal m in in g , 1922,1924, and 1926. N o . 471. W ages and hours o f la b o r in foundries and m achine shops, 1927. N o . 472. W ages and hours o f la b o r in th e slaughtering an d m eat packing in d u stry, 1927. N o . 476. U n ion scales o f w ages and hours o f labor, 1927. [S u pplem en t t o B u i. N o . 457.] N o . 482. U n ion scales o f w ages and hours o f labor, M a y 15, 1928. N o . 484. W ages and hours o f labor o f co m m o n street laborers, 1928. N o . 487. W ages and hours o f labor in w oo le n and w orsted goods m anufacturin g, 1910 to 1928. W e lfa re W o rk . •No. N o. •No. N o. 123. 222. 250. 458. E m p lo y e rs ’ w elfare w ork . [1913.] W elfare w o rk in B ritish m u n ition s factories. [1917.] W elfare w o rk for em ployees in industrial establishm ents in the U n ite d States. H ealth and recreation activ ities in industrial establishm ents, 1925. [1919. J W h o l e s a le P r i c e s . N o . 284. In dex num bers o f w holesale prices in th e U n ite d States and forei gn countries. N o . 453. R ev ised in dex n um bers o f w holesale prices, 1923 t o J u ly , 1927. [1921.] N o . 473. W holesale prices, 1890 to 1927. W o m e n a n d C h ild r e n in I n d u s t r y . N o . 116. H ours, earnings, an d du ration o f em p lo y m e n t o f w age-earning w o m e n in selected industries •No. N o. N o. *N o. N o. 117. 118. 119. 122. 160. in the D istrict o f C olu m b ia . [1913.] P roh ib itio n o f night w o rk o f y o u n g persons. [1913.] T en -h o u r m axim u m w o rk in g -d a y for w o m e n an d y o u n g persons. [1913.] W ork in g hours o f w o m e n in th e pea canneries o f W isconsin. [19 L3.] E m p lo y m e n t o f w o m e n in p ow er laundries in M ilw au k ee. [1913 ] H ours, earnings, and con dition s o f labor o f w o m e n in Indian a m ercantile establishm ents and garm ent factories. [1914.] •No. 167. M in im u m -w ag e legislation in th e U n ited States and foreign countries. [IV] [1915.] W o m e n a n d C h ild r e n In I n d u s t r y — Continued. *N o. 175. S u m m ary o f the report o n con dition s of w om a n and ch ild w age earners in the U n ited States [1915.] *N o. *N o. *N o. N o. N o. *N o. 176. 180. 182. 193. 215. 217. E ffect o f m in im u m -w ag e determ inations in Oregon. [1915.] T h e b o o t an d shoe in d u stry in M assachusetts as a v o ca tio n for w om en . [1915.] U n em p loy m e n t am on g w o m e n in departm ent and other retail stores o f B oston , M ass. [1916.] D ressm aking as a trade for w o m e n in M assachusetts. [1916.] Industrial experience o f trade-sch ool girls in M assachusetts. [1917.] E ffect o f w o rk m e n ’s com pen sation law s in dim inishing th e necessity o f industrial e m p lo y m en t o f w o m e n an d children. [1918.] N o . 223. E m p lo y m e n t o f w o m e n and ju v en iles in G reat Britain during th e war. [1917.] N o . 253. W om en in th e lead industries. [1919.] W o r k m e n ’ s I n s u r a n c e a n d C o m p e n s a t io n (i n c l u d i n g la w s r e la t in g t h e r e t o ) . *N o. *N o. N o. N o. *N o. N o. 101. 102. 103. 107. 155. 212. Care o f tu bercu lou s w age earners in G erm an y. [1912.] B ritish nation al insurance act, 1911. Sickness a n d accid en t insurance law in Sw itzerland. [1912.] L a w relating t o insurance o f salaried em ployees in G erm an y. [1913.] C om pen sation for accidents t o em ployees o f th e U n ited States. [1914.] P roceedings o f th e conferen ce on social insurance called b y th e International A ssociation o f Industrial A c c id e n t B oard s and C om m issions, W ashington, D . C ., D e ce m b e r 5-9,1916. *N o. 243. W o r k m e n ’s com pen sation legislation in the U n ited States an d foreign countries, 1917 and 1918. N o. N o. N o. N o. N o. 301. 312. 379. 423. 477. C om parison o f w o rk m e n ’s com pen sation insurance and adm inistration. [1922.] N ation a l health insurance in G reat B ritain, 1911 to 1921. C om parison o f w o rk m e n ’s com pen sation law s o f th e U n ite d States as o f January 1, 1925. W o r k m e n ’s com pen sation legislation o f the U n ited States and C anada as o f J u ly 1, 1926. P u blic-service retirem ent system s, U n ited States and E u rop e. [1929.] M i s c e ll a n e o u s S e r i e s . *N o. 174. Su b ject in d ex o f th e pu b lication s o f th e U n ited States B ureau o f L a b o r Statistics u p to No. 208. N o. N o. N o. N o. N o. 242. 254. 268. 282. 299. N o . 319. N o . 326. N o. N o. N o. N o. N o. N o. N o. N o. N o. N o. N o. N o. N o. 342. 346. 372. 386. 398. 401. 420. 439. 461. 462. 465. 479. 483. May 1,1915. P rofit sharing in th e U n ited States. [1916.] F o o d situ ation in central E u rop e, 1917. Internation al la b o r legislation an d th e society o f nations. [1919.] H istorical s u rv e y o f intern ational action affecting labor. [1920.] M u tu a l relief associations a m on g G ov ern m en t em ployees in W ash in gton , D . C . [1921.] P ersonnel research agencies: A gu ide t o organized research in e m p lo y m e n t m anagem ent, industrial relations, training, and w o rk in g conditions. [1921.] T h e B u reau o f L a b o r Statistics: Its h istory, activities, and organization. [1922.] M e th o d s o f p rocu rin g and c o m p u tin g statistical inform ation o f th e B u reau o f L a bor Statistics. [1923.] Internation al Seam en’s U n ion o f A m erica: A stu d y o f its h istory and problem s. [1923.] H u m a n ity in govern m en t. [1923.] C o n v ic t la b o r in 1923. C ost o f Am erican alm shouses. [1925.] G ro w th o f legal-aid w o rk in th e U n ite d States. [1926.] F a m ily allow ances in foreign countries. [1926.] H a n d b o o k o f A m erica n trade-unions. [1926.] H a n d b o o k o f la b o r statistics, 1924 to 1926. L a b o r organizations in Chile. [1928.] P a rk recreation areas in the U n ite d States. [1928.] B eneficial activities o f A m erican trade-unions. [1928.] A ctiv ities an d fu n ction s o f a State d epa rtm ent o f labor. [1928.] C on d ition s in th e shoe in d u stry in H averhill, M ass., 1928. tv]