The question of better provision for the care of idiots and imbeciles has of late been one of some prominence in the more thinly populated counties, and in several of these the county authorities are being urged to act in the matter. In large centres of population, where the number of the congenitally deficient is sufficiently great, and is under a single authority responsible for their care, it is more economical to provide for this class in separate institutions; but where you have, say in a county, a number of authorities, each responsible for the maintenance of only a few cases, it is on the face of it an expensive business for each of them to provide special and separate accommodation; still, it is highly desirable that some steps should be taken to put this class of case under more favourable conditions than at present.