A distinguished Dutch neurologist, crossing the ocean recently, was asked to state the object of his visit to America. “I am bent on study,” he answered. “I wish to study nervous diseases among the most nervous people on earth.” Waiving the fact that nervousness and mental disease in America are to an overwhelming degree found among the foreign born element, and cannot, therefore, be truly attributed to American environment and influences, the allegation that America is a ripe field for the study of nervous disease must be acknowledged. Everywhere throughout the country attention is being called to the alarming increase in insanity in the past decade. Without doubt such disturbing reports take far too little count of the effect upon statistics of the wonderful advance in later times in accuracy of recognition and registration of insanity, and of the constantly increasing tendency to house, restrain and treat the subjects of mental disease.